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As you may know, AmeriHealth is in the process of transitioning its
membership to a new operating platform. Our migration of AmeriHealth
Pennsylvania commercial members is in progress, and we will migrate all
AmeriHealth New Jersey Medicare Advantage HMO members to the new platform on
January 1, 2015. Additionally, AmeriHealth New Jersey commercial members will
be migrated to the new platform by October 1, 2015.
During the migration, we are working with you in a dual claims-processing
environment. In other words, we are processing a larger portion of claims and
business transactions on the new platform as members are migrated, and we
continue to process claims and conduct business transactions on the current
platform for members who have not yet been migrated.* The date of service will
determine the platform on which claims are processed.
We are committed to working closely with our entire provider network as we
complete this transition. We will continue to provide comprehensive
communications and resources to support our members and provider network, both
during and after the transition to the new platform.
Be sure to visit our dedicated System and Process Changes
site. On this site you will find several resources, including a communication
archive and frequently asked questions. If you still have questions after
reviewing these resources, email us.
*Behavioral health claims for HMO/POS non-migrated
members should continue to be submitted to Magellan Behavioral Health, Inc.
Behavioral health claims for all migrated members, including HMO/POS, should be
submitted to AmeriHealth.
Magellan Behavioral Health, Inc. manages
mental health and substance abuse benefits for most AmeriHealth members.
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