Home Administrative Billing & Reimbursement Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

Reminder: Changes to the Provider Automated System

August 29, 2013

AmeriHealth will be making changes to the functionality available through the Provider Automated System. Please read this notice carefully if you currently use the Provider Automated System, as your day-to-day operations may be affected. Changes to the Provider Automated System will happen in a phased approach: Effective September 27, 2013: As of this date, you will no longer be able to submit or retrieve referrals or submit encounters using the Provider Automated System. Primary care physicians should use the NaviNet® web portal, or their current electronic data interchange (EDI) solution, to submit encounter data to AmeriHealth. Note: Paper referrals and encounters are not permitted by AmeriHealth. As early as January 2014: As early as January 2014 and continuing through mid-2015, AmeriHealth Pennsylvania members will be migrated to a new operating platform in stages, generally based on when the customer/member?s contract renews. Once an AmeriHealth Pennsylvania member has been migrated to the new platform, you will no longer be able to use the Provider Automated System for that member. This includes all additional functionality, such as eligibility and claims status. You must use NaviNet to retrieve this information. Note: All participating providers were required to register for NaviNet by April 1, 2013. If you have not yet done so, go to the NaviNet website and select Sign Up from the top right. If your office is currently NaviNet-enabled but would like training on how to submit or retrieve a referral or submit an encounter, please contact our eBusiness Provider Hotline at 215-640-7410 for providers in Pennsylvania and Delaware or at 609-662-2565 for providers in New Jersey.

NaviNet® is a registered trademark of NaviNet, Inc.


This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of AmeriHealth, AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey.
© 2023 AmeriHealth Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer