Attention Behavioral Health Providers: Submitting demographic changes and checking credentialing status

​​AmeriHealth HMO, Inc. and/or AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth) would like to remind you of our processes for submitting demographic changes and/or checking the status of a credentialing application. This information is particularly relevant for providers joining our new AmeriHealth behavioral health network.

  • To confirm whether you are already a credentialed provider, you can search for your name on the AmeriHealth (PA) or AmeriHealth (NJ) Find a Doctor tool.
    • If your name is listed, you do not need to submit a credentialing application or reach out to our credentialing department. However, if you find other provider demographic information is not up to date, please use the online Provider Change Request form: NJ Provider Change Request or PA Provider Change Request. Signing a contract with AmeriHealth does not automatically update your demographic data. It must be initiated via this form. 
    • If your name is not listed, it means that your credentialing application is still being processed. For a status update on your application, please contact the Provider Partnership Associate (PPA) who covers the county in which your practice is located (see table below). Please note: The PPAs listed below only support our Behavioral Health Network.

Due to the influx of behavioral health providers interested in joining our network, our credentialing process is taking longer than usual. We apologize for the delay and appreciate your patience. As a reminder, please respond promptly to all inquiries for documentation.

  • If it has been more than 90 days since you submitted all required credentialing documentation and you wish to check the status of your application, please contact your PPA, found on the table below:

Provider Partnership Associate (PPA)StateCounty
Donna Simmons
Email
NJAtlantic, Burlington, Cape May, Gloucester, Middlesex, Monmouth, Salem, Somerset, and Union
Donya Weldon
Email
NJ & DEKent, New Castle, Sussex, Bergen, Camden, Cumberland, Essex, Hudson, Hunterdon, Mercer, Morris, Ocean, Passaic, Sussex, and Warren
Cyndi Swinton-Jackson
Email
PABerks
Jeanney Fils
Email
PALancaster and Lehigh
Judy Wright
Email
PANorthampton