Our newly updated provider appeals form gives AmeriHealth New Jersey providers the ability to fax their appeal requests to us. With this update, the process should be quicker as you no longer have to mail in the application — saving time, cost, and processing.

Download and complete the Health Care Provider Application to Appeal a Claims Determination form and fax it to 609-662-2480.. Providers may continue to mail in the application but are encouraged to use the new fax option.

Please contact your Network Coordinator or Hospital/Ancillary Services Coordinator with any questions.