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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
Email: provrelations@amerihealth-tpa.com
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
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
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 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