Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with AmeriHealth Caritas Pennsylvania Community HealthChoices (PA CHC) – Participant Appeals before sending sensitive documents. FaxFlow is not affiliated with this organization.
AmeriHealth Caritas Pennsylvania Community HealthChoices (PA CHC) – Participant Appeals fax number
(855) 332-0141
Participant Appeals
Used for: Submitting grievances/appeals about CHC benefits; including denial/approval decisions; filed via fax to this number.
Fax destination details
- Department
- Participant Appeals
- Purpose
- Submitting grievances/appeals about CHC benefits; including denial/approval decisions; filed via fax to this number.
- Form
- Complaint/Grievance Form — Complaint/Grievance Form
- Address
- 200 Stevens Drive, Philadelphia, PA 19113-1570
- Voice phone
- 1-855-235-5115
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill out the Complaint/Grievance Form included with the denial notice and submit it by fax to 1-855-332-0141. You must file within 60 days of the denial/notice.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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