Detailed guides for the new Provider Explanation of Benefits (EOB) and Provider Remittance are now available in the
Claims Submission and Payments section of our System and Process Changes page. Terms in the new Provider EOB and Provider Remittance are explained in the guides to assist you in interpreting your payments for migrated AmeriHealth Pennsylvania members.As previously communicated, for AmeriHealth Pennsylvania members who have been migrated to the new operating platform, providers will no longer receive the current Statement of Remittance (SOR). For migrated AmeriHealth Pennsylvania members, professional providers will receive a Provider EOB and facility providers will receive a Provider Remittance. The Provider EOB and Provider Remittance have a new look and format.For more information about these changes to SORs, please read the complete article,
SOR changes for migrated AmeriHealth Pennsylvania members.