INSURER FILING GUIDE

AmeriHealth New Jersey

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

AT A GLANCE

Claim facts

Member form	Claim Form Number: 17925 Revision: 2020 July Open the insurer form
Portal upload	YES
Portal path	Log in and submit an out-of-network claim when the benefit plan enables that feature; exact post-login menu is UNREADABLE
Mail address	PLAN-DEPENDENT: Individual Health Coverage claim forms go to AmeriHealth Insurance Company, P.O. Box 211184, Eagan, MN 55121; group plans use their specific plan instructions.
Fax	Not published by the insurer
Attachments	Provider name, address, and telephone number on official bill head; patient full name; description of each service or item; date and amount charged for each service or item; diagnosis
Deadline	Within 90 days
Outcome and status	Member account > Claims and Spending > My Claims Overview > Status
Processing time	Standard timeframe is 4 to 6 weeks after receipt
Caveats	Portal submission depends on benefit plan; POS and PPO filing duties differ; HMO, employer, self-funded, Medicare Advantage, and Medicaid terms may differ

STEP BY STEP

Read date: 10-09-2026

Check whether the benefit plan enables online out-of-network claim submission. AmeriHealth says this is available depending on the benefit plan. If available, sign in to the member account. UNREADABLE: the post-login menu. AmeriHealth member resources
For the public PDF route, complete Claim Form 17925 and sign and date the Member Signature field. NOT PUBLISHED: whether the signature is mandatory or whether a typed or electronic signature is accepted. AmeriHealth Claim Form
Attach an itemized bill on the provider's official bill head with provider name, address, and telephone number, patient full name, a description of each service or item, date and amount charged for each service or item, and diagnosis. AmeriHealth Claim Form
NOT PUBLISHED: accepted upload file types, size, maximum file count, document grouping, confirmation, CMS-1500 acceptance, a distinct behavioral-health route, or payment recipient when benefits are not assigned. AmeriHealth member resources
For individual coverage, submit within 90 days after the service. Employer group members must use the deadline in their plan booklet or summary. AmeriHealth transparency in coverage
Check status in the member account under Claims and Spending, My Claims Overview, then Status. AmeriHealth states a standard processing time of four to six weeks after receipt. AmeriHealth member FAQ

Portal upload: YES
Portal: AmeriHealth online member account
Portal path: Log in and submit an out-of-network claim when the benefit plan enables that feature; exact post-login menu is UNREADABLE
Mail address: PLAN-DEPENDENT: Individual Health Coverage claim forms go to AmeriHealth Insurance Company, P.O. Box 211184, Eagan, MN 55121; group plans use their specific plan instructions.
Fax: NOT PUBLISHED
Attach: Provider name, address, and telephone number on official bill head; patient full name; description of each service or item; date and amount charged for each service or item; diagnosis
File types: NOT PUBLISHED
File size limit: NOT PUBLISHED
Maximum files: NOT PUBLISHED
One file or separate files: NOT PUBLISHED
Confirmation: NOT PUBLISHED
Status check: Member account > Claims and Spending > My Claims Overview > Status
Processing time: Standard timeframe is 4 to 6 weeks after receipt
Member deadline: Within 90 days
Deadline basis: The published 90-day rule is for individual coverage; employer group members must use their plan booklet or summary
Mental health route: No distinct public behavioral-health member claim portal is published

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.