• Communications

• National Provider Identifier (NPI)

• NaviNet

• Policies & Guidelines

• Medical Policy
• Clinical Guidelines
• Medical Necessity Criteria
• Chiropractic Billing Guide

• Claims and Billing Information

• Forms

• Resources for Patient Management

• Quality Management

• Physician Advisory Committee

• Prescription Drug Formulary & Prior Authorization

• IVR (Interactive Voice Response)

• Provider FAQ's

• Contact Information

Policies & Guidelines

Medical Policy
Use this online searchable database to read AmeriHealth medical, claim payment, and pharmacy policies.

Clinical Practice Guidelines
Download guidelines outlining a generally accepted minimum standard of care — adherence may lead to improved patient outcomes.

Medical Necessity Criteria
Find information regarding the InterQual guidelines for acute and home care settings as well as support for procedure and durable medical equipment decisions.

Chiropractic Billing Guide
Access the 2006 Chiropractic Billing Guide for clear, helpful information about billing requirements.