Beginning October 13, 2017, you will notice a change in the display of a member's eligibility and benefits information when using the Eligibility and Benefits Inquiry transaction on the NaviNet web portal. The Eligibility and Benefits Details screen will include links to benefit categories to help direct providers to specific member information more easily.

Below is an example of what providers will see when accessing the Eligibility and Benefits Details screen on NaviNet.

You will be prompted to select from the following list to see additional provisions specific to that benefit category:

For further instructions on using the Eligibility and Benefits Inquiry transaction, please see our detailed user guide, which can be found in the NaviNet Resources section. This guide has been updated to reflect this new enhancement.

If you have any questions regarding this updated transaction, please call our eBusiness Hotline at 609-662-2565 for AmeriHealth New Jersey or at 215-640-7410 for AmeriHealth Pennsylvania.