In our continuing efforts to provide the most current and reliable information
to our network providers, effective September 15, 2011, we will enforce our
policy that requires providers to use the NaviNet? web portal or the Provider
Automated System when requesting member eligibility. In addition, providers
will be directed to use NaviNet or call the Provider Automated System when
checking claims status information. The claim detail provided through either
system includes specific information, such as:
-
check date
-
check number
-
service codes
-
paid amount
-
member responsibility
New user guides to assist you in using these transactions in NaviNet were
recently posted in the Administrative Tools & Resourcessection of
AmeriHealth Plan Central.
If your office location is not yet registered for NaviNet, please visit www.navinet.net and select Sign up from the
top right. If your office is currently NaviNet-enabled but would like training
on how to access member or claims information, please call the eBusiness
Provider Hotline at 215-640-7410.
Providers without access to NaviNet must obtain eligibility and claims status
information through the Provider Automated System by calling 1-800-275-2583 and following the voice prompts.