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Network Participation and Credentialing

Thank you for your interest in becoming a participating provider in AmeriHealth's provider networks. All providers interested in participating in our networks must complete and return a credentialing application, as explained below.

Information obtained during the credentialing process is confidential and will not be shared with third parties. Submission of the credentialing application and required supporting documentation does not guarantee inclusion in AmeriHealth's network(s).

Professional Providers

Professional providers includes but is not limited to the following specialties: physicians, radiologists, CRNP, physical therapists, registered dieticians, etc.

Most licensed practitioners are board-certified physicians. If a physician is not board certified, the required number of educational years deemed sufficient per the Accreditation Council for Graduate Medical Education (ACGME) guidelines would need to be primarily source verified. There are some instances where a practitioner is not board certified, and the educational institution per their policy requires a payment for the verification of a completed program. As needed for cases where education requires a charge, AmeriHealth will place the responsibility on the practitioner for the required verification from the institution to be sent directly to the Credentialing Operations processor.

To begin the credentialing process, please visit the Professional provider credentialing process page.