AmeriHealth will be transitioning its claims processing system to the Highmark platform for AmeriHealth Pennsylvania members. This transition will help us to gain efficiencies, lower operating costs, and add new capabilities that enhance the overall customer experience. The Highmark platform will be used to handle core processing functions, such as enrollment, claims, and billing for AmeriHealth Pennsylvania members. Note: This communication does not impact AmeriHealth Delaware or AmeriHealth New Jersey members. [

]Dual claims-processing environment until mid-2015[

] The migration of AmeriHealth Pennsylvania membership to the new platform will be completed in stages, generally based on when the customer/member?s contract renews. The overall migration schedule is not yet final, but we anticipate migrating business throughout 2014 and ultimately transitioning all claims processing to the new platform by mid-2015. During the migration we will be working with you in a dual claims-processing and business operating environment until all AmeriHealth Pennsylvania business is on the new claims processing system. In other words, as we transition to the new platform, we will process a larger proportion of claims and business transactions on the new platform as AmeriHealth Pennsylvania members are migrated. We will continue to process claims and conduct business transactions on the current platform for AmeriHealth Pennsylvania members that have not yet been migrated. [

]Keeping you informed[

] We are committed to working closely with our network physicians and hospitals to provide continued information, support, and necessary training during this migration of AmeriHealth Pennsylvania members to the new platform. In order to keep you informed of the upcoming changes, we will be publishing an increased volume of communications in Partners in Health Update to outline any changes that may affect your day-to-day operations. In addition, we have created a new section on our Provider News Center website, called []Upcoming System and Process Changes[]. This site is dedicated to news related to this transition and contains a Frequently Asked Questions document for your reference. We ask that you read each edition of our newsletter carefully and check this site frequently for updated information. Additional communication channels may include direct mail, the NaviNet[^]?[] web portal, our website, emails, and face-to-face provider education. We have already begun to engage and educate trading partners and clearinghouses on the upcoming EDI changes. Please be sure to check with your third-party vendors to see if changes to your current processes are necessary. We will provide comprehensive communications and tools to support our AmeriHealth Pennsylvania members and participating providers before, during, and after the transition to the new platform. If you have questions related to the transition, please []email[] us. [

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