Effective May 11, 2017, the Clear Claim Connection transaction will be removed from the AmeriHealth Workflows menu on the NaviNet web portal, as this transaction is no longer active.

With the transition to our new claims processing platform, Clinical Relationship Logic, or Code-to-Code Edits (e.g., Incidental, Integral, Component, Mutually Exclusive, etc.), is applied to claims submitted on the CMS-1500 claim form or through the 837P transaction.

For more specific information on how the Clinical Relationship Logic is applied, go to the Clinical Relationship Logic page for AmeriHealth New Jersey and the Code-to-Code Edits page for AmeriHealth Pennsylvania.

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