The NaviNet® web portal (NaviNet Open) 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 Open 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 Open 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 Open and use self-service options for the following:
- Eligibility information
- Claim status
- Claim review request
This document details the self-service requirements for which providers must use NaviNet Open.
If questions arise as you review these provider self-service requirements or if you have a question about a specific NaviNet Open 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 NaviNet Open 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