[
In the coming weeks, AmeriHealth will introduce the new 1500 Claim
Submission and Claim Log transactions. The 1500 Claim Submission transaction
will allow providers who submit CMS-1500 claim forms to submit those claims
using the NaviNet web portal. Providers will then be able to review the status
of these submitted claims through the Claim Log transaction.
Please note the following details about the new 1500 Claim Submission
transaction:
- Claims submitted using this transaction must have a date of service on or
after October 1, 2015.
- Providers will be able to use the 1500 Claim Submission transaction to
submit AmeriHealth New Jersey commercial and Medicare Advantage claims and
AmeriHealth Pennsylvania commercial claims.
- Providers will not be able to use the 1500 Claim Submission
transaction to submit claims with secondary and tertiary payers.
- This transaction will be available to providers seven days a week: Monday
through Saturday from 5 a.m. to 10 p.m. and Sunday from 9 a.m. to 9 p.m.
For more information
We will publish user guides for these new transactions in the NaviNet
Resources section of our Provider News Center. Announcements will be made
on AmeriHealth NaviNet Plan Central and on our Provider News Center once the
new guides are available.
If you have questions, please call the eBusiness Hotline at
609-662-2565 for AmeriHealth New Jersey or at 215-640-7410 for
AmeriHealth Pennsylvania.
NaviNet is a registered trademark of NaviNet, Inc.
]