AmeriHealth is committed to increasing accuracy of provider directories and is working with the Council for Affordable Quality Healthcare (CAQH) to continue to improve the experience of providers. This will help members find your practice in directories when seeking care. Your patients will have real-time access to updated and complete information.

Credentialing

Providers interested in becoming credentialed in New Jersey are strongly encouraged to first complete the CAQH online credentialing application: CAQH ProView^®. However, AmeriHealth New Jersey will accept the New Jersey Universal Physician Credentialing application. To become credentialed in Pennsylvania, providers are required to complete CAQH ProView.

If your practice contracts with multiple health plans, the CAQH ProView online application minimizes the administrative work needed to fill out multiple, redundant, and time-consuming forms.

Quarterly attestation

Certain AmeriHealth providers will be prompted quarterly to update or confirm their practice’s information for use in the directory.

You can prepare for your next attestation by reviewing the CAQH training video. Ensure you are submitting accurate directory information by using the CAQH Best Practice Checklist.

Demographic changes

Using CAQH to make directory changes does not replace general demographic change requests. If you have questions about demographic changes, please view our AmeriHealth New Jersey or AmeriHealth Pennsylvania Demographic Maintenance Guide.  

If you need to update information other than your practice location, please use procedures outlined on our dedicated webpage.

Learn more

If you would like to learn more about how CAQH is used, visit the CAQH website.

Providers who need assistance during the quarterly attestation process should contact their Provider Partnership Associate.

Community providers who need assistance during the quarterly attestation process should complete a Provider Network Services Inquiry Request form. Integrated Delivery System (IDS) providers should call Provider Services at 1-800-275-2583.