Updated September 1, 2026
Verify Jefferson Health Plans eligibility in real time.
Jefferson Health Plans supports electronic real-time eligibility. Send the check to payer ID RP099 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Jefferson Health Plans Medicare PPO · Partners Insurance Company Medicare PPO
Seconds
The same Jefferson Health Plans check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
3 billing names
Jefferson Health Plans shows up on cards under 3 names. Every one routes to payer ID RP099, and so do 1 older payer ID still printed on cards. No guessing which card this is.
Medicare plans
Jefferson Health Plans runs Medicare plans in Pennsylvania. Sign in and check any patient in one click before they arrive.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying Jefferson Health Plans by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID RP099, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Jefferson Health Plans eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Jefferson Health Plans reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID RP099
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, Jefferson Health Plans included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What Jefferson Health Plans supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Not through our network
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
Jefferson Health Plans · Jefferson Health Plans Medicare PPO · Partners Insurance Company Medicare PPO. Older cards may show payer ID 10098. All of them route to payer ID RP099.
Payer site: www.jeffersonhealthplans.com
How to verify Jefferson Health Plans, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID RP099.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
Jefferson Health Plans runs Medicare plans across Pennsylvania. Medicare dental benefits live in the specific Advantage plan, not in Medicare itself, so the plan on the card decides.
Jefferson Health Plans, for your front desk
Phone numbers and portal, from Jefferson Health Plans' own provider pages.
- Provider customer service
- 888-991-9023
- Provider email
- EDI@jeffersonhealthplans.com
- Provider portal
- Provider Portal
Source: Jefferson Health Plans, important addresses page, claim submissions page and provider quick reference guide page. Checked September 19, 2026.
Jefferson Health Plans, quick answers
Does Jefferson Health Plans support real-time eligibility?
Yes. Eligibility checks to Jefferson Health Plans clear electronically in seconds through payer ID RP099.
What payer ID do I use for Jefferson Health Plans?
RP099 for eligibility transactions. The same payer also appears on cards as Jefferson Health Plans Medicare PPO, Partners Insurance Company Medicare PPO.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does Jefferson Health Plans require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which Jefferson Health Plans plans does this cover?
Jefferson Health Plans runs Medicare plans in Pennsylvania. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get Jefferson Health Plans remittances electronically?
Electronic remittance advice (835) from Jefferson Health Plans is not available through our network today, so check the payer's own portal or paper remittance for payment details.
What if the patient's card shows a different Jefferson name?
Alternate billing names route to the same payer ID, RP099. The same check covers them.
More questions about verifying Jefferson Health Plans? Schedule 15 minutes with us and bring your toughest plan.
Check any Jefferson Health Plans patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other Pennsylvania dental payers
32 other payers operating in Pennsylvania also verify in real time, 11 of them with Medicaid plans.
- Aetna Better Health Pennsylvania23228
- AmeriHealth95044
- AmeriHealth Caritas Northeast77001
- AmeriHealth Caritas Pennsylvania22248
- Blue Shield of PennsylvaniaCB865
- Blue Shield of Pennsylvania - Dental PlusCBPA2
- CareFirst Blue Cross Blue Shield MarylandSB690
- CareFirst Blue Cross Blue Shield Maryland - Dental00580
- Central Pennsylvania Teamsters Health & Welfare FundTLU51
Medicaid plans in Pennsylvania: Aetna Better Health Pennsylvania, AmeriHealth Caritas Northeast, AmeriHealth Caritas Pennsylvania, CareFirst Blue Cross Blue Shield Maryland, Geisinger Health Plan, Health Partners Plans, and 5 more.
Related payers
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.