As previously communicated, when submitting claims for AmeriHealth members, please be sure to continue using a valid National Provider Identifier (NPI) for billing, rendering, and referring providers, as applicable. This requirement applies to all claims — including those that are processed on our current and new operating platforms as we continue our transition of 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. Using an invalid NPI could delay processing and payment. 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.

Resources

For additional information about NPI regulations, implementations, reports, and resources, visit our website. For more information about our System and Process Changes, please visit our dedicated site.