DialClerk Directory

AmeriHealth Caritas

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

AmeriHealth Caritas DC — claim disputes

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
District of Columbia

Mailing address
AmeriHealth Caritas DC Attn: Claim Disputes P.O. Box 7358 London, KY 40742

Claim disputes

Written claim disputes within 60 days of denial/payment with documentation.

View source ↗ · Source checked 2026-10-25

Report an update

appeals grievances

AmeriHealth Caritas DC — medical necessity provider appeals

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
District of Columbia

Mailing address
AmeriHealth Caritas District of Columbia Attn: Provider Appeals Department P.O. Box 7359 London, KY 40742

Medical necessity appeals

Medical/clinical appeals by mail.

View source ↗ · Source checked 2026-10-25

Report an update

appeals grievances

Keystone First (PA) informal provider disputes and formal clinical provider appeals

Official page read
Phone877-693-8480Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address
Keystone First Informal Provider Disputes P.O. Box 7316 London, KY 40742

Informal provider disputes (formal appeals: Clinical Provider Appeals Department, P.O. Box 7307, London, KY 40742)

Informal provider disputes (dissatisfaction not about medical necessity) go to P.O. Box 7316; formal appeals of medical denials go to Clinical Provider Appeals, P.O. Box 7307, London, KY 40742. Peer-to-peer hotline 1-877-693-8480.

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

Keystone First CHC (PA) clinical provider appeals

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address
Keystone First CHC P.O. Box 80111 London, KY 40742

Clinical provider appeals

Clinical provider appeals mailing address.

View source ↗ · Source checked 2026-10-25

Report an update

appeals grievances

AmeriHealth Caritas Pennsylvania provider disputes and clinical appeals

Official page read
Phone877-693-8480Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address
AmeriHealth Caritas Pennsylvania Informal Provider Disputes P.O. Box 7316 London, KY 40742

Informal provider disputes (formal appeals: P.O. Box 7307)

Informal provider disputes: P.O. Box 7316; formal clinical provider appeals: Clinical Provider Appeals Department, P.O. Box 7307, London, KY 40742. Peer-to-peer hotline 1-877-693-8480.

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

AmeriHealth Caritas Delaware provider administrative/medical appeals

Official page read
Phone855-396-5770Published hours

Not published in this record

Product, plan and location

medicaid
Delaware

Mailing address
AmeriHealth Caritas Delaware Attn: Provider Administrative/Medical Appeals Department P.O. Box 80105 London, KY 40742-0105

Provider administrative/medical appeals

Written provider administrative or medical appeals; peer-to-peer via 1-855-396-5770 prompts. Provider complaints: P.O. Box 80101, London, KY 40742-0101 (with Provider Complaint form within 365 days of service).

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax appeals

AmeriHealth Caritas Ohio pre-service provider appeals

Official page read
Phone

No phone listed for this route

Fax

833-564-1329

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address
AmeriHealth Caritas Ohio PO Box 7400 London, KY 40742

Pre-service provider appeals

Provider appeals of denied pre-service requests within 30 days of the ABD notice (ORC 5160.34); member consent not required. Appeals on a member's behalf with consent: call 1-833-764-7700.

View source ↗ · Source checked 2026-10-25

Report an update

appeals grievances

AmeriHealth Caritas North Carolina provider grievances and appeals

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
North Carolina

Mailing address
AmeriHealth Caritas North Carolina Attn: Provider Grievances and Appeals P.O. Box 7379 London, KY 40742-7379

Provider grievances and appeals

Provider grievances/appeals by mail (or online through NaviNet). The guide's grievance paragraph prints the provider services number as 1-855-738-0004, which conflicts with 1-888-738-0004 elsewhere, so no phone is given here.

View source ↗ · Source checked 2026-10-25

Report an update

appeals grievances

AmeriHealth Caritas Louisiana pre-service medical necessity appeals

Official page read
Phone888-913-0362Fax

888-987-5830

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address
AmeriHealth Caritas Louisiana Member Appeals Coordinator P. O. Box 7328 London, KY 40742

Member medical necessity appeals

Pre-service medical necessity appeals; written member medical necessity appeals go to the Member Appeals Coordinator.

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

AmeriHealth Caritas Louisiana provider claim disputes

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address
AmeriHealth Caritas Louisiana Provider Disputes P. O. Box 7323 London, KY 40742

Provider claim disputes

Provider claim disputes by mail.

View source ↗ · Source checked 2026-10-25

Report an update

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

Call preparation · editorial guide

Make the call count.

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

Have ready in your secure workspace

  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice