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When submitting claims for AmeriHealth members,
please be sure to continue using a valid National Provider
Identifier (NPI). This requirement applies to all claims ?
including those that are processed on our current and
new operating platforms as we continue our transition of
AmeriHealth Pennsylvania membership to the new claims
processing system.
It is critical that you submit claims with a valid NPI, as
the claims processing system reviews each claim for this
data. Providers should work with their clearinghouse/trading partner to ensure
accurate claims submission.
The most common reasons that an NPI would be
considered invalid are:
- The NPI is terminated
- The NPI is entered incorrectly.
- The number is invalid.
Using an invalid NPI could delay processing and payment.
Resources
For additional information about NPI regulations,
implementations, reports, and resources, go to our
website. For more information about
our upcoming system and process changes, please
visit our dedicated site at www.amerihealth.com/pnc/upcomingchanges.
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