Get Guest Advantage Application - Amerihealth New Jersey

Filling out the Guest Advantage Application - AmeriHealth New Jersey online is a straightforward process that ensures your enrollment in the Guest Advantage program. This guide provides detailed instructions on how to complete each section of the application accurately and efficiently.

Follow the steps to complete the application online.

1. Click the ‘Get Form’ button to obtain the application and open it in your online editor.
2. Begin with the Subscriber Information section. Fill in the subscriber’s name, member ID, present street address, city, state, zip code, home telephone number, marital status, sex, and birth date. Ensure that all information is accurate and up-to-date.
3. Proceed to enter the employer’s name and address if applicable, along with the city, state, and zip code.
4. Move on to the Guest Information section. Provide the guest’s name, member ID, and permanent street address, checking the box if it is the same as the subscriber's address.
5. Fill in the out-of-area street address, if necessary, and indicate the dates the guest is expected to reside out-of-area by entering the first and last days at the specified address.
6. Answer whether there are any pending services that have received prior authorization, and describe them if applicable. If no services have been authorized, select the appropriate option.
7. Indicate the type of Guest Advantage by selecting one of the options: Student, Short Term Work Traveler, or Families Apart. Ensure to submit any required supporting documentation.
8. Review the certification section carefully. You and the guest must both sign the application confirming that all information provided is truthful and correct.
9. After completing all sections, you can save changes to the application. Choose to download, print, or share the form as needed.

Complete your Guest Advantage Application online today to ensure timely processing and coverage.