|
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 PEAR portal |
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 |
PEAR Portal |
PEAR Support |
1-833-444-7327 |
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 |