Thanks for your interest in AmeriHealth Caritas District of Columbia. Being a non-participating or out-of-network provider means you do not have a contract with AmeriHealth Caritas DC to provide covered services for our members. If your practice or facility is in or near the DC area, please consider contracting with us to become a participating provider.
Authorization to render services
In certain circumstances, non-participating providers may render covered services to AmeriHealth Caritas DC members with prior authorization from the health plan. You can request authorization to provide such services by:
- Calling 1-202-408-4823 or 1-800-408-7510
- Faxing a completed Prior Authorization Form to 1-202-408-1031 or 1-877-759-6216
The Utilization Management hours of operation are 8 a.m. to 5:30 p.m., Monday through Friday.
Billing AmeriHealth Caritas DC as a non-participating provider
Occasionally, an out-of-state or other non-participating provider renders services to an AmeriHealth Caritas DC member during an emergency or with prior authorization. In these cases, non-participating providers must follow the steps below to bill AmeriHealth Caritas DC for services rendered: