AmeriHealth Administrators values the service and care that hospitals, physicians, and other health care professionals provide to our clients? plan members. Our online tools enhance convenience for health care professionals and help eliminate avoidable administrative costs. With iEXCHANGE^? you can easily submit requests for precertification and prenotification of care online through a secure sign-on at no cost.

For providers in Pennsylvania and Delaware

Effective June 1, 2012, all provider offices and admitting facilities must use iEXCHANGE to submit notification of emergency hospital admission. Starting June 1, 2012, calls to the Patient Care Management (PCM) department to make these notifications will be referred to iEXCHANGE for submission.

For providers in New Jersey

Effective June 1, 2012, all provider offices and admitting facilities must use iEXCHANGE to submit notification of emergency hospital admission. Starting September 1, 2012, calls to the PCM department to make these notifications will be referred to iEXCHANGE for submission.

Using iEXCHANGE

iEXCHANGE will automatically provide notification of the admission to the PCM team. A medical review will need to be communicated before a determination of medical necessity can be rendered. Please continue to communicate to your facility?s utilization management/case management staff.

A notification submitted through iEXCHANGE may take up to one business day to be completed. If an authorization remains pended for more than one business day, please contact the AmeriHealth Administrators PCM department for assistance.

You can submit requests for services and scheduled admissions through iEXCHANGE. For your convenience, iEXCHANGE is available seven days a week. (Maintenance takes place on the third Sunday of every month.)

Visit the iEXCHANGE website to sign up. For more information, visit the AmeriHealth Administrators website or contact the iEXCHANGE help line at 1-888-444-4617.