|
|
New Jersey |
Delaware |
Pennsylvania |
| American Imaging Management (AIM) |
| Call for CT/CTA, MRI/MRA, PET,
and
nuclear cardiology precertification requests |
1-800-859-5288 |
1-800-275-2583 |
AmeriHealth Administrators®
Provider Relations |
| Direct all inquiries or issues directly to AmeriHealth Administrators |
1-800-841-5328
provrelations@amerihealth-tpa.com |
| Anti-Fraud and Corporate Compliance Hotline |
| Anti-Fraud and Corporate Compliance Hotline |
1-866-282-2707 |
| Baby FootSteps® |
Perinatal case management
Nurse on call 24 hours a day |
1-800-598-BABY |
Care Management and Coordination Case Management Intake
(for preapproval/precertification, please see
“Health Resource Center”) |
HMO/PPO (Medicare Advantage and Commercial)
Mon. – Fri., 8 a.m. – 5 p.m. |
1-800-313-8628 or 856-778-6374 |
ConnectionsSM Health Management Programs
(call for disease management and decision support) |
| ConnectionsSM Health Management Program |
1-866-866-4694 |
| ConnectionsSM AccordantCareTM Program |
1-866-398-8761 |
| Credentialing |
| Credentialing hotline |
215-988-6534 |
| Credentialing violation hotline |
215-988-1413 |
| Credentialing and re-credentialing inquiries |
1-866-227-2186 |
N/A |
| Customer Service |
AmeriHealth HMO
Mon. – Fri., 8 a.m. – 6 p.m. |
1-800-275-2583 |
AmeriHealth PPO
Mon. – Fri., 8 a.m. – 6 p.m. |
1-800-275-2583 |
N/A |
| AmeriHealth 65® |
1-800-645-3965 |
N/A |
| TTY/TDD |
1-888-857-4816 |
| Electronic Data Interchange (EDI) |
| eBusiness help desk |
215-241-2305
claims.edi-admin@amerihealth.com |
| FutureScripts® |
Prescription drug preauthorization
Mon. – Fri., 9 a.m. – 5 p.m. |
1-888-678-7012
Toll-Free Fax: 1-888-671-5285 |
| Direct ship injectables |
1-888-678-7012
Fax: 215-761-9165 |
| FutureScripts® Secure |
Medicare Part D prescription drug preauthorization
Mon. – Fri., 8 a.m. – 5 p.m. |
1-888-678-7015 |
| Pharmacy appeals |
1-888-494-8213 |
| Blood glucose meter hotline |
1-888-678-7012 |
| Health Resource Center |
AmeriHealth Healthy LifestylesSM
Mon. – Fri., 8 a.m. – 6 p.m. |
1-800-275-2583 |
Precertification
Mon. – Fri., 8 a.m. – 5 p.m. |
1-800-275-2583 |
| Interactive voice response (IVR) system |
| Interactive voice response (IVR) system |
1-800-275-2583 |
| Mental Health/Substance Abuse |
Magellan Behavioral Health, Inc. Member Services/precertification
24 hours a day/7 days a week |
1-800-809-9954 |
|
NaviNet® |
|
Customer care (technical issues) |
1-888-482-8057 |
| Portal registration and questions |
856-638-2701 |
302-661-6111 |
215-640-7410 |
| Provider Services
|
Provider Services
Mon. – Fri., 8 a.m. – 5 p.m. |
1-800-275-2583, prompt 2 |
| Provider Supply Line |
| Provider Supply Line |
1-800-858-4728 |
Contact Information