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 NaviNet Resources

The NaviNet® web portal is our secure, online provider portal that gives you and your office staff access to critical administrative and clinical data. This page contains a wide variety of NaviNet resources, including:

  • self-service requirements
  • transaction-specific user guides with step-by-step instructions
  • a complete archive of articles published in Partners in Health UpdateSM

We are committed to working closely with our network physicians, hospitals, and other health care providers to supply continued information, support, and training for the provider portal


Provider Self-Service Requirements

Over the last several years, AmeriHealth has instituted a number of provider self-service requirements under which providers must use NaviNet instead of calling the health plan or submitting paper claim review inquires.

All participating providers, including professional providers, facilities, Magellan-contracted providers, and third-party agencies that support provider organizations, are required to have access to NaviNet and use self-service options for the following:

  • Eligibility information
  • Claim status
  • Claim review request
  • Authorizations

This document details the self-service requirements for which providers must use NaviNet.

If questions arise as you review these provider self-service requirements or if you have a question about a specific NaviNet transaction, please contact the eBusiness Hotline at 609-662-2565 for AmeriHealth New Jersey or at 215-640-7410 for AmeriHealth Pennsylvania.


Authorizations transaction resources

As part of the transition to a new medical management system for processing authorization requests, the Authorizations transaction on the NaviNet web portal has been upgraded. The new transaction streamlines the various authorization submission types into one workflow. The following page contains frequently asked questions, user guides, and instructional videos related to the Authorizations transaction.

    >>Authorizations transaction resources


User guides and webinars

In the past few years, there have been numerous changes to the look and feel of the provider portal and transaction functionality. To help you navigate the portal and specific transactions, we have published user guides and webinars below that provide step-by-step instructions. Please review the guides that pertain to you and call the eBusiness Hotline at 215-640-7410 for AmeriHealth Pennsylvania or at 609-662-2565 for AmeriHealth New Jersey if you have any questions.

    >>User guides and webinars

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