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INSURER FILING GUIDE

Johns Hopkins Health Plans

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

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AT A GLANCE

Claim facts

Member form

Member Medical Claim Form

Number: FOR1272W02122025

Revision: Not published by the insurer

Open the insurer form
Portal uploadYES
Portal pathClaims & Costs > Claims & EOBs > reimbursement link at the top > complete the form > attach proof of payment
Mail addressEmployer Health Programs, 7231 Parkway Drive, Suite 100, Hanover, MD 21076
Fax410-424-4611
AttachmentsMember demographic information; provider name and address; provider professional status; provider Tax ID and NPI; patient full name; dates of service; procedure codes and descriptions; diagnosis codes and descriptions; charge for each service; amount paid; balance due; proof of payment
Deadline1 year after the date of service for most members
Outcome and statusClaims & Costs > Claims & EOBs > reimbursement link > past submissions
Processing timeLess than 30 days is the published plan objective for claim processing
CaveatsThis row is for Johns Hopkins Employer Health Programs commercial coverage. Out-of-network benefits and deadlines vary by employer plan. Medicare Advantage and Medicaid are outside this read.

STEP BY STEP

Filing steps

Source: https://www.ehp.org/wp-content/uploads/2022/08/member-medical-claim-form.pdf

Read date: 10-09-2026

Research steps

  1. Confirm that the Johns Hopkins Employer Health Programs plan covers out-of-network therapy. Pay the provider, retain the receipt or invoice and proof of payment, and prepare the demographic and coding information listed by EHP. https://www.ehp.org/member-resources/
  2. Sign in to the EHP member portal, open Claims & Costs, select Claims & EOBs, and use the reimbursement link at the top. Complete the form and attach proof of payment. https://www.ehp.org/member-resources/
  3. The downloadable Member Medical Claim Form, FOR1272W02122025, is also public. It requests member, employee, provider, service, diagnosis, charge, payment, and signature fields. NOT PUBLISHED: whether the portal accepts this PDF as an attachment. https://www.ehp.org/wp-content/uploads/2022/08/member-medical-claim-form.pdf
  4. Attach receipts or invoices and proof of payment. A superbill alone is not enough because the reimbursement form and proof are also required. https://www.ehp.org/member-resources/
  5. Check past submissions through the same reimbursement link. Most members have one year after service. NOT PUBLISHED: file types, size limit, maximum file count, one-PDF packaging, and submission confirmation. https://www.ehp.org/member-resources/

Filing facts

  • Portal upload: YES
  • Portal: Johns Hopkins EHP member portal
  • Portal path: Claims & Costs > Claims & EOBs > reimbursement link at the top > complete the form > attach proof of payment
  • Mail address: Employer Health Programs, 7231 Parkway Drive, Suite 100, Hanover, MD 21076
  • Fax: 410-424-4611
  • Attach: member demographic information; provider name and address; provider professional status; provider Tax ID and NPI; patient full name; dates of service; procedure codes and descriptions; diagnosis codes and descriptions; charge for each service; amount paid; balance due; proof of payment
  • File types: NOT PUBLISHED
  • File size limit: NOT PUBLISHED
  • Maximum files: NOT PUBLISHED
  • One file or separate files: Complete the reimbursement form and attach receipts or invoices plus proof of payment
  • Confirmation: Submission confirmation NOT PUBLISHED; prior submissions can be checked in the same portal area
  • Status check: Claims & Costs > Claims & EOBs > reimbursement link > past submissions
  • Processing time: Less than 30 days is the published plan objective for claim processing
  • Member deadline: 1 year after the date of service for most members
  • Deadline basis: The current member resource states most members; the controlling plan document may set another limit
  • Mental health route: EHP Mental Health and Substance Use Disorder Services

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://www.ehp.org/wp-content/uploads/2022/08/member-medical-claim-form.pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.