If your practice wishes to initiate the termination of its physician-patient
relationship and release a Pennsylvania member with AmeriHealth coverage from
your practice, notify both the member and AmeriHealth in writing. The member
should be notified first.
To notify AmeriHealth, send an email to prvrequests@amerihealth.com indicating
your intent to terminate a patient from your practice. Be sure to attach a copy
of the termination letter that was sent to the member showing this notification
was completed.
As a reminder, physicians must continue treating the terminated member for
current medical conditions for 30 days after ending the physician-patient
relationship to allow time for the member to select a different treating
physician. During this time, AmeriHealth will assist the member in selecting a
different primary care physician (PCP) or other treating physician. If the
member asks you or your office staff for assistance in selecting a new PCP or
other treating physician, he or she should be referred to Customer Service at
1-800-275-2583.
For more information regarding this process, please refer to the
Administrative Procedures section of the Provider Manual for Participating
Professional Providers (Pennsylvania). Please note that the updates
outlined above will soon be reflected in this manual.
*This change does not impact the process for terminating
a New Jersey member with AmeriHealth coverage. Please follow the process as
outlined in the Administrative section of the
Provider Manual for Participating Professional Providers (for New Jersey
members).