As a reminder, effective January 1, 2015, AmeriHealth now has two unique medical and claim payment policy portfolios: one for commercial business and one for Medicare Advantage business.

With this change, we have also updated the way in which we communicate policy activity each month. Instead of publishing the policy activity directly in an article, we will now create a separate, supplementary document that provides the specific policy activity that occurred for our commercial portfolio and Medicare Advantage portfolio. This will allow providers to easily access the monthly activity in a separate PDF.

For the most up-to-date information about medical and claim payment policy activity, go to our Medical Policy Portal and select Accept and Go to Medical Policy Online. Then select either the Commercial or Medicare Advantage tab from the top of the page, depending on the version of the policy you?d like to view. You can also get to our Medical Policy Portal through the NaviNet^® web portal by selecting the Reference Tools transaction, then Medical Policy.