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As of January 2014 and continuing through mid-2015, we are in the process
of transitioning AmeriHealth
Pennsylvania members to a new operating platform, generally based on when the
customer/member's benefit contract renews.
During this transition, we will be working with you in a dual
claims-processing environment. In other words, as AmeriHealth Pennsylvania
members are migrated, their claims will be processed on the new platform;
however, we will continue to process claims on the current platform for
AmeriHealth New Jersey and Delaware members and for AmeriHealth Pennsylvania
members who have not yet been migrated.*
We are committed to working closely with our entire provider network as we
complete this transition. We will continue to provide comprehensive
communications and tools to support our members and provider network.
Be sure to visit our dedicated System and Process Changes
site. On this site you will find a communication archive as well as a
frequently asked questions (FAQ) document. If you still have questions after
reviewing the FAQ, 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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