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AmeriHealth New Jersey members will be migrated to the new claims processing platform in 2015 according to the following schedule:

• Medicare Advantage HMO members. We will migrate all AmeriHealth New Jersey Medicare Advantage HMO members to the new platform on January 1, 2015.
• Commercial members. We will migrate all AmeriHealth New Jersey commercial members to the new platform by October 1, 2015.

As you may already know, we are currently in the process of transitioning AmeriHealth Pennsylvania members to the new platform. Just as it does for migrated AmeriHealth Pennsylvania members, the new platform will handle all core processing functions, such as enrollment, claims, and billing. As we have communicated previously, this platform transition is helping us to gain efficiencies, lower operating costs, and add new capabilities that enhance the overall customer experience.

Dual claims-processing environment

We will remain in a dual claims-processing environment until all AmeriHealth Pennsylvania and New Jersey members are migrated to the new platform. In other words, as we continue through our transition, we will process a larger portion of claims and business transactions on the new platform. We will continue to process claims and conduct business transactions on the current platform for members who have not yet been migrated.*

Keeping you informed

We are committed to working closely with our network physicians and hospitals to provide comprehensive communications, tools, support, and necessary training, both during and after this transition.

We will continue to keep you informed of our progress through communications in Partners in Health Update^SM and the System and Process Changes section of our Provider News Center. We ask that you read each edition of our newsletter carefully and check the System and Process Changes site often for updated information. Additional communication channels may include direct mail, the NaviNet^® web portal, emails, and face-to-face provider education.

If you have questions related to our member migration to the new platform, please email us.

*Behavioral health claims for HMO/POS non-migrated members should continue to be submitted to Magellan Behavioral Health, Inc. Behavioral health claims for all migrated members, including HMO/POS, should be submitted to AmeriHealth.

Magellan Behavioral Health, Inc. manages mental health and substance abuse benefits for most AmeriHealth members.

NaviNet^® is a registered trademark of NaviNet, Inc.

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