At AmeriHealth, we value our relationship with our network health care providers. That’s why we provide quick and easy online resources — so you can get the information you want and need.
Communications
Get up-to-date news, announcements, bulletins, and AmeriHealth publications, including Partners in Health Update, that address administrative processes, new programs, medical updates, policy changes, and other important information.
National Provider Identifier (NPI)
The NPI is a unique, ten-digit identifier being issued to all health care providers by the Centers for Medicare & Medicaid Services.
ICD-10
Learn more about recent updates regarding the ICD-10 regulatory requirement.
NaviNet®*
Tap into NaviNet, our online provider gateway, which allows real-time transactions between AmeriHealth and your office.
Policies, Guidelines, & Appeals
Read our Medical Policy bulletins, Clinical Practice Guidelines, and Medical Necessity Criteria information.
Claims and Billing Information
Find everything you need to submit electronic claims accurately and ensure prompt payment. Get NAIC payer codes, HIPAA Companion Guides, communications regarding claims requirements, and more.
Forms
Download forms for referrals, provider changes, HIPAA, and prior authorizations.
Resources for Patient Management
Access preventive health flow sheets, behavioral health forms, vaccine information statements, the Breast Cancer Risk Assessment Tool, and more.
Quality Management
Learn about AmeriHealth’s program for maintaining standards of care and the associated processes.
Physician Advisory Committee
Learn about AmeriHealth’s Physician Advisory Committee, which meets at least once every six months to discuss issues arising from interactions among allopathic/osteopathic physicians, their patients, and AmeriHealth.
Prescription Drug Formulary & Prior Authorization
Get details on the Select Drug Program®, prior authorization, and Epocrates® Rx† — providing instant access to the formulary on the go or at your desk.
Interactive Voice Response (IVR)
You can now take advantage of our speech-enabled interactive voice response (IVR) system, an enhanced automated phone service formerly known as Member Eligibility Line (MEL).
Provider FAQ
Find answers to a variety of frequently asked questions including NaviNet registration, electronic billing, NPI, AmeriHealth products, and the Select Drug Program.
Contact Information
Find phone numbers and email addresses for all provider-related AmeriHealth departments as well as mailing addresses for claims submissions.
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