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Request office administration and patient education resources online

February 5, 2018

The Office Administration/Patient Education Resources Order Form (formerly known as the Provider Supply Line form) is an online tool available to providers that can be used to request or replenish educational resources, such as health and wellness materials and behavioral health guides. These resources were developed to support the care you provide to AmeriHealth members. You can submit requests using the online order form for AmeriHealth New Jersey or AmeriHealth Pennsylvania.

In order to properly fulfill your request, you will need to provide the following office information:

  • National Provider Identifier (NPI)
  • mailing address
  • office phone number
Orders are usually processed and shipped within 48 hours and should arrive within 5 – 7 business days.


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