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AmeriHealth Caritas Pennsylvania Community HealthChoices (PA CHC) – Participant Appeals fax number

(855) 332-0141

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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

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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.

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