In our continuing efforts to provide the most current and reliable information
to our network providers,
effective September 15, 2011, we will enforce our policy that requires
providers to use the NaviNet? web portal or the Provider Automated System when
requesting member eligibility.
In addition, providers will be directed to use NaviNet or call the Provider
Automated System when checking claims status information. The claim detail
provided through either system includes specific information, such as:
check date
check number
service codes
paid amount
member responsibility
To assist you in using these transactions in NaviNet, new user guides were
recently posted in the Administrative Tools & Resources section of AmeriHealth
Plan Central.
If your office location is not yet registered for NaviNet, please visit
www.navinet.netand select Sign up from the top right. If your office is
currently NaviNet-enabled but would like training on how to access member or
claims information, please call the eBusiness Provider Hotline at 215-640-7410 for providers in Delaware and
Pennsylvania or 856-638-2701 for providers in
New Jersey.
Providers without access to NaviNet must obtain eligibility and claims status
information through the Provider Automated System by calling 1-800-275-2583 and following the voice prompts.