AmeriHealth will be making changes to the functionality available through the
Provider Automated System. Please read this notice carefully if you currently
use the Provider Automated System, as your day-to-day operations may be
affected.
Changes to the Provider Automated System will happen in a phased approach:
Effective September 27, 2013: As of this date, you will no longer be able to
submit or retrieve referrals or submit encounters using the Provider Automated
System. Primary care physicians should use the NaviNet[
]?[] web
portal, or their current electronic data interchange (EDI) solution, to submit
encounter data to AmeriHealth.
Note: Paper referrals and encounters are
not permitted by AmeriHealth.
As early as January 2014: As early as January 2014 and continuing through
mid-2015, AmeriHealth Pennsylvania members will be migrated to a new operating
platform in stages, generally based on when the customer/member?s contract
renews. Once an AmeriHealth Pennsylvania member has been migrated to the new
platform, you will no longer be able to use the Provider Automated System for
that member. This includes all additional functionality, such as eligibility
and claims status. You must use NaviNet to retrieve this information.
Note: All participating providers were required to register for NaviNet by
April 1, 2013.If you have not yet done so, go to the [
]NaviNet[] website and select [
Sign
Up] from the top right. If your office is currently NaviNet-enabled but
would like training on how to submit or retrieve a referral or submit an
encounter, please contact our eBusiness Provider Hotline at 215-640-7410 for
providers in Pennsylvania and Delaware or at 609-662-2565 for providers in New
Jersey.
[
NaviNet® is a registered trademark of
NaviNet, Inc.
]