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Have you made any changes to your key provider information? It is important
that you notify us of any changes to the following:
- your mailing address
- your phone number
- name of your practice
- your office hours
- your acceptance of new patients
- your plan to dissolve your practice
We value your help in keeping our data files current. Accurate data files allow
us to provide you with important information on billing, claims, changes or
additions to policies, and announcements of administrative processes.
Professional providers
Please contact your Provider Partnership Associate or Network Coordinator
and notify them of any changes to your information.
Facility and ancillary providers
Per your contract, 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, 43rd 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,
Provider Networks and Value-Based Solutions
1901 Market Street, 27th
Floor
Philadelphia, PA 19103
Thirty days' advance notice is required for processing.
Note: This information does not apply to providers contracted with
Magellan Healthcare, Inc. Please contact your Magellan Network Coordinator, if
you have any questions.
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