Claims and Appeals FAQs

  1. Where do I mail my claims?
  2. How can I receive reimbursement for out-of-network care?
  3. What information should I include with my reimbursement claim form?
  4. How long do I have to submit my receipts for a claim?
  5. What do I do if I don’t agree with the way a claim has been resolved?
  6. How long do I have to file an appeal?
  7. When will I find out if my appeal was approved?
  8. Where do I mail my appeals?
  9. What if my appeal is urgent?
  10. What if I have a complaint about EHP?

Where do I mail my claims?

Johns Hopkins EHP
Attn: Claims Department
6704 Curtis Court
Glen Burnie, Maryland 21060

How can I receive reimbursement for out-of-network care?

If you receive out-of-network care you may be required to pay for the service and then submit a reimbursement claim form. Submit the reimbursement claim form to EHP as soon as possible. Reimbursement claim forms are available at your Human Resources office, on the EHP website, or by calling EHP Customer Service at 1-800-261-2393.

What information should I include with my reimbursement claim form?

Fill out the Demographic information and attach a copy of the receipts of invoices associated with the claim to the reimbursement claim form. It is absolutely necessary to include all receipts or invoices in order for EHP to properly process the claim.

How long do I have to submit my receipts for a claim?

Most plan members have one year from the date of service to submit their receipts. Refer to your Summary Plan Description (SPD) to see if this applies to you.

What do I do if I don’t agree with the way a claim has been resolved?

You may appeal an adverse decision made in whole or for part of a service and request reversal or adjustment of a denied or plaid claim. Clinical appeals are reviewed by a peer comparable to the ordering provider.

How long do I have to file an appeal?

A member or an authorized representative must file the appeal or request a review in writing to EHP within 180 days of the date of the denial.

When will I find out if my appeal was approved?

If you have not received the services that were denied, you will receive and appeal determination within 15 days. If you have already received the services that were denied you will receive an appeal determination within 30 days. If your appeal is considered urgent, you will receive a determination within 36 hours.

Where do I mail my appeals?

Johns Hopkins HealthCare LLC
Attn: Appeals Department, Johns Hopkins EHP
6704 Curtis Court
Glen Burnie, Maryland 21060

What if my appeal is urgent?

For urgent appeals, please call 410-762-5383

What if I have a complaint about EHP?

Complaints can be called into EHP Customer Service or can be mailed to:
Johns Hopkins HealthCare LLC
Attn: Complaints and Grievances Department, Johns Hopkins EHP
6704 Curtis Court
Glen Burnie, Maryland 21060