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AmeriHealth is making changes to the functionality available through the
Provider Automated System. Please read this notice carefully if you currently
use the Provider Automated System, as your day-to-day operations may be
affected.
Changes to the Provider Automated System are happening in a phased
approach:
- Referrals and encounters: The Provider Automated System is no
longer available for submitting or retrieving referrals or submitting
encounters. Primary care physicians should use the NaviNet® web
portal to submit encounter data or referrals to AmeriHealth. Note: Paper
referrals and encounters are not permitted by AmeriHealth.
- All additional functionality for AmeriHealth Pennsylvania members:
As early as January 2014 and continuing through mid-2015, AmeriHealth
Pennsylvania members will be migrated to a new operating platform in stages,
generally based on when the customer/member?s contract renews. Once an
AmeriHealth Pennsylvania member has been migrated to a new platform, you will
no longer be able to use the Provider Automated System for that member. This
includes all additional functionality, such as eligibility and claims
status. You must use NaviNet to retrieve this information.
Note: All participating providers were required to register for
NaviNet by April 1, 2013. If you have not yet done so, go to NaviNet and select Sign Up from the
top right. If your office is currently NaviNet-enabled but would like training,
please contact our eBusiness Provider Hotline at 215-640-7410 for providers in Pennsylvania and Delaware or
at 609-662-2565 for providers in New Jersey.
NaviNet® is a registered trademark of
NaviNet, Inc.
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