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.