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Check member ID cards at every visit

July 1, 2014

As you know, we are in the process of transitioning AmeriHealth Pennsylvania members to a new claims processing platform. As AmeriHealth Pennsylvania members are migrated to the new platform, they will be issued a new member ID card with a new ID number.

For this reason, it is imperative that provider offices do the following:

  1. Obtain a copy of the member?s current ID card at every visit to ensure that you submit the most up-to-date information to AmeriHealth.
  2. Verify eligibility and benefits using the NaviNet® web portal prior to rendering service.

New ID cards for migrated AmeriHealth Pennsylvania members

For AmeriHealth Pennsylvania members who have been migrated to the new platform, we will assign a new 12-digit member ID number, called a ?unique member ID? (UMI). Each member ID card will include the member?s name and subscriber UMI. The subscriber and all members covered under the subscriber?s policy will share the same ID number.

Sample ID card for a migrated AmeriHealth Pennsylvania member:

Membership Identification Cards

For more information

To assist you in successfully submitting claims for AmeriHealth members, be sure to use the most current payer ID grids, available in the EDI section of our website.

Be sure to visit our dedicated System and Process Changes site. On this site, you will find a communication archive and frequently asked questions (FAQ) document. If you still have questions after reviewing the FAQ, email us.

NaviNet® is a registered trademark of NaviNet, Inc.


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