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An incentive opportunity for professional providers (NJ Only)

May 31, 2013

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AmeriHealth New Jersey is offering an incentive to providers who have face-to-face encounters with and submit medical documentation for Medicare Advantage HMO members who, based on our information, may not have had an office visit with their primary care physician in the past year or who may have a chronic condition.

Eligible providers will receive a letter from AmeriHealth New Jersey describing this incentive opportunity along with a list of their AmeriHealth New Jersey members who meet the criteria. By submitting a SOAP (Subjective, Objective, Assessment, and Plan) Progress Note for these members, providers can earn incentives for the initial submission, as well as any subsequent face-to-face encounters and SOAP Progress Note submissions. We have partnered with Inovalon, Inc., a company that provides secure, clinical documentation services, to process member assessments.

The results from your face-to-face encounters can be entered electronically through the NaviNet? web portal. By going to the Eligibility and Benefits Inquiry transaction and selecting the member's Clinical Alert, providers can access the ePASS? system to enter in the appropriate information from the encounter.

If you have any questions regarding SOAP Progress Notes or ePASS, please contact Inovalon at 1-877-448-8125. For questions about this initiative, please contact Customer Service at 1-800-275-2583.

Note: Incentive payments will be sent within 90 days of your submission of the SOAP Progress Note.

NaviNet? is a registered trademark of NaviNet, Inc.

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