NOTE: Some phone numbers may not be operational. Providers should call Provider Recruitment at 1-844-399-0474 or email ProviderRecruitmentNC@amerihealthcaritas.com if you need additional information or assistance.
- The AmeriHealth Caritas North Carolina EDI Payer ID number is 81671.
- AmeriHealth Caritas North Carolina does not require your practice or facility to enroll with Change Healthcare to submit EDI claims. Electronic claim submissions to AmeriHealth Caritas North Carolina will follow the same process as other electronic commercial submissions.
- Reminder: Your Provider ID for submitting claims or receiving electronic funds transfer (EFT) payments is your NPI number.
- Sign up with Change Healthcare to receive EFT at 1-877-363-3666 or visit Change Healthcare's website.
- For assistance, contact Change Healthcare provider support at 1-877-363-3666 or visit Change Healthcare's website.
- Provider manual (PDF) and provider manual revision log (PDF)
This assists your practice in serving our members. You can view or print the provider manual or request a hard copy of the provider manual by calling Provider Recruitment at 1-844-399-0474.
- Quick-Reference Guide (PDF)
An all-in-one resource containing important contact information.
- Prior Authorization Quick-Reference Guide (PDF)
A quick-reference guide for services that require prior authorization or notifications. This is not a complete list. If you do not see the service you are seeking, call Utilization Management at 1-833-900-2262.
NaviNet will allow easy access to member eligibility verification, claims submission and status, claims investigation, prior authorization submission and access to member panel rosters for PCPs included under your contract. NaviNet is an easy-to-use, no-cost, web-based solution that links participating providers to AmeriHealth Caritas North Carolina and offers tools for patient health management. NaviNet helps speed the provider-health plan connection and can often replace paper transactions.
- If you are already a NaviNet user for your other health plans, AmeriHealth Caritas North Carolina will be automatically added to your account.
- If you are not a NaviNet user, you will be able to register for NaviNet. Visit NaviNet's website to sign up. You will need your Federal Tax ID number. Make sure to complete all information requested.
If you need more information or assistance, call NaviNet at 1-888-482-8057 or AmeriHealth Caritas North Carolina Provider Services at 1-888-738-0004.
- A no-cost e-mail service that allows you to go paperless and receive information from us faster. Subscribe to this service.
- Prior Authorizations process.*
*NOTE: The Prior Authorization process and related forms will be made available by July 1, 2021.
- Find out more about provider training Schedule of upcoming provider orientation sessions.