Provider contacts
Important contact information
| AmeriHealth Administrators | |||||||||
| Provider Services (Direct all inquiries or issues) directly to AmeriHealth Administrators | 1-800-841-5328 Email: provrelations@amerihealth-tpa.com |
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| Anti-Fraud and Corporate Compliance | |||||||||
| Hotline | 1-866-282-2707 | ||||||||
| Baby FootSteps® | |||||||||
| Perinatal case management | 1-800-598-BABY | ||||||||
| Carelon Medical Benefits Management (Carelon) | |||||||||
| Precertification requests for CT/CTA, MRI/MRA, PET, nuclear cardiology, facility and home-based setting sleep study, continuous positive airway pressure titration, sleep equipment (APAP, BPAP, CPAP) and related supplies Cardiology Utilization Management Program, and Musculoskeletal Utilization Management Program | 1-800-859-5288 (NJ) 1-866-745-1791 (PA) |
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| Clinical Services — Utilization Management | |||||||||
| Requests for authorization services should be entered through PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal. | 1-888-YOUR-AH1 (NJ) 1-800-275-2583 (PA) |
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| Credentialing | |||||||||
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| Customer Service | |||||||||
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| eviCore healthcare (eviCore) | |||||||||
| Precertification requests for nonemergent outpatient radiation therapy services Precertification and/or prepayment reviews for genetic/genomic tests, certain molecular analyses, and cytogenetic tests |
1-866-686-2649 | ||||||||
| Health Coaching | |||||||||
| Case and Condition Management 24 hours a day, 7 days a week |
1-800-313-8628 | ||||||||
| Highmark EDI Operations | |||||||||
| Mon. – Fri., 8 a.m. – 5 p.m. | 1-800-992-0246 | ||||||||
| Mental Health/Substance Abuse | |||||||||
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| PEAR Portal | |||||||||
| PEAR support | 1-833-444-7327 | ||||||||
| Prescription Drug Benefits | |||||||||
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| Prescription Drug Benefits (Medicare Part D) | |||||||||
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| Provider Resources | |||||||||
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Mailing Address
1901 Market Street
Philadelphia, PA 19103
259 Prospect Plains Road, Bldg. M
Cranbury, NJ 08512-3706