Provider Complaints

You may dispute AmeriHealth Caritas Florida's policies or procedures, or any aspects of AmeriHealth Caritas Florida administrative functions, including proposed actions, claims, billing disputes, and service authorizations.

You may file a complaint within 90 calendar days of the date of your remittance advice or the date of the incident (if not claim-related). AmeriHealth Caritas Florida will notify you within three business days of receipt (either verbally or in writing) that the complaint was received, and will provide an expected date of resolution.

AmeriHealth Caritas Florida will thoroughly investigate the complaint and have a resolution within 60 calendar days. Once a resolution has been determined, AmeriHealth Caritas Florida will notify you of the resolution within three business days.

Please use our Provider Complaint Form (PDF) when sending written complaints.

How to file a complaint

  • Online (preferred): NaviNet Portal > Forms and Dashboards
  • Phone: 1-800-617-5727
  • Email: PNO@amerihealthcaritasfl.com
  • Mail: 
    AmeriHealth Caritas Florida
    Attn: Provider Complaints
    P.O. Box 7366
    London, KY 40742
  • Fax: 1-855-358-5853
  • In Person: You may also request an in-person meeting via phone, email, or regular mail.
Providers