We have recently enhanced our Eligibility and Benefits Inquiry transaction on the NaviNet^® web portal to include copayment information for urgent care services.

To view the urgent care copayment for eligible members, select Eligibility and Benefits Inquiry from the Plan Transactions menu, enter the search criteria for the member, and hit Select next to the appropriate member. The urgent care copayment (if applicable) will be listed under Copays. The copayment, as well as any applicable coinsurance, will also appear on the Additional Copays screen. Please note that not all members are eligible for the urgent care benefit.

Only providers who are specifically credentialed and contracted with AmeriHealth as an urgent care provider can charge an urgent care copayment for urgent care services.

If you have questions related to the urgent care benefit, please contact Customer Service at 1-800-275-2583.

If you have any questions about viewing copayment information on NaviNet, please contact NaviNet Customer Service at 1-888-482-8057 or our eBusiness Provider Hotline at 215-640-7410.

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