Provider contacts
Important contact information
| 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) |
| 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) |
| Credentialing | |
| Credentialing violation hotline | 215-988-1413 |
| Credentialing Participation Request Form | Practitioner Participation Form (NJ) Practitioner Participation Form (PA) |
| Credentialing and re-credentialing inquiries | Email: credinquiries@amerihealth.com |
| Credentialing application corrections | Email: CredOps@amerihealth.com Fax: 215-238-2549 |
| Customer Service | |
| AmeriHealth New Jersey HMO/PPO/EPO AmeriHealth Medigap |
1-888-YOUR-AH1 (NJ) |
| AmeriHealth HMO/POS | 1-800-275-2583 (PA) |
| TTY/TDD Language assistance services are offered through the AT&T Language Line for Members who have difficulty communicating because of an inability to speak or understand English |
711 |
| EviCore by Evernorth | |
| 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 |
| Mental Health/Substance Use Disorder | |
| Customer Service and Precertification 24 hours a day, 7 days a week |
1-800-809-9954 (NJ) 1-800-809-9954 (PA) |
| AmeriHealth Administrators 24 hours a day, 7 days a week |
1-800-778-2119 |
| PEAR Portal | |
| PEAR support | 1-833-444-7327 |
| Prescription Drug Benefits | |
| Prescription drug prior authorization Mon. – Fri., 9 a.m. – 5 p.m. |
1-888-678-7012 Fax: 1-888-671-5285 |
| Direct Ship Drug Program | Direct Ship Drug Program Fax: 215-761-9580 |
| Blood Glucose Meter Hotline | 1-888-678-7012 |
| Prescription Drug Benefits (Medicare Part D) | |
| Prescription drug prior authorization 24 hours a day, 7 days a week |
1-888-678-7015 Fax: 1-888-671-5285 |
| Direct Ship Drug Program | Direct Ship Drug Program Fax: 215-761-9580 |
| Blood Glucose Meter Hotline | 1-888-678-7012 |
| Provider Resources | |
| Provider Automated System | 1-888-YOUR-AH1 (NJ); prompt 2 Navigating the Provider Automated System 1-800-275-2583 (PA); prompt 2 Provider Automated System |
| Provider Services Mon. – Fri., 8 a.m. – 6 p.m. |
1-888-YOUR-AH1 (NJ) 1-800-275-2583 (PA) |
| Provider Services (AmeriHealth Administrators) | 1-800-841-5328 |
| Provider Relations (AmeriHealth Administrators) | Email: provrelations@ahatpa.com |
| Provider Partnership Associate | Find your Provider Partnership Associate |
| Smart Data Solutions EDI Support | |
| Mon. – Fri., 8 a.m. – 5 p.m. | 855-297-4436 Email stream.support@sdata.us |
Mailing Address
1901 Market Street
Philadelphia, PA 19103
259 Prospect Plains Road, Bldg. M
Cranbury, NJ 08512-3706