Later this year AmeriHealth will be transitioning claims processing for New Jersey commercial members to the Highmark platform, following the successful transition of AmeriHealth New Jersey Medicare Advantage members earlier this year.

This transformation of our core operating system to Highmark is the engine that will help us become a more nimble, innovative company. It will keep us and our industry partners well-positioned for the future in an ever-changing and competitive landscape. Further, the transition will continue to help us to gain efficiencies, lower operating costs, and add new capabilities that enhance the overall customer experience.

Dual claims-processing environment

The migration of commercial AmeriHealth New Jersey membership to the new platform will be completed in two stages:

• On September 1, 2015, a smaller subset of commercial New Jersey members will be migrated to the new platform.
• On October 1, 2015, all remaining commercial New Jersey members will be migrated to the new platform.

Upon completion of both stages on October 1, 2015, all AmeriHealth claims processing will be on the new platform. Until then we will continue working with you in a dual claims-processing environment. In other words, we will process claims on the new platform for AmeriHealth Pennsylvania members and AmeriHealth New Jersey Medicare Advantage members, and we will continue processing commercial New Jersey member claims on the current platform until the member?s migration date.

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 New Jersey 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^SM to outline any changes that may affect your day-to-day operations. In addition, you can find dedicated news related to this transition in the System and Process Changes section of our Provider News Center. Additional communication channels may include the NaviNet^® web portal, our website, emails, and face-to-face provider education.

We have already engaged and educated 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.

If you have questions related to the transition, please contact us at 1-888-YOUR-AH1 (1-888-968-7241).

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