Patient-centered support from the experts in managed care health plans
Focus on what’s most important to you — your patients — with AmeriHealth Caritas’s resources and support.
Because when it comes to provider network relations and management, we are the industry experts. We give you the technology and tools you need to tackle health literacy challenges and deliver high quality, patient-centered care. More than 35 years of experience in managed care plans drive our ongoing commitment to improving health care delivery and management.
Not yet an AmeriHealth Caritas provider, but ready to be? Join today.
Leading-edge technology solutions
Reduce paperwork and streamline your claims processes with our leading-edge technology tools:
NaviNet is a HIPAA secure service portal that supports your clinical, financial, and administrative needs. Using NaviNet, you can verify member eligibility, check a member’s clinical summary, submit claims, and review claim status in real time, 24/7. From Healthcare Effectiveness Data and Information Set (HEDIS) care gap alerts to claims status updates, NaviNet puts information in your hands at the time of care — enhancing your productivity.
Clinical messaging notifies you of HEDIS care gaps while checking a member's eligibility. If there is an unmet care need, such as an overdue breast cancer screening or well-child visit, a care gap alert will appear on your computer screen. This technology alerts you of any missing health care services a patient needs. A special clinical reporting feature allows primary care providers (PCPs) to manage and identify specific diseases within their patient population, such as diabetes or asthma.
Enjoy simple, streamlined, and timely claims processing and payment with our electronic data interchange (EDI) solutions. You can even make corrections to previously submitted claims and more through EDI. Plus, we provide multiple submission and payment options for claims processing — both paper and electronic.
Change Healthcare WebConnect
Change Healthcare’s WebConnect is a personalized, secure Web service that lets you submit claims directly to Change Healthcare, reducing costs while improving overall workflow.
Become an AmeriHealth Caritas network provider
Why AmeriHealth Caritas?
Your goal is to provide only excellent care to your patients. Our goal is to exceed your expectations every day in helping you do just that. Count on us for:
- Superior personal support
Receive personal services for physicians and office staff, including training and orientations, through our team of highly trained provider account executives.
- Collaboration for quality improvement
AmeriHealth Caritas is leading the way in innovative payment methods, including opportunities to share savings through collaborative provider relationships that promote better outcomes and accountable care with hospitals, primary care physicians (PCPs), specialists, and "safety net" providers — community-based, non-profit providers who offer health care to all individuals.
- Value-based contracting to reward your dedication
Our value-based contracting suite represents a range of unique quality incentives. It rewards providers for timely, appropriate care and positive patient outcomes.