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Update your provider information with us

January 9, 2014

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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, 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.

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