As required by the Affordable Care Act and implementing regulation, all practitioners, including those who order, refer, or prescribe items or services for Pennsylvania Medical Assistance (MA) beneficiaries, must enroll in the Pennsylvania MA program.

Claims will be denied if ordering, referring, or prescribing provider is not enrolled in the MA program.

Enroll in the Pennsylvania MA program

Billing information

Learn about our claims address, electronic payer IDs, provider dispute information, provider appeals, and more.

View our billing information

Billing guides

Additional billing information

Third-party liability

Third-party liability (TPL) is when the financial responsibility for all or part of a member's health care expenses rests with an individual entity or program (e.g., Medicare, commercial insurance) other than AmeriHealth Caritas Pennsylvania.