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AmeriHealth Caritas Louisiana fax number

(215) 863-5423

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Third Party Liability (TPL) / Medicare Advantage Plan Update Requests

Used for: General Private TPL and Medicare Advantage Plan update requests; submit via fax to (215) 863-5423, or via email tpl@amerihealthcaritas.com or phone 888-922-0007. Urgent TPL updates should be escalated to the Louisiana Department of Health (LDH) TPL Unit.

Fax destination details

Department
Third Party Liability (TPL) / Medicare Advantage Plan Update Requests
Purpose
General Private TPL and Medicare Advantage Plan update requests; submit via fax to (215) 863-5423, or via email tpl@amerihealthcaritas.com or phone 888-922-0007. Urgent TPL updates should be escalated to the Louisiana Department of Health (LDH) TPL Unit.
Form
Recipient Insurance Update Form (TPL/MAP Update Change Form) — Recipient Insurance Update Form
Voice phone
888-922-0007

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Use the Recipient Insurance Update Form to submit TPL and MAP updates; fax to 215-863-5423; email tpl@amerihealthcaritas.com; or call 888-922-0007 for guidance.

Official form instructions are published as a downloadable file on the organization's website.

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