Get the up-to-date Ancillary Data Intake Form - Providers - AmeriHealth Caritas North Carolina Ancillary Data Intake Fo 2024 now

Get Form
Ancillary Data Intake Form - Providers - AmeriHealth Caritas North Carolina Ancillary Data Intake Fo Preview on Page 1

Here's how it works

01. Edit your form online
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

The easiest way to modify Ancillary Data Intake Form - Providers - AmeriHealth Caritas North Carolina Ancillary Data Intake Fo in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Handling documents with our extensive and user-friendly PDF editor is straightforward. Follow the instructions below to fill out Ancillary Data Intake Form - Providers - AmeriHealth Caritas North Carolina Ancillary Data Intake Fo online easily and quickly:

  1. Log in to your account. Log in with your credentials or register a free account to try the service before upgrading the subscription.
  2. Upload a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit Ancillary Data Intake Form - Providers - AmeriHealth Caritas North Carolina Ancillary Data Intake Fo. Easily add and underline text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your document.
  4. Get the Ancillary Data Intake Form - Providers - AmeriHealth Caritas North Carolina Ancillary Data Intake Fo accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with other participants via a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to rapidly handle your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
AmeriHealth Caritas North Carolina is a Prepaid Health Plan that has been contracted by the state to offer managed care services to Medicaid beneficiaries.
at 1-888-834-3511.
Electronic Claim Submission Both in-network and out-of-network providers may submit claims by EDI submission, under Payor ID 87726.
Were the experts in treating Americas chronically ill and low-income populations. With our Medicaid managed care health plans, you can provide innovative, cost-effective care to the people in your community who need it most.
North Carolina Medicaid benefits and health care services are covered by your plan. Get information on primary care, maternity care, hospital care, home health services, vision care and more. View benefits and programs available in addition to standard North Carolina Medicaid benefits.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

If you have questions, you can call AmeriHealth Caritas North Carolina Provider Services at 1-888-738-0004.
Inform your vendor of AmeriHealth Caritas DCs EDI Payer ID#: 77002.
What is AmeriHealth Caritas North Carolina? AmeriHealth Caritas North Carolina is a prepaid health plan (PHP) and a member of the AmeriHealth Caritas Family of Companies, a national leader of Medicaid managed care.
AmeriHealth Caritas North Carolina is a Prepaid Health Plan that has been contracted by the state to offer managed care services to Medicaid beneficiaries.
NC Medicaid Dental Coverage for Adults The North Carolina Medicaid dental program covers preventative, restorative, periodontal, and orthodontic dental services as well as oral surgeries and dentures. Adults and kids alike can find dentists who accept North Carolina Medicaid here.

Related links