AmeriHealth requires credentialing of physicians and all other types of health care providers who provide services to AmeriHealth members and who can practice independently under applicable state law. Providers must be credentialed and contracted before they can provide care to AmeriHealth members.*
To avoid delays in the application process, be sure to complete each step of the submission process outlined below.
Submit a credentialing application
If you have a primary practice address in New Jersey and would like to join our network, you
must apply for credentialing by completing the Practitioner Participation Form:
In addition, providers are encouraged to complete the Council for Affordable Quality Healthcare's (CAQH) online credentialing application: CAQH ProView®. However, AmeriHealth New Jersey will accept the New Jersey Universal Physician Credentialing application.
If your practice contracts with multiple health plans, the CAQH ProView application minimizes the administrative work needed to fill out multiple, redundant, and time-consuming forms.
Resources
Information on our network credentialing process and credentialing criteria can be found on our credentialing webpages for
AmeriHealth New Jersey and AmeriHealth Pennsylvania or in the Quality Management section of the Provider Manual for Participating Professional Providers.
If you have additional questions, please email our Credentialing Operations Department at CredInquiries@amerihealth.com.
*Behavioral health providers must be credentialed by and contracted with Magellan Healthcare, Inc. Interested behavioral health providers can contact Magellan by selecting the “Join the Network" link or by contacting their Magellan Provider Services Line at 1-800-788-4005 for assistance.
Magellan Healthcare, Inc. manages mental health and substance abuse benefits for most AmeriHealth members.