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Billing Information

Get information about billing, provider appeals, and the claims filing process with AmeriHealth Caritas Pennsylvania (PA) Community HealthChoices (CHC).

Claims address

AmeriHealth Caritas PA CHC
Claims Processing Department
P.O. Box 7110
London, KY 40742-7110

Electronic payer ID: 77062

Provider disputes

If you are dissatisfied with a service not concerning medical necessity, mail us at:

AmeriHealth Caritas PA CHC
Informal Provider Disputes
P.O. Box 7110
London, KY 40742-7110

Provider appeals

For written requests for the reversal of a medical denial, mail us at:

  • Inpatient appeals:

AmeriHealth Caritas PA CHC
Provider Appeals Department
P.O. Box 80111
London, KY40742

  • Outpatient appeals:

AmeriHealth Caritas PA CHC
Provider Appeals Department
P.O. Box 80113
London, KY40742

Timely filing limits

Initial claims: 180 days from date of service.

Resubmissions and corrections: 365 days from date of service.

Coordination of benefits submissions after primary payment: 60 days (when submitting an explanation of benefits (EOB) with a claim, the dates and the dollar amounts must all match to avoid a rejection of the claim).

Additional billing resources

Change Healthcare Provider WebConnect

Change Healthcare Provider WebConnect is a personalized, secure web service for direct claim entry. Provider WebConnect is a direct claim entry function through AmeriHealth Caritas PA CHC clearinghouse Change Healthcare.

Benefits of using Change Healthcare Provider WebConnect

This service:

  • Assists small to medium sized practices in reducing costs.
  • Improves overall office workflow.
  • Enables your practice to manually enter CMS-1500 claims data that will be electronically submitted to AmeriHealth Caritas PA CHC at no cost.
  • Is free. Your practice does not need to purchase a practice management system.
    • Has no cost or per transaction fee typically associated with a practice management system or contracting with an EDI clearinghouse.
    • Reduces errors associated with manual claim entry.
    • Allows you to submit claim adjustments and attachments electronically.