• Provider News Center

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• Resources for Patient Management

• Contact Information

Professional Provider Credentialing

Credentialing and recredentialing made easier

Any professional provider interested in participating in our network must complete and return a credentialing application kit. You can simplify this process by using the Council for Affordable Quality Healthcare’s (CAQH) online credentialing application: CAQH ProView™. Learn more about our credentialing criteria.

Save Time

Completing the credentialing process can take hours if you're filling out paper forms. This is especially true if your practice contracts with multiple health plans. The CAQH ProView™ online application minimizes the time it will take to complete this administrative work by eliminating the need to fill out multiple, redundant, and time-consuming forms.

Save Money

The CAQH ProView™ online application is entirely free to providers, and helps practices save money on administrative resources.

Keep Your Information Current

Keeping practice information up-to-date isn’t just important for credentialing purposes, it’s important for health plan records and directories too. The CAQH ProView™, online application makes it quick and easy for you to stay current by allowing you to update only the information that needs to change. There's no need to resubmit information that should stay the same.

The CAQH ProView™ electronic credentialing application is free to providers and available on the CAQH ProView™ website.

Behavioral Health

Behavioral health providers must be contracted with Magellan Healthcare, Inc., an independent company. Interested behavioral health providers can contact Magellan by selecting the "Join the Network" link or by contacting their Magellan Provider Services Line at 1-800-788-4005 for assistance.

Network Area

Pennsylvania & Delaware

If you have a primary practice address in Pennsylvania or Delaware and would like to join our network(s), you must notify AmeriHealth by submitting a Provider Participation Form.

Closed Networks

The following professional provider networks have limitations to participation:

Podiatry

The podiatry network is closed to new providers except when the provider meets one or more of the following conditions:

• When the provider is located in counties outside of Chester, Montgomery, Delaware, Philadelphia, and Bucks counties;
• When the provider is joining an existing participating group;
• When a non-participating provider is purchasing the assets of a participating provider, and the participating provider is terminating their AmeriHealth agreement.

Chiropractic

The chiropractic network is closed to new providers in Pennsylvania and Delaware except when the provider meets one of the following conditions:

• When the provider is joining an existing participating group;
• When a non-participating provider is purchasing the assets of a participating provider, and the participating provider is terminating their AmeriHealth agreement.