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  • Refunding Amerihealth Administrators For Claim Overpayment Form

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Through the claims adjudication process. Through this preferred and expedited method, credits and/or retractions will automatically appear on a future Statement of Remittance (SOR). If you are not NaviNet-enabled, please call Customer Service at 1-800-275-2583 or you may complete this form and mail it along with a copy of the SOR to: AmeriHealth Claims Overpayment P.O. Box 15075 Newark, NJ 07192 5075 Note: If you are not NaviNet-enabled and would like to register, please call the eBusiness Pr.

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Payer Name: AmeriHealth Administrator|Payer ID: 54763|Professional (CMS1500)/Institutional (UB04)[Hospitals]

For the most direct service, call the number on the back of your AmeriHealth ID card. If you are a consumer or enrolled in a NJ-based employer plan, call 1-888-968-7241. If you are enrolled in a PA-based employer plan, call 1-866-681-7373.

Electronic claims are submitted via the Change Healthcare AmeriHealth Caritas Pennsylvania Payer ID 22248.

54704 95044 23037 Claims Receipt Center P.O. Box 211184 Eagan, MN 55121 Valid and registered NPI is required. *For use only by those who use Emdeon as their clearinghouse. Clearinghouses may update submission rules. Always contact your clearinghouse for confirmation of up-to-date submission requirements.

Payer Name: AmeriHealth Administrator|Payer ID: 54763|Professional (CMS1500)/Institutional (UB04)[Hospitals]

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232