Changes to AmeriHealth medical and claim payment policies for our commercial Benefit Programs occur in response to industry, medical, and regulatory changes. We encourage you to view the Site Activity section of our Medical and Claim Payment Policy Portal to stay up to date with changes to our policies.
The Site Activity section is updated in real time as changes are made to the medical and claim payment policies. Topics include:
- News & Announcements
- Notifications
- New Policies
- Updated Policies
- Reissued Policies
- Coding Updates
To access the Site Activity section, go to our
Medical and Claim Payment Policy Portal and select
Site Activity to view the monthly changes. To search for active policies, select
Policy Bulletins from the home page. To access policies from AmeriHealth NaviNet® web portal (NaviNet Open), go to AmeriHealth NaviNet Open Plan Central, and select
Medical and Claim Payment Policy Portal under Quick Links in the right-hand column.
Medical codes for services that require precertification
A list of services that require preapproval/precertification from AmeriHealth prior to being performed for our members is available for providers on our Medical Policy Portal. This list, Services that require precertification, includes the CPT® and HCPCS codes, where applicable, that correlate with the services and injectable drugs that are included on our Preapproval/Precertification List.
To access Services that require precertification, select
Policy Bulletins from the home page and then
Services Requiring Precertification from the left-hand navigation menu. Links to Services that require precertification have also been added to the Quick Links section on the right-hand side of this page.
For important policy information related to COVID-19, visit the
News & Announcements section.
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CPT Copyright 2017 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.