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New fax form for procedure code update requests

April 18, 2013

Effective immediately, all requests to add, delete, or otherwise change a procedure code on an existing authorization should be submitted via fax using the Request to Update Procedure Code(s) on an Existing Authorization fax form. >> []Request to Update Procedure Code(s) on an Existing Authorization[] Note: All requests from NaviNet enabled providers made by phone to add, delete, or change procedure codes will not be accepted after Monday, April 22, 2013. Those providers will be directed to complete this form, which is available on both NaviNet Plan Central and on our website at [] www.amerihealth.com/providerforms[] . (posted 4/18) [

]* Out-of-area and non NaviNet-enabled providers will continue to be able to make procedure code updates via phone.[

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