prior authorization
AmeriHealth Caritas DC — Utilization Management (prior authorization)
UM phone (local 202-408-4823). Fax medical PA form to 202-408-1031 or 1-877-759-6216. The provider home page lists a different UM phone (1-888-605-4807), not used here.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
AmeriHealth Caritas DC — radiology PA (Evolent)
Radiology prior authorization delegated to Evolent (RadMD).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
AmeriHealth Caritas DC — organ transplant UM team
Transplant evaluation notifications and transplant authorizations.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Keystone First (PA) prior authorization / utilization management
Keystone First (southeastern PA Medicaid HealthChoices) prior authorization phone and fax; concurrent review via the concurrent review prompt. Provider reference guide revised October 2026. Payer ID 23284.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
Keystone First (PA) concurrent review unit faxes
Concurrent review Units 1-4 faxes: Unit 1 1-215-937-7368, Unit 2 1-215-937-7370, Unit 3 1-215-937-7369, Unit 4 1-215-937-7365. Call 1-800-521-6622 (concurrent review prompt) to learn the assigned unit. Unit 1 fax shown in the fax field.
prior authorization
Keystone First / AmeriHealth Caritas PA outpatient radiology (Evolent)
Evolent Specialty Services prior authorization for outpatient CT/CTA, MRI/MRA, PET, CCTA and nuclear cardiology (www1.radmd.com).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Keystone First CHC (PA) prior authorization / utilization management
Keystone First CHC prior authorization/UM phone and fax.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
Keystone First CHC (PA) concurrent review fax
Concurrent review for Keystone First CHC (phone via 1-800-521-6622).
prior authorization
AmeriHealth Caritas Pennsylvania prior authorization / utilization management
ACPA (HealthChoices Medicaid outside southeastern PA) prior authorization phone and fax; concurrent review via prompt. Payer ID 22248. Guide revised October 2026.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
AmeriHealth Caritas Delaware physical health utilization management
Physical health UM phone/fax; fax numbers also listed: prior authorization 1-866-497-1384, admission notification and discharge planning/concurrent review 1-866-773-7892.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
AmeriHealth Caritas Delaware prior authorization fax
Prior authorization fax for physical health requests.
fax prior auth
AmeriHealth Caritas Delaware admission notification / concurrent review fax
Admission notification and discharge planning (concurrent review) fax.
prior authorization
AmeriHealth Caritas Delaware LTSS prior authorization
LTSS prior authorization; also the LTSS Personal Care Connector Team number.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
AmeriHealth Caritas Ohio utilization management and peer-to-peer
Medical UM/prior authorization and peer-to-peer; NaviNet portal also accepts PA. Outpatient advanced radiology PA is through NIA; transplants through the Ohio transplant consortia.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
AmeriHealth Caritas Ohio urgent physician-administered drug PA fax (PerformRx)
Urgent medical-benefit drug PA requests.
prior authorization
AmeriHealth Caritas North Carolina utilization management
Physical health prior authorization questions, services not found in the lookup tool, and requests beyond benefit limits. After hours, weekends and holidays call member services 1-855-375-8811.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
AmeriHealth Caritas North Carolina radiology prior authorization (Evolent)
Radiology benefit vendor Evolent; PA by web portal or phone.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
AmeriHealth Caritas Louisiana utilization management (medical/DME, inpatient/outpatient, NICU)
Medical/DME authorizations, inpatient/outpatient reviews, discharge planning and NICU concurrent review.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
AmeriHealth Caritas Louisiana radiology prior authorization (NIA)
Radiology PA through National Imaging Associates.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
DialClerk Directory