Providers
Attention, Providers:
eviCore healthcare
Effective January 12, 2024, AmeriHealth Caritas DC will be the single point of contact for all new prior authorization requests, prior authorization requests for continuation of services, and retrospective authorization requests previously managed by eviCore (PDF).
We can help enrollees manage their health.
NaviNet provider portal
Submit referrals and claims and view enrollee eligibility and benefits.
Pharmacy prior authorization form
View the online pharmacy prior authorization form.
Enrollee Programs and Resources
Visit our Health Programs page to learn more about our offerings for enrollees.
Will you Let Us Know?
Use the Let Us Know program to partner with AmeriHealth Caritas District of Columbia to better engage with and manage the health care needs of our enrollees — your patients. The program helps connect enrollees with resources, such as the Rapid Response and Outreach Team and Care Management.
Check out our provider orientation and quick reference materials for easy access to the information you need.
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All communications
Important contact information
- Provider Account Executives (PDF)
- Provider Services: 202-408-2237 or 1-888-656-2383
- Provider Services fax: 202-408-1277
- Utilization Management: 1-888-605-4807
- Utilization Management fax: 1-877-759-6216
- Credentialing: 1-877-759-6186