Changes to AmeriHealth medical and claim payment policies for our commercial
Benefit Programs occur in response to industry, medical, and regulatory
changes. We encourage you to view the Site Activity section of our Medical
Policy Portal in order to keep up to date with changes to our policies.
The Site Activity section is updated in real time as changes are made to the
medical and claim payment policies. Topics include:
- Notifications
- New Policies
- Updated Policies
- Reissued Policies
- Coding Updates
- Archived Policies
For your convenience, the information provided in Site Activity can be
printed to keep a copy on hand as a reference.
To access the Site Activity section, go to our Medical
Policy Portal and select Accept and Go to Medical Policy Online.
From there select Commercial under Site Activity to view the monthly
changes. To search for active policies, select the Commercial tab from
the top of the page. To access policies from AmeriHealth NaviNet?
Plan Central, select Medical Policy Portal under Provider Tools in the
right-hand column.
New format for commercial medical and claim
payment policies
We recently updated the format of the commercial medical and claim
payment policies posted on the Medical Policy Portal.
The policy document sections have been reordered and now display as
follows:
- Policy
- Guidelines
- Description
In addition, two new sections ? Coding and Billing Requirements and Policy
History ? have been incorporated into the layout.
Note: As of January 1, 2017, AmeriHealth New
Jersey no longer offers Medicare Advantage products. The information related to
Medicare Advantage products on the Medical Policy Portal remains available as a
reference for services rendered through December 31, 2016.
NaviNet is a registered trademark of NaviNet, Inc.