Provider resources PEAR PortalLearn more

Provider contacts

Important contact information

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

Credentialing violation hotline	215-988-1413
Credentialing Participation Request Form	Practitioner Participation Form (NJ) Practitioner Participation Form (PA)
Credentialing and re-credentialing inquiries	Email: credinquiries@amerihealth.com
Credentialing application corrections	mail: CredOps@amerihealth.com 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)
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

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

Health Coaching

Case and Condition Management
24 hours a day, 7 days a week

1-800-313-8628

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	1-800-634-5334

PEAR Portal

PEAR support

1-833-444-7327

Prescription Drug 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	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	1-888-678-7015 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 Services (AmeriHealth Administrators)	1-800-841-5328
Provider Relations (AmeriHealth Administrators)	Email: provrelations@ahatpa.com
Provider Partnership Associate	Find your Provider Partnership Associate

Smart Data Solutions EDI support

Mon. – Fri., 8 a.m. – 5 p.m.

855-297-4436
Email stream.support@sdata.us

Mailing Address

1901 Market Street
Philadelphia, PA 19103

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