During December, AmeriHealth launched a new Provider Automated System to
help providers obtain critical information.
When you call 1-888-YOUR-AH1 (1-888-968-7241) for AmeriHealth
New Jersey or 1-800-275-2583 for AmeriHealth Pennsylvania, be sure to
say ?Provider? or press 2 when prompted.
Once in the Provider Automated System, you will need to have your National
Provider Identifier (NPI) or tax ID number, as well as the member?s information
(member ID number and date of birth), ready in order to access the information
below.
The Provider Automated System enables providers to retrieve the following
information by following a series of self-service voice prompts and questions
specific to your inquiry:
- Eligibility. Check coverage status, effective dates, and group name
information.
- Benefits.* Verify copayment, coinsurance, and deductible
information.
- Claims. Obtain paid status, claim denial reasons, paid amount, and
member responsibility information.
For authorizations you should enter and retrieve information through the
NaviNet® web portal.
User guide
A user guide for the new Provider Automated System is available on the AmeriHealth New Jersey
website and the AmeriHealth
Pennsylvania website. Look for additional information in future editions of
Partners in Health UpdateSM.
*The benefits function is coming soon for AmeriHealth New
Jersey members.
NaviNet is a registered trademark of NaviNet, Inc.