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Billing AmeriHealth Caritas Iowa as a Non-Participating Provider

When an out-of-state or other non-participating provider renders services to an AmeriHealth Caritas Iowa member with prior authorization or during an emergency, non-participating providers must follow the steps below to bill AmeriHealth Caritas Iowa for services rendered:

  • Complete the non-participating provider form.
  • Return the completed form by faxing to Provider Data Management.  
  • Receive your unique AmeriHealth Caritas Iowa non-participating provider ID number from the plan.
  • Use your national provider identification number and AmeriHealth Caritas Iowa non-participating provider ID to submit your claim to the plan.

If you need help filing a claim, follow our Claims and Billing Guide (PDF).