The State of New Jersey has issued a
mandate for a new reimbursement method for maternity services. Effective
January 5, 2012, AmeriHealth New Jersey will offer obstetric providers
licensed in New Jersey the option to elect a new installment reimbursement
method for maternity services.
Currently, obstetric providers receive
reimbursement from health insurers for maternity services rendered after
delivery of a baby rather than during the term of the pregnancy. This is known
as the global reimbursement method. The state mandate allows obstetric
providers to elect a new installment reimbursement method where they will be
reimbursed for maternity services in three installments during the term of the
covered patient?s pregnancy.
Beginning January 5, 2012, your
practice can elect the installment reimbursement method through the
NaviNet? web portal. To do so, select
Provider Change Form from the Plan Transactions menu, select your
provider office location from the drop-down menu, and then select Choose
Maternity Claims Payment Option from the drop-down menu under Change
Form Options. If your practice is not NaviNet-enabled, you can contact your
Network Coordinator to initiate your election. Each practice will receive a
confirmation upon processing of a newly elected reimbursement method.
If you have any questions about the
reimbursement methods or elections for maternity services, please call Customer
Service at 1-800-275-2583 or contact your
Network Coordinator.