Resources
Opioid information from the Centers for Disease Control and Prevention (CDC)
AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan) values excellent relationships with our health care providers. Together, we can work to improve the quality of and access to care for our members.
Use this section of our site to access the resources you need most, including:
- Appropriate usage of claims modifiers 25 and 59 (PDF)
- Care for Older Adults (COA) Form (PDF)
- CES Explanation Codes (PDF)
- Cholesterol-Lowering Medications (PDF)
- Claim Dispute Form (PDF)
- Clinical resources
- Common Errors for Claims Submissions (PDF)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS®) and Health Outcomes Survey (HOS) - What Providers Should Know About These Quality Measures (PDF)
- Credentialing
- Direct entry claims submission through Change Healthcare
- Electronic claims submission sign-up through Change Healthcare
- Grievances
- Marketing activities and compliance
- Paper claims submission:
- AmeriHealth Caritas VIP Care Plus
Claims Processing Department
P.O. Box 7074
London, KY 40742-7074 - Payer ID — 77013
- Prior authorization
- Prior Authorization Lookup Tool
- Provider Change Form (PDF)
- Provider Manual (PDF)
- Provider Reference Guide (PDF)
- Quality resources
- Quality Assessment and Performance Improvement
- Reimbursement Policies
- Request for Redetermination of Medicare Prescription Drug Denial
- Waiver of liability form for non-participating provider appeals (PDF)
We update this section regularly with important provider information, so check back often. If you need help or have questions, please email mimmppnm@amerihealthcaritas.com.
If you aren't yet a participating provider and would like information about joining our network, write us at mimmppnm@amerihealthcaritas.com or call 1-248-663-7945.
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