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For your convenience, we recently published the following standard
physician fee schedules (effective July 1, 2014) for Pennsylvania and Delaware
providers on AmeriHealth NaviNet Plan Central:
- Cardiology
- Orthopedic Surgery
- Primary Care Physician
- Professional Injectable and Vaccine*
- Rheumatology
These complete fee schedules are in addition to the summaries of fee schedule
changes that were published earlier this year. To access these documents,
select
AmeriHealth from the Plan Central drop-down menu, and then go
to the Administrative Tools & Resources section under the PA/DE Standard Fee
Schedules header.
Allowance Inquiry transaction coming soon
The new Allowance Inquiry transaction — which replaces the retired Fee
Schedule Inquiry transaction — is scheduled to be available in February
2015. This new transaction will return fees for professional providers only and
will indicate where primary care physician capitation is generally applicable.
The fees returned via Allowance Inquiry will be associated with migrated
members only and will not include results for Traditional or Comprehensive
Major Medical members.
Note: Provider payment allowance information will be for
informational purposes only and will not be a guarantee of payment for the
amount displayed.
*The Professional Injectable and Vaccine Fee Schedule is
updated quarterly. We have published the July 1, 2014, and October 1, 2014, fee
schedules.
NaviNet® is a registered trademark of
NaviNet, Inc.
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