Claims, resources, and guides

General information

• Claims Requiring Submission of Clinical Information
• Referral submission rules

Payer ID provider number reference guides

Use these guides as a reference tool when submitting facility claims or professional claims.

2024

• Facility claims
• Professional claims

2023

• Facility claims
• Professional claims

Provider user guides

• CMS-1500 claims submission toolkit
• UB-04 claims submission guide

Provider appeals and disputes

• AmeriHealth post-service appeals and grievances (Pennsylvania)
• Claims appeal process