As of September 15, 2011, we began
enforcing our policy that requires providers to use the NaviNet? web portal or the Provider Automated System when
requesting member eligibility.
In addition, providers must use NaviNet or
call the Provider Automated System to check claims status information. The
claim detail provided through either system includes specific information, such
as:
- check date
- check number
- service codes
- paid amount
- member responsibility
Providers can view a webinar at www.navinet.net/intro_pss_ah for more information on
these requirements. The presentation offers guidance on where to obtain member
eligibility and claims status information through NaviNet.
If your office location is not yet registered for
NaviNet, please visit www.navinet.net and
select Sign up from the top right. If your office is currently
NaviNet-enabled but would like assistance with accessing member or claims
Information, please call the eBusiness Provider Hotline at 215-640-7410 for providers in Pennsylvania or Delaware
or 856-638-2701 for providers in New Jersey.
Providers without access to NaviNet must obtain
eligibility and claims status information through the Provider Automated System
by calling 1-800-275-2583 and following the voice
prompts.