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As you may know, AmeriHealth is in the process of transitioning its
membership to a new operating platform. Our migration of AmeriHealth
Pennsylvania commercial members is nearly complete, and all AmeriHealth New
Jersey Medicare Advantage HMO members were migrated to the new platform on
January 1, 2015. Additionally, AmeriHealth New Jersey commercial members will
be migrated to the new platform by October 1, 2015.
During this transition, we are working with you in a dual claims-processing
environment. In other words, we are processing a larger portion of claims and
business transactions on the new platform as members are migrated, and we
continue to process claims and conduct business transactions on the current
platform for AmeriHealth New Jersey members who have not yet been migrated.*
The date of service will determine the platform on which claims are
processed.
We are committed to working closely with our entire provider network as we
complete this transition. We will continue to provide comprehensive
communications and resources to support our members and provider network, both
during and after the transition to the new platform.
Be sure to visit our dedicated System and
Process Changes site. On this site you will find several resources,
including a communication archive and frequently asked questions. If you still
have questions after reviewing these resources, email us.
*Behavioral health claims for HMO/POS non-migrated
members should continue to be submitted to Magellan Behavioral Health, Inc.
Behavioral health claims for all migrated members, including HMO/POS, should be
submitted to AmeriHealth. Magellan Behavioral Health, Inc. manages mental
health and substance abuse benefits for most AmeriHealth
members.
Magellan Behavioral Health, Inc. manages mental health and
substance abuse benefits for most AmeriHealth members.
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