Check member ID cards and verify eligibility

February 1, 2021

​Some AmeriHealth patients received a new member ID card for coverage effective in 2021.

Please confirm the member's coverage and eligibility at each visit and before rendering services.

Best practices

  1. Make a copy of their ID card. Use the most recent member information when submitting claims.

  2. Verify eligibility and benefits. Use the Eligibility and Benefits Inquiry transaction on the NaviNet® web portal (NaviNet Open).* This provides real-time, detailed eligibility and benefits information, including demographics, insurance, and cost-sharing information.

If a member does not have their new ID card yet or forgot it, ask the member to print a temporary ID card by logging on to our secure member portal available at amerihealth.com.

For your convenience, NaviNet Open* and amerihealth.com are available seven days a week.

*If your organization has transitioned to use PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal, you can use the Eligibility & Benefits transaction to view this information. Additional information and self-service training materials are available in the PEAR ​Help Center.

NaviNet® is a registered trademark of NantHealth.