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As a member, you do not have to pay for medically necessary covered services you get from a New Hampshire Medicaid provider. If you get a bill or statement, call AmeriHealth Caritas New Hampshire Member Services, 24 hours a day, seven days a week, at 1-833-704-1177 (TTY 1-855-534-6730).
Initial claim: within 120 days of the service date, except in situations regarding coordination of benefits. Rejected claims: within 120 days of service date. Corrected claims: resubmitted within 365 days of service date.
Timely filing limits Initial claims: 180 days from date of service. Resubmissions and corrections: 365 days from date of service.
Call AmeriHealth Caritas New Hampshire Member Services, 24 hours a day, seven days a week, at 1-833-704-1177 (TTY 1-855-534-6730).
must be submitted within 60 days of the date on the primary insurers EOB. This exception is applicable when the claim cannot be submitted within 180 days of the date of service due to the involvement of a primary insurer.
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By fax. Fax to 1-833-469-2264.
Some services require prior authorization. All such services determined by NHHF to be medically necessary shall constitute a NHHF Covered Service. See the New Hampshire Healthy Families Member Handbook for more information on coverage out-of-network and out of the NHHF service area.
Important: Claims originally rejected for missing or invalid data elements must be corrected and re-submitted within 180 calendar days from the date of service. Rejected claims are not registered as received in the claim processing system.

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