During the third quarter of 2017, AmeriHealth will transition to a new medical management system for processing requests for authorization. As a result, the Authorizations transaction on the NaviNet web portal will be upgraded. The new transaction will streamline the various authorization submission types (ER Notification, Medical/Surgical, Chemotherapy Infusion, Home Health, DME, and Home Infusion) into one workflow. Additionally, requests for coverage for placement in a skilled nursing facility and for non-emergency ambulance transportation will be accepted through the new transaction.

The new Authorizations transaction will also allow providers to search for a list of their submitted authorization requests based on a user-defined date range.

We encourage you to view a brief instructional video that previews the new transaction to become more familiar with the upcoming changes. Note: The video does not represent the final product, and we anticipate screen changes as development efforts continue.

It will be important for providers who submit authorization requests to stay current with ongoing announcements related to this system transition to ensure your organization is prepared when the changes are implemented.

Additional information regarding this transition will be communicated through Partners in Health Update^SM and on NaviNet Plan Central. If you have any questions, please call our eBusiness Hotline at 609-662-2565 for AmeriHealth New Jersey or at 215-640-7410 for AmeriHealth Pennsylvania.

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