Some of your AmeriHealth patients may have received a new member ID card for
coverage effective in 2020. It is important that providers confirm the
member’s coverage and eligibility at each visit, prior to rendering
services.
For our AmeriHealth members, providers should:
- Make a copy. Obtain a copy of the member’s current
ID card to ensure that the most up-to-date information is submitted on the
claim.
- Verify eligibility and benefits. Verify eligibility and
benefits on NaviNet® web portal (NaviNet Open) through the
Eligibility and Benefits Inquiry transaction.
There may be occasions when a member’s health insurance goes into
effect before receiving a member ID card in the mail. Or, a member may forget
the card. If a member does not bring an ID card to an office visit, you have
options:
- You may ask members to print a temporary ID card by logging on to our
secure member portal at amerihealth.com.
- You may access real time, detailed eligibility and benefits information for
AmeriHealth members through NaviNet Open using the Eligibility and Benefits
Inquiry transaction. There you will find information about a member’s
demographics, insurance, and cost-sharing information (i.e., copayment,
deductible, and coinsurance).
For your convenience, NaviNet Open and amerihealth.com are available seven days a week.
NaviNet® is a registered trademark of
NantHealth.