Home Administrative Billing & Reimbursement Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

Stay informed during our transition to a new platform

December 1, 2014

[

As you may know, AmeriHealth is in the process of transitioning its membership to a new operating platform. Our migration of AmeriHealth Pennsylvania commercial members is in progress, and we will migrate all AmeriHealth New Jersey Medicare Advantage HMO members to the new platform on January 1, 2015. Additionally, AmeriHealth New Jersey commercial members will be migrated to the new platform by October 1, 2015.

During the migration, we are working with you in a dual claims-processing environment. In other words, we are processing a larger portion of claims and business transactions on the new platform as members are migrated, and we continue to process claims and conduct business transactions on the current platform for members who have not yet been migrated.* The date of service will determine the platform on which claims are processed.

We are committed to working closely with our entire provider network as we complete this transition. We will continue to provide comprehensive communications and resources to support our members and provider network, both during and after the transition to the new platform.

Be sure to visit our dedicated System and Process Changes site. On this site you will find several resources, including a communication archive and frequently asked questions. If you still have questions after reviewing these resources, email us.

*Behavioral health claims for HMO/POS non-migrated members should continue to be submitted to Magellan Behavioral Health, Inc. Behavioral health claims for all migrated members, including HMO/POS, should be submitted to AmeriHealth.

Magellan Behavioral Health, Inc. manages mental health and substance abuse benefits for most AmeriHealth members.

]

This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of AmeriHealth, AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey.
© 2023 AmeriHealth Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer