Frequently Asked Questions

For Providers

• Provider FAQ

• National Provider Identifier (NPI) FAQ

• Electronic Data Interchange (EDI) Services FAQ

• Select Drug Program FAQ

Provider FAQ

How can I obtain an AmeriHealth Provider Manual?

How can I obtain a PCP billable list?

What are AmeriHealth’s NAIC payer ID numbers, and where are they located on the website?

How can I register for access to the NaviNet^® portal?

What is the contact information for the eBusiness department to report or discuss electronic claims issues?

Where can I obtain descriptions of AmeriHealth products?

How can I obtain an AmeriHealth Provider Manual?
Contact the Provider Supply Line at 1-800-858-4728.

How can I obtain a PCP billable list?

• Select Policies & Guidelines from the left navigation menu.
• Select Medical Policy.
• Review the Terms and Conditions policy, then in the upper right hand corner select Accept and Go to Medical Policy Online to proceed.
• Enter the keyword “PCP” in the Search field, and hit GO.
• Select Services Paid Above Capitation for Health Maintenance Organization Primary Care Physicians.

What are AmeriHealth’s NAIC payer ID numbers, and where are they located on the website?
The payer ID number site is currently under development. You can call Provider Services or visit Provider Tools for more information.

How can I register for access to the NaviNet^® portal?
To learn more visit our NaviNet^® section.

What is the contact information for the eBusiness department to report or discuss electronic claims issues?
For problems with electronic claim submission, please contact the EDI Team or call the EDI Business Help Desk at 215-241-2305.

Where can I obtain description of AmeriHealth products?
You can view available AmeriHealth product information visit our Health Plans section.

If you have additional questions, please go to the Contact Information page to find out where to direct your questions.