The launch of the new Provider Automated System, which was slated for December 1, 2015, has been postponed. We will post updates on the NaviNet^® web portal and the Provider News Center once the new system is available.

What to expect

When you call 1-888-YOUR-AH1 (1-888-968-7241) for AmeriHealth New Jersey and 1-800-275-2583 for AmeriHealth Pennsylvania, be sure to say ?Provider? or press 2 when prompted.

Once in the Provider Automated System, you will need to have your National Provider Identifier (NPI) or tax ID number, as well as the member?s information (member ID number and date of birth), ready in order to access the information below.

The Provider Automated System will enable providers to retrieve the following information by following a series of self-service voice prompts and questions specific to your inquiry:

• Eligibility. Check coverage status, effective dates, and group name information.
• Benefits. Verify copayment, coinsurance, and deductible information.
• Claims. Obtain paid status, claim denial reasons, paid amount, and member responsibility information.

Note: Within the eligibility, benefits, and claims inquiries, you will have the option to have information faxed to you, so be sure to have your fax number ready during the call.

For authorizations, you will be directed to a Customer Service representative for further assistance. This function is not available via self-service; however, you can enter and retrieve authorization information through NaviNet.

A user guide will be available on our AmeriHealth New Jersey website and our AmeriHealth Pennsylvania website once the system has launched.

NaviNet is a registered trademark of NaviNet, Inc.