In 2009, Clinical Alerts were
introduced as a tool to notify primary care physicians (PCP), OB/GYNs,
cardiologists, and endocrinologists when their AmeriHealth patient has not
received a recommended service or medication. These notifications are available
on the NaviNet® web portal through the
Eligibility and Benefits Inquiry transaction.
Initially, 13 Clinical Alerts
were introduced, including ones for missing mammograms and cholesterol
screenings. Recently, the following new Clinical Alerts were added:
- bone mineral density test or
drug to treat or prevent osteoporosis;
- HbA1c between 7% ? 7.9% for
patients with diabetes;
- HbA1c between 8% ? 8.9% for
patients with diabetes;
- HbA1c greater than 9.0% for
patients with diabetes;
- cholesterol >=100 mg/dL
for patients with diabetes;
- cholesterol >=100
mg/dL for patients with cardiovascular conditions.
The Clinical
Alerts Overview, a user guide for how to access Clinical Alerts, has
been updated to include these new alerts. The updated guide is available in the
Administrative Tools & Resources section of AmeriHealth NaviNet Plan
Central.
Note: PCPs are able to view all of a
member?s Clinical Alerts; however, specialists can view only those alerts
pertaining to their specialty. Please refer to the Clinical Alerts Overview for a complete list of all
alerts and the specialties they pertain to.
NaviNet® is a
registered trademark of NaviNet, Inc.