Have you made any changes to your key provider information, such as your mailing address or the name of your practice? If so, please be sure to notify us. We value your help in keeping our data files current. Accurate data files allow us to continue to provide you with important information on billing, claims, changes or additions to policies, and announcements of administrative processes.

Professional providers

Please notify us of any changes to your information in one of the following ways: On the NaviNet^? web portal, select Provider Change Form from the Plan Transactions menu and submit your changes electronically. Complete the Provider Change Form, and fax or mail it to us using the instructions at the bottom of the form. Contact your Network Coordinator.

Facility and ancillary providers

You are required to submit any changes to your information in writing. This request should be sent directly to the Legal Department and the appropriate Provider Network contact at the addresses below: AmeriHealth Attn: Legal Department 1901 Market Street, 36th Floor Philadelphia, PA 19103 AmeriHealth New Jersey Attn: Vice President, Provider Network Operations 259 Prospect Plains Road, Building M Cranbury, NJ 08512 AmeriHealth Attn: Senior Vice President, Contracting and Provider Networks 1901 Market Street, 27th Floor Philadelphia, PA 19103 Note: Thirty days? advance notice is required for processing.

NaviNet^? is a registered trademark of NaviNet, Inc.