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|
Pennsylvania |
| AIM Specialty Health® (AIM) |
| 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 |
1-866-745-1791 |
AmeriHealth Administrators |
| Provider Services (direct all inquiries or issues) directly to AmeriHealth Administrators) |
1-800-841-5328
provrelations@amerihealth-tpa.com |
| Anti-Fraud and Corporate Compliance |
| Hotline |
1-866-282-2707 |
| Baby FootSteps® |
| Perinatal case management |
1-800-598-BABY |
| CareCore National, LLC d/b/a eviCore healthcare (eviCore) |
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 |
| Clinical Services — Utilization Management |
| Requests for authorization of services should be
entered through the NaviNet® web portal (NaviNet Open)
|
1-800-275-2583 |
| Credentialing |
| Credentialing violation hotline |
215-988-1413 |
| Credentialing Participation Request Form |
Practitioner Participation Form |
| Credentialing and re-credentialing application status inquiries |
Email: credinquiries@amerihealth.com |
| Credentialing application corrections |
Email: CredOps@amerihealth.com
Fax: 215-238-2549 |
| Customer Service |
AmeriHealth HMO/POS
Mon. – Fri., 8 a.m. – 6 p.m. |
1-800-275-2583 |
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 |
| FutureScripts® (Pharmacy 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 |
www.amerihealth.com/directship
Fax: 215-761-9580 |
| Blood Glucose Meter Hotline |
1-888-678-7012 |
| FutureScripts® Secure (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 |
www.amerihealth.com/directship
Fax: 215-761-9580 |
| Blood Glucose Meter Hotline |
1-888-678-7012 |
| Health Coaching |
Case and Condition Management
24 hours a day, 7 days a week |
1-800-313-8628 |
| Highmark EDI Operations |
| Mon. – Fri., 8 a.m. – 5 p.m. |
1-800-992-0246 |
| Mental Health/Substance Abuse |
Magellan Healthcare, Inc.
Customer Service and Precertification
24 hours a day, 7 days a week |
1-800-688-1911 |
AmeriHealth Administrators
24 hours a day, 7 days a week |
1-800-634-5334 |
|
NaviNet® web portal (NaviNet Open) |
|
Customer care (technical issues) |
1-888-482-8057 |
| eBusiness (portal registration and questions) |
Provider eBusiness Inquiry Form |
| Provider Resources |
| Provider Automated System |
1-800-275-2583; prompt 2
www.amerihealth.com/providerautomatedsystem |
Provider Services
Mon. – Fri., 8 a.m. – 5 p.m. |
1-800-275-2583 |
| Office Administration/Patient Education Resources Order Form |
www.amerihealth.com/resourceorderform |
Contact Information