Appeals

Appeals Process

Johns Hopkins HealthCare will reconsider denial decisions in accordance with the provider manual and contract. All appeal requests should be submitted in writing. For information about the appeals process for Advantage MD, Johns Hopkins EHP, Priority Partners MCO, and Johns Hopkins US Family Health Plan, please refer to the provider manuals or contact your network manager.

Priority Partners, EHP, and USFHP Appeals

Appeals letters and other clinical information should be mailed or faxed to Johns Hopkins HealthCare.

Address:
Johns Hopkins HealthCare LLC
Attn: Appeals Department
7231 Parkway Drive, Suite 100, Hanover, MD 21076

Fax Number: 410-762-5304

Johns Hopkins Advantage MD Payment Disputes

Mail to:
Johns Hopkins Advantage MD Payment Disputes
P.O. Box 3537
Scranton, PA 18505

Phone: PPO: 877-293-5325, HMO: 877-293-4998; TTY users may call 711

Fax: 1-855-206-9206

For a Fast Appeal (Advantage MD)

Phone: 1-877-293-5325, TTY Users Call: 711

Fax: 1-855-206-9206

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