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Updates to the process for terminating an AmeriHealth Pennsylvania member from your practice*

May 23, 2018

If your practice wishes to initiate the termination of its physician-patient relationship and release a Pennsylvania member with AmeriHealth coverage from your practice, notify both the member and AmeriHealth in writing. The member should be notified first.

To notify AmeriHealth, send an email to prvrequests@amerihealth.com indicating your intent to terminate a patient from your practice. Be sure to attach a copy of the termination letter that was sent to the member showing this notification was completed.

As a reminder, physicians must continue treating the terminated member for current medical conditions for 30 days after ending the physician-patient relationship to allow time for the member to select a different treating physician. During this time, AmeriHealth will assist the member in selecting a different primary care physician (PCP) or other treating physician. If the member asks you or your office staff for assistance in selecting a new PCP or other treating physician, he or she should be referred to Customer Service at 1-800-275-2583.

For more information regarding this process, please refer to the Administrative Procedures section of the Provider Manual for Participating Professional Providers (Pennsylvania). Please note that the updates outlined above will soon be reflected in this manual.

*This change does not impact the process for terminating a New Jersey member with AmeriHealth coverage. Please follow the process as outlined in the Administrative section of the Provider Manual for Participating Professional Providers (for New Jersey members).


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