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The following new transactions and enhancements will be introduced on the
NaviNet web portal in mid-September:
- Cash Management. This new transaction will provide a summary of
payments applicable to members for the current six-month period (migrated
member claims only). The designated NaviNet Security Officer within your office
will initially receive access to this new transaction, and he or she will
manage permissions for individual associates.
- Provider File Management. This new transaction replaces the
previously retired Provider Change Form transaction. Provider File Management
will allow professional providers to:
-- modify practice information
-- add hospital affiliations
-- add participating providers
- ICD-10. To support the October 1, 2015, compliance deadline for
ICD-10, portal transactions that reference or leverage diagnosis codes will be
updated. When submitting referrals, encounters, and authorization requests or
when searching for a diagnosis on NaviNet for dates of service or dates of
discharge (for facility inpatient claims) on or after October 1, 2015,
providers must use ICD-10 codes.
- COB Questionnaire. A new transaction will be introduced with a new
Coordination of Benefits (COB) Questionnaire. This electronic form will allow
providers to report and submit Other Party Liability coverage for members.
Reporting COB information at the time of service will help claims process
correctly.
- Allowance Inquiry. New pricing mechanisms will be introduced to this
transaction to help professional providers with rate searches.
More information about these new and updated transactions will be communicated
in the coming weeks and through future editions of
Partners in Health
UpdateSM. In addition, we will also publish new user guides in
the
NaviNet
Resources section of our Provider News Center to help you better navigate
the listed transactions. Announcements will be made on AmeriHealth NaviNet Plan
Central and on our Provider News Center once the new guides are available.
If you have any questions, please call the eBusiness Hotline at
215-640-7410 for AmeriHealth Pennsylvania and at 609-662-2565 for
AmeriHealth New Jersey.
NaviNet is a registered trademark of NaviNet, Inc.
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