Self-Service Tools

New to the plan? Download our welcome packet to get started (PDF).

AmeriHealth Caritas VIP Care strives to furnish its provider partners with the tools they need to deliver exceptional, effective, and efficient health care to our members. After all, our members look to you, our participating providers, to help them get healthy and stay healthy.

The following tools are available to help you in the day-to-day care of our members:

Find a provider or drug

• Searchable Provider Directory
• Printable Provider Directory PDF December 20, 2021
• Searchable Formulary
• Request for Redetermination of Medicare Prescription Drug Denial

Electronic tools

• Prior Authorization Lookup Tool
• NaviNet - log in
• NaviNet - sign up
• What is NaviNet?
• Jiva Authorization Portal Participant Guide PDF
• Electronic Funds Transfer/Electronic Remittance Advice Enrollment PDF
• Electronic claims submission
• Direct entry claims submission through Change Healthcare
• E-service sign-up quick guide PDF