When questions arise, use the proper channels to ensure your request is directed to the right business area for timely review and resolution.
General inquiries
For general questions, contact Provider Customer Service at:
- AmeriHealth (New Jersey): 1-888-YOUR-AH1 (1-888-968-7241)
- AmeriHealth (Pennsylvania): 1-800-275-2583
- AmeriHealth Administrators: 1-800-841-5328
You can also connect with your Provider Network Services (PNS) contact:
Review the commonly used Resources available for providers, including our manuals, forms and FAQs.
Questions specific to our next generation platform transition
Review the articles posted in the Platform Transition section. There are also on-demand training sessions and a Frequently Asked Questions document under Training and Resources to keep you informed.
If you have additional questions related to the transition, please use the above contact channels.
Reminder: Self-service requirements in the PEAR portal
All participating providers, facilities, and third-party organizations that support our provider organizations are required to complete these self-service functions using the Practice Management application in the Provider Engagement, Analytics & Reporting (PEAR) portal:
- Verify member eligibility. Use the Eligibility & Benefits transaction to view detailed information relating to our members' eligibility.
- Check claim status. Use the Claim Search transaction to view the progress of your accepted claim submission. You can view claims with service dates up to 18 months in the past.
- Submit claim adjustments and inquiries. Request a claim review or adjustment through the Claim Search transaction. Use the Create New Investigation button to start a new investigation on a finalized claim. Claim investigation submissions are permitted within 18 months of the date of the finalized claim.
- Submit authorizations. Use the Authorization Submission transaction to initiate requests for most authorizations.*
For assistance with the PEAR portal, call the PEAR portal support team at 1-833-444-PEAR (1-833-444-7327).
*Some authorizations must be submitted via Carelon Medical Benefits Management (Carelon) or eviCore, independent companies. Use the Carelon and eviCore transactions in PEAR Practice Management to initiate the process. For other service types not listed, please contact 1-800-275-2583 and follow the prompts for authorizations.