Network Benefits
Why Join Us?
Some of the many benefits of becoming an AmeriHealth Caritas dedicated provider are:
The support you need to do business and provide the best care for Plan members.
- Dedicated local staff who meet face-to-face with providers on a routine basis
- Regional provider councils and committees where providers can offer input on program development and processes
- Patient-centered medical homes to encourage coordination of care and improve management of services
The right tools to achieve and maintain administrative efficiency.
- Electronic claims submission (EDI)
- Electronic remittance advice (ERA)
- Electronic funds transfer (EFT)
- Web-based reporting and electronic prior authorizations
- Web-based portal where providers can see claim statuses and updates
Open communication between the Plan and providers.
- Routine provider-focused communication including letters, newsletters, email alerts, fax blasts and website updates
- Provider workshops and roundtable meetings to obtain feedback
- State-wide provider meetings to introduce the Plan and its processes
- An accessible Provider Network Management Team as well as a 24/7 Provider Support Hotline
- Peer-to-peer access to locally-based Medical Directors
Simplification of the provider credentialing process
- Through the Council for Affordable Quality Healthcare (CAQH), a Universal Provider Data source that streamlines data collection for credentialing and re-credentialing
- The use of delegated credentialing for qualified large provider entities, as applicable
- An accessible Credentialing Team for assistance with enrollment and CAQH participation sponsorships
- Quick turnaround times
Join our provider network
