Home Administrative Billing & Reimbursement Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

New user guide and webinar available for referral transactions

October 23, 2013

Starting October 25, 2013, providers will see changes to the referral submission and inquiry transactions. To help guide you through these updated transactions, we have published a new user guide and webinar in the NaviNet Transaction Changes section of our Upcoming System and Process Changes web page. We strongly urge you to review these resources.The following summarizes the changes being made to the referral submission and inquiry transactions: Providers will be able to submit and query all medical and OB/GYN referrals using a single NaviNet transaction. Referrals will no longer be tracked in the Referral/Authorization log. Instead, providers will need to use the Referral Inquiry to look for submitted or completed referrals. NaviNet will purge all incomplete and complete referrals from the Referral/Authorization log. The comments field on the Referral Submission form will be removed. Note: Primary care physician and OB/GYN offices submitting referrals will no longer be able to fax them to specialists or facility providers. All referral submissions should be made using NaviNet.

NaviNet® is a registered trademark of NaviNet, Inc.


This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of AmeriHealth, AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey.
© 2023 AmeriHealth Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer