Resources

Opioid information from the Centers for Disease Control and Prevention (CDC)

AmeriHealth Caritas VIP Care understands how important it is to form and maintain outstanding relationships with our health care providers. Together, we will strive to accomplish our mission — to improve the quality and accessibility of care to our members.

Our participating providers can use this section to access frequently needed resources, including:

• Account Executive contact information:
  • Account Executives (PDF)
  • Ancillary Account Executives (PDF)
  • Hospital Account Executives (PDF)
• Appropriate usage of claims modifiers 25 and 59 (PDF)
• Preventive Services Quick Reference Guide (PDF)
• Become a Patient Centered Medical Home
• Care for Older Adults Form (PDF)
• Cholesterol-Lowering Medications (PDF)
• Claim inquiry form (PDF)
• Clinical resources
• Credentialing
• Diabetes Treatment (PDF)
• Grievances and appeals
• Marketing activities and compliance
• Member wellness brochure: Live Well at Any Age - Seven tips to help you live a healthy, happy life as you grow older (PDF)
• NaviNet User Guide (PDF)
• Prior authorization
• Prior authorization - behavioral health
• Provider Manual (PDF)
• Provider Reference Guide (PDF)
• Quality resources
• Request for Redetermination of Medicare Prescription Drug Denial
• Service area map (PDF)
• Waiver of liability form for non-participating provider appeals (PDF)
• E-service sign-up quick guide (PDF)
• Electronic Funds Transfer/Electronic Remittance Advice Enrollment (PDF)
• Direct entry claims submission through Change Healthcare
• Electronic claims submission
  • Payer ID — 77062
  • Paper claims submission:
    AmeriHealth Caritas VIP Care
    Claims Processing Department
    P.O. Box 7143
    London, KY 40742-7143

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 1-866-533-5490.

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 1-866-533-5490.