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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:
- 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, 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, Contracting and Provider Networks
1901 Market Street, 27th Floor
Philadelphia, PA 19103
Thirty days? advance written notice is required for processing.
Note: This information does not apply to providers contracted with
Magellan Behavioral Health, Inc. Please contact
your Magellan Network Coordinator if you have any questions.
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