Welcome, Providers

Latest Updates

• Missed Shift Reporting Reminder (PDF)
• HEDIS CPT II Code Reminder — Help Close Gaps in Care (PDF)
• New functionality! NaviNet^® disputes submission (PDF)
• Update: Formulary Changes (October 23 Update) (PDF)
• 2025 – 2026 flu vaccination (PDF)
• Update: Formulary Changes (October 8 Update) (PDF)
• New Enhancement to Pharmacy Claim Processing (PDF)
• Introducing a new solution, Clinical Insights (CI), as part our Care Optimization program (PDF)
• New functionality! NaviNet^® claims investigation attachments (PDF)

Let Us Know

Learn about our program developed to assist your practice in engaging and managing the health care needs of chronically ill AmeriHealth Caritas Pennsylvania members.

Quick Contact Information

• Provider Services: 1-800-521-6007
• Credentialing: 1-866-546-7972