 PROVIDER SUPPORT 1.855.275.1270, OPTION 4 | MEDICAL CLAIM FORM Forward Form and Bills to: JIPA Network/Claims PO BOX 2788 Kennesaw, GA 30156-9114 USA fax: 1.770.810.3789 email: claims@jipanetwork.com | ||||
PROVIDER SUPPORT 1.855.275.1270, OPTION 4 | MEDICAL CLAIM FORM Forward Form and Bills to: JIPA Network/Claims PO BOX 2788 Kennesaw, GA 30156-9114 USA fax: 1.770.810.3789 email: claims@jipanetwork.com | ||||