Peer-to-Peer Telephone Line
To discuss a medical determination with a physician in the AmeriHealth Caritas New Hampshire Medical Management department, providers may call the peer-to-peer telephone line by following the prompts at 1-833-472-2264. Providers must call within three business days of notification of the determination.
The purpose of the peer-to-peer process is to address medical determinations regarding health care services. This process is not intended to address denied claims or other issues. For information on appealing a claim, please refer to the "Provider and Network Information" section of the provider manual.
Filing an appeal on behalf of a member
A provider may file an appeal on a member's behalf, with the member's written consent. To file an appeal as an authorized representative on behalf of a member, a provider may call 1-833-704-1177.