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Providers can now access the new 1500 Claim Submission and Claim Log
transactions on the NaviNet® web portal. User guides for these
new transactions are now available in the NaviNet
Resources section of our Provider News Center.
The 1500 Claim Submission transaction allows providers who submit CMS-1500
claim forms to submit claims using NaviNet. Providers are then able to review
the status of these submitted claims through the Claim Log transaction. Please
keep in mind the following when using the 1500 Claim Submission transaction:
- Claims must have a date of service on or after October 1, 2015.
- Providers are able to use this transaction to submit AmeriHealth New Jersey
commercial and Medicare Advantage claims and AmeriHealth Pennsylvania
commercial claims.
- Providers are not able to use this transaction to submit claims with
secondary and tertiary payers.
- This transaction is available to providers seven days a week: Monday
through Saturday from 5 a.m. to 10 p.m. and Sunday from 9 a.m. to 9 p.m.
Note that modifications will be made to the Claim Log transaction in April to
assist providers with claim rejections. Rejections for individual claims will
be grouped together, when appropriate, to help providers more easily correct
and resubmit claims.
If you have questions about these new transactions, please call the
eBusiness Hotline at 609-662-2565 for AmeriHealth New Jersey or at
215-640-7410 for AmeriHealth Pennsylvania.
NaviNet is a registered trademark of NaviNet, Inc.
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