The AmeriHealth Caritas Provider Portal is a comprehensive digital platform designed to support healthcare providers in managing patient care, claims, and administrative tasks efficiently. With over 40 years of experience in managed care, AmeriHealth Caritas offers providers robust technological tools to streamline healthcare delivery.
Official Links
What Providers Can Do
Providers using the AmeriHealth Caritas Portal can:
- Submit electronic claims
- Conduct eligibility inquiries
- Check claim status
- Access provider resources
- Submit claim attachments
- Utilize Direct Data Entry (DDE)
Access and Login
NaviNet Provider Portal
Providers should use the AmeriHealth Caritas NaviNet Provider Portal for:
- Direct claim entry
- Administrative tasks
- Provider communication
Electronic Claims Submission Options
Providers have multiple electronic claims submission methods:
- Optum/Change Healthcare
- Availity
- PCH Global
Key Features
Claims Submission
- Electronic Data Interchange (EDI) capabilities
- Multiple submission channels
- 275 Claim Attachment transaction support
Claim Submission Payer ID
- For all claims (except transportation): 35374
Privacy and Security
Authentication Requirements
- Multi-factor authentication
- Secure portal access
- Compliance with HIPAA standards
Customer Support
Provider Services
- Phone: 1-833-644-6001
- Hours: Monday-Friday, 7 a.m. to 8 p.m.
- Closed on major holidays
Additional Resources
Provider Manual
Comprehensive information available in the provider manual (PDF format)
Unprovided Information
Some specific details about the portal’s full functionality were not explicitly outlined in the source documents. Providers are encouraged to contact Provider Services for comprehensive guidance.
Contact Information
For detailed inquiries:
- Provider Account Executive
- Provider Services Department
- Phone: 1-833-644-6001
The AmeriHealth Caritas Provider Portal represents a robust digital solution for healthcare providers, offering secure, efficient tools for claims management and patient care coordination.
Note: Always verify the most current information directly with AmeriHealth Caritas Provider Services.
https://www.amerihealthcaritas.com/providers
We are industry experts. We give you the technology and tools you need to tackle health literacy challenges and deliver high-quality, patient-centered care.
https://www.amerihealthcaritasoh.com/provider
Direct Data Entry (DDE) providers should submit claims via the AmeriHealth Caritas NaviNet Provider Portal. Visit our claims and billing page for more