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Important information regarding the referral transaction on NaviNet®

October 29, 2013

 


Important! An update has been made to the information contained on this web page. This page has been retained for archival purposes only. Please refer to our Upcoming System and Process Changes archive page for the latest information.

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NaviNet and AmeriHealth are receiving a number of inquiries related to the referral transaction that went live October 26, 2013. Please review the user guides and webinars posted to the NaviNet Transaction Changes section of our Upcoming System and Process Changes site to orient yourself to the new transaction before contacting NaviNet or AmeriHealth Customer Service.

Referral inquiry

NaviNet and AmeriHealth have received a number of inquiries relating to the referral inquiry search on the NaviNet web portal. Both the name search and member ID search will be restored later this week to assist you with locating a referral. At present, you must limit your search to a specified date range. Beginning Tuesday, October 29th, the result set will return up to 250 referrals at a time; depending on how busy your practice is, you may need to narrow your date range search. We are aware that you may receive an error message when attempting to search for a specific member after selecting your date range. If you receive this error message, please use the scroll bar to the far right to locate the member and do not use the search referrals field.

Referral submission

When searching for a professional specialist to refer to, you must conduct a search by individual provider from the group practice. You do not have the ability to search by provider group or NPI.If you have any questions regarding upcoming NaviNet transaction changes, please call the eBusiness hotline at 215-640-7410 for providers in Pennsylvania and Delaware providers or at 609-662-2565 for providers in New Jersey.

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