Some practices and facilities have outstanding Accounts Receivable (A/R) balances on our legacy system where amounts are owed to AmeriHealth. As part of our transition to the new operating platform, we are in the process of identifying these practices and facilities and will notify these providers by mail.

If such outstanding A/R balances are identified, we will transition the A/R balance to the new operating platform, and the amount owed to AmeriHealth will be offset against any current or future claim payments to the practice or facility. The correspondence sent to affected providers will include a list of claims that account for the amounts owed to AmeriHealth. This process will begin this month.

Note: When the A/R is transitioned, the date of service and refund claim detail will no longer be available on the Provider Explanation of Benefits (professional providers) or Provider Remittance (facility providers) generated from the new platform. Therefore, it is important that affected providers keep a copy of the correspondence they receive.

If you have any questions about this process, please contact your Network Coordinator or Hospital/Ancillary Services Coordinator.