Important! An update has been made to the information contained on this web page. This page has been retained for archival purposes only. Please refer to our Upcoming System and Process Changes archive page for the latest information.

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NaviNet and AmeriHealth are receiving a number of inquiries related to the referral transaction that went live October 26, 2013. Please review the user guides and webinars posted to the NaviNet Transaction Changes section of our Upcoming System and Process Changes site to orient yourself to the new transaction before contacting NaviNet or AmeriHealth Customer Service.

We understand that some providers may still have unresolved problems with issuing referrals. We appreciate your patience as we continue to address outstanding issues. Please keep in mind that referrals can be retroactively issued for 90 days from the date of service.

Referral inquiry update

• Name and member ID search capability has been restored based on end user feedback.

Referral submission update

• The Facility/Provider search feature has been enhanced based on end user feedback. You can now conduct a professional provider search by entering a group practice NPI, group practice name, or individual provider last name (Specialty, City, and ZIP Code fields are optional).
• For a facility search, you must enter the facility name or facility NPI. Optionally, you can also enter Specialty, City, and/or ZIP Code to narrow the search.
• If your provider name is not populated in the NaviNet drop down, please be aware that this issue has been reported and is under investigation. If you are unable to issue a referral, please note that you must hold the referral until this issue is resolved.
• Referrals can be retroactively issued for up to 90 days from the date of service. This issue is expected to be resolved by end of day November 1.
• Expanded service types are now offered through referral submission such as fracture care. For general radiology services, you may select Medical Care (Consult and Treat).
• Referral submission capability has been restored for OB/GYN offices.

Referral retrieval update

• We ask that specialists maintain flexibility with Primary Care Offices, as they may continue to experience referral submission issues as enhancements are moved to production. You may contact the Primary Care Office to confirm referral status in the event of immediate patient care needs.

If you need assistance, please contact NaviNet Customer Service at 1-888-482-8057.