Important Contact Information
| Carelon Medical Benefits Management [formerly AIM Specialty Health® (AIM)] | |
| Precertification requests for CT/CTA, MRI/MRA, PET, nuclear cardiology, facility setting sleep studies, continuous positive airway pressure titration, sleep equipment (APAP, BPAP, CPAP) and related supplies | 1-800-859-5288 |
| AmeriHealth Administrators | |
| 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 |
| CareCore National, LLC d/b/a 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 |
| 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 |
| Credentialing | |
| Credentialing violation hotline | 215-988-1413 |
| Credentialing Participation Request Form | Practitioner Participation Form |
| Credentialing and re-credentialing inquiries | Email: credinquiries@amerihealth.com |
| Credentialing application corrections | Email: CredOps@amerihealth.com Fax: 215-238-2549 |
| Customer Service | |
| AmeriHealth New Jersey HMO/PPO/EPO AmeriHealth Medigap |
1-888-YOUR-AH1 |
| AmeriHealth 65® Preferred HMO | 1-866-569-5190 |
| 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 |
| 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 |
| AmeriHealth Administrators 24 hours a day, 7 days a week |
1-800-634-5334 |
| PEAR Portal | |
| PEAR support | 1-833-444-7327 |
| eBusiness (portal registration and questions) | Provider eBusiness Inquiry Form |
| 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; prompt 2 Navigating the Provider Automated System |
| Provider Services Mon. – Fri., 8 a.m. – 5 p.m. |
1-888-YOUR-AH1 |
| Provider Partner Associate | Find your Provider Partner Associate |
Mailing Address
259 Prospect Plains Road, Bldg. M
Cranbury, NJ 08512-3706
Email
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