Self-Service Tools

AmeriHealth Caritas VIP Care Plus strives to furnish its provider partners with the tools they need to deliver exceptional, effective, and efficient health care to our members. After all, our members look to you, our participating providers, to help them get healthy and stay healthy.

The following tools are available to help you in the day-to-day care of our members:

• ADA Assessment

Find a provider or drug

• Searchable Provider Directory
• Printable Provider Directory (PDF) posted December 13, 2024
• Provider Change Form (PDF)
• Request for Redetermination of Medicare Prescription Drug Denial
• Searchable Formulary

Electronic tools

• Prior Authorization Lookup Tool
• NaviNet - log in
• NaviNet - sign up
• What is NaviNet?
• Navinet Medical Authorizations Participation Guide (PDF)
• Electronic Funds Transfer/Electronic Remittance Advice Enrollment
• Electronic Claims Submission
• Direct Entry Claims Submission through Change Healthcare