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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