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Provider contacts

Important contact information

AmeriHealth Administrators
Provider Services (Direct all inquiries or issues) directly to AmeriHealth Administrators 1-800-841-5328
Anti-Fraud and Corporate Compliance
Hotline 1-866-282-2707
Baby FootSteps®
Perinatal case management 1-800-598-BABY
Carelon Medical Benefits Management (Carelon)
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 1-800-859-5288 (NJ)
1-866-745-1791 (PA)
Clinical Services — Utilization Management
Requests for authorization services should be entered through PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal. 1-888-YOUR-AH1 (NJ)
1-800-275-2583 (PA)
Credentialing violation hotline 215-988-1413
Credentialing Participation Request Form Practitioner Participation Form (NJ)
Practitioner Participation Form (PA)
Credentialing and re-credentialing inquiries Email:
Credentialing application corrections mail:
Fax: 215-238-2549
Customer Service
AmeriHealth New Jersey HMO/PPO/EPO
AmeriHealth Medigap
1-888-YOUR-AH1 (NJ)
AmeriHealth HMO/POS 1-800-275-2583 (PA)
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
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
Health Coaching
Case and Condition Management
24 hours a day, 7 days a week
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
1-800-809-9954 (NJ)
1-800-688-1911 (PA)
AmeriHealth Administrators
24 hours a day, 7 days a week
PEAR Portal
PEAR support 1-833-444-7327
Prescription Drug Benefits
Prescription drug prior authorization
Mon. – Fri., 9 a.m. – 5 p.m.
Fax: 1-888-671-5285
Direct Ship Drug Program Direct Ship Drug Program
Fax: 215-761-9580
Blood Glucose Meter Hotline 1-888-678-7012
Prescription Drug Benefits (Medicare Part D)
Prescription drug prior authorization
24 hours a day, 7 days a week
Fax: 1-888-671-5285
Direct Ship Drug Program Direct Ship Drug Program
Fax: 215-761-9580
Blood Glucose Meter Hotline 1-888-678-7012
Provider Resources
Provider Automated System 1-888-YOUR-AH1 (NJ); prompt 2
Navigating the Provider Automated System

1-800-275-2583 (PA); prompt 2
Provider Automated System
Provider Services
Mon. – Fri., 8 a.m. – 5 p.m.
1-888-YOUR-AH1 (NJ)
1-800-275-2583 (PA)
Provider Partnership Associate Find your Provider Partnership Associate

Mailing Address

1901 Market Street
Philadelphia, PA 19103

259 Prospect Plains Road, Bldg. M
Cranbury, NJ 08512-3706