AmeriHealth Caritas — Pennsylvania — Medicaid
Managed MedicaidVerified · August 2026Pennsylvania
⚠ Pennsylvania-specific contact information: Heads up
- Standard timely filing
- 180 days
- Appeal filing window
- Not yet published
- Prior authorization
- Not yet published
- Appeal channel
- Not yet published
- Provider portal
- Available
- Verification
- Verified · August 2026by AR Guide team
Payer Contact Finder
Know before you call
Provider portal
Availity Essentials (opens in a new tab)Claims via Availity Essentials (1-800-AVAILITY); provider portal resources on the official PA site.
- Standard filing limit
- 180 days
- Counted from
- date of service
- Appeal filing limit
- Not stated
- Appeal window from
- Not stated
- Notes
- AmeriHealth Caritas PA initial claims: 180 days from date of service; resubmissions and corrections 365 days (official billing page).
- Provider portal
- https://www.amerihealthcaritaspa.com/provider (opens in a new tab)Verified · August 2026Verified Aug 18, 2026 · Official web pageView source (opens in a new tab)
Claims via Availity Essentials (1-800-AVAILITY); provider portal resources on the official PA site.
- Provider Services
- 800-521-6007Verified · August 2026Verified Aug 18, 2026 · Official web pageView source (opens in a new tab)
AmeriHealth Caritas PA Provider Services — claims, eligibility and authorization questions (official provider page).
- Claims
- 800-521-6007Verified · August 2026Verified Aug 18, 2026 · Official web pageView source (opens in a new tab)
Same Provider Services line listed for claims inquiries.
Every contact is individually source-tracked and shows the date it was last verified. A green “Verified” badge only appears when a source and verification date exist.
- Features
- claims, eligibility, enrollment
- Registration required
- Yes
- Notes
- Claims via Availity Essentials (1-800-AVAILITY); provider portal resources on the official PA site.
Provider portal
Claims via Availity Essentials (1-800-AVAILITY); provider portal resources on the official PA site.
Referrals
Not yet published for this entry. Referral requirements and retro-referral rules are published only when verified against a source.
Appeals
Not yet published for this entry. Appeal levels, filing channels and external-review options are published only when verified against a source.
Documentation requirements
Not yet published for this entry. Required documentation for appeals and additional-information requests is published only when verified against a source.
- Common CARCs
- 19729
- Common RARCs
- MA119N29
- Top reasons
- Precertification / prior authorization / notification absent (CARC 197) — the payer documents authorization requirements for covered services.; Timely filing (CARC 29) — this plan documents a 180-day claim-filing window from the date of service; claims filed after the window are denied for exceeding the time limit (paired RARC MA119: provider-level adjustment for late claim filing).
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Recent updates
Change log
- Verified provider portal · Aug 18, 2026AmeriHealth Caritas PA — Providers (quick contact)
- Verified provider services contact · Aug 18, 2026AmeriHealth Caritas PA — Providers (quick contact)
- Verified claims contact · Aug 18, 2026AmeriHealth Caritas PA — Providers (quick contact)
- Verified timely filing · Aug 18, 2026AmeriHealth Caritas PA — Billing Information (timely filing)
- Verified portal information · Aug 18, 2026AmeriHealth Caritas PA — Providers (quick contact)
- Verified denial patterns · Aug 18, 2026AmeriHealth Caritas PA — Prior Authorization Lookup ToolAmeriHealth Caritas PA — Billing Information (timely filing)
- Entry last reviewed · Aug 18, 2026AmeriHealth Caritas PA — Providers (quick contact)AmeriHealth Caritas PA — Billing Information (timely filing)
Contact information is provided for reference and is verified against the cited source as of the date shown. Payer contact information may change. Always confirm the appropriate contact for the member's plan and claim.
Source & verification
Directory record
- Geographic scope
- Pennsylvania
- Line of business
- Managed Medicaid
- Last reviewed
- Aug 18, 2026
- Verified by
- AR Guide team
- AmeriHealth Caritas PA — Providers (quick contact) — https://www.amerihealthcaritaspa.com/provider
- AmeriHealth Caritas PA — Billing Information (timely filing) — https://www.amerihealthcaritaspa.com/provider/billing/info
- AmeriHealth Caritas PA — Prior Authorization Lookup Tool — https://www.amerihealthcaritaspa.com/provider/resources/prior-authorization-lookup