Office Administration/Patient Education Resources Order Form

Most of the information available through this form can also be found on our website or on the NaviNet® web portal. If you cannot find what you’re looking on our website or do not have access to NaviNet, please continue completing the form below.

Your request will be processed and delivered within five to seven business days.

 

Your Information

 
 
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Provider/Office Information

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Would you like to sign up to receive email communications that announce the latest information, including Partners in Health UpdateSM and provider news alerts?

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Please select the items you wish to request.

Office Administration

Manuals

Hospital Manual for Participating Hospitals, Ancillary Facilities, and Ancillary Providers:
Provider Manual for Participating Professional Providers:

Newsletters

Partners in Health UpdateSM:
Request #1:
Request #2:
Request #3:

 

Patient Education

Behavioral Health Overview Guides

On To Better Health — 25/pack:

Health and Wellness Material

Alcohol Screening in Primary Care — 25/pack:
Baby FootSteps® Program Enrollment flyer — 25/pack:
Help Patients Quit Tobacco — 25/pack:
Clinical Practice Guideline Summary:

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Please note that claim forms, such as the CMS-1500, are not available through the Order Form; they are available for purchase at many local office supply stores.

If you still do not see what you are looking for, or if you need to order larger quantities, please send an email to provcommrequests@amerihealth.com.

To ensure your privacy, all information will be sent via a secure connection. AmeriHealth New Jersey will not disclose any personal information to outside persons or entities unless we have written consent or unless authorized by law.

Please see our Notice of Privacy Practices for more information.