Resources
Opioid information from the Centers for Disease Control and Prevention (CDC)
AmeriHealth Caritas VIP Care (Dual-Eligible Special Needs Plan) values excellent relationships with our health care providers. Together, we can work to improve the quality of and access to care for our members.
Use this section of our site to access the resources you need most, including:
Claims and billing
Claim submission/payment information:
- Electronic Claims Submission
- Payer ID: 87406
- Paper Claims Submission:
AmeriHealth Caritas VIP Care
Claims Processing Department
P.O. Box 7125
London, KY 40742-7125
- Electronic Funds Transfer/Electronic Remittance Advice Enrollment
- Change Healthcare customer support is available through online chat, or call 1-800-527-8133, option 2 for assistance.
Other claim information:
- Appropriate usage of claims modifiers 25 and 59 PDF
- Provider Claim Dispute Form PDF
- Waiver of liability form for nonparticipating provider appeals PDF
Contacts
- Provider Network Management Account Executive contact information email: delawareprovidernetwork@amerihealthcaritas.com
- Provider Services 1-833-433-2177
- Email - You can contact us by using our secure form.
Credentialing
- Credentialing
- Patient-Centered Medical Home information
Prior authorization
Provider manual
- Provider manual PDF
Quality
- Care for Older Adults (COA) Coding Chart PDF
- Care for Older Adults (COA) Provider Form PDF
- Clinical Resources
- Controlling Blood Pressure Claims Coding Chart PDF
- Diabetes Coding for HEDIS Form PDF
- HEDIS® Incentive Program PDF
- Medicare Risk Adjustment Overview and Documentation Guidance PDF
- PerformPlus® Gaps in Care Closure Program PDF
- Physical Activity in Older Adults PDF
- Preventive Services Quick Reference Guide
- Transitional Care Management with Medication Reconciliation Post-Discharge PDF
- Urinary Incontinence PDF
Training and Education
AmeriHealth Caritas VIP Care (HMO-SNP) provides training and education resources tailored to the needs of our new Medicare providers. We're always striving to offer a variety of different educational opportunities to help our participating providers give quality, expert care to our members.
Our current educational opportunities include:
- Training Modules
- Model of Care training
- Cultural competency training
- Resources for Integrated Care — Resources for dual eligibles
Working with AmeriHealth Caritas VIP Care
Check back frequently, since we'll be updating this section to include the latest information for our providers. Our participating providers can also call AmeriHealth Caritas VIP Care Provider Services at 1-833-433-2177
If you are not yet a participating provider, and you would like more information on the benefits of partnering with us, contact Provider Services at 1-833-433-2177.