As announced in a letter to your practice about our claims processing system
transformation (dated May 22), IBC 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.
The retirement of the Provider Automated System will happen in a phased
approach:
Effective September 27, 2013: As of this date, you will no longer be
able to submit or retrieve referrals or submit encounters using the Provider
Automated System. Primary care physicians should use the
NaviNet
® web portal (or their current electronic data
interchange [EDI] solution) to submit encounter data to IBC.
Note: Paper
referrals and encounters are not permitted by IBC.
Beginning in November 2013: Beginning in November 2013 and continuing
through mid-2015, IBC will be migrating membership to a new operating platform
in stages, generally based on when the customer/member's contract renews. Once
a member has been migrated to the 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.
Visit our
Business
Transformation web page frequently for the most up-to-date information
about our transition to the new operating platform for our core processing
activities. The letter that was sent to your practice and a Frequently Asked
Questions document are available on this site for your reference throughout the
migration.
Note: All participating providers were required to register for NaviNet
by April 1, 2013. If you have not yet done so, go to the
NaviNet website and select
Sign Up
from the top right. If your office is currently NaviNet-enabled but would like
training on how to submit or retrieve a referral or submit an encounter, please
contact our eBusiness Provider Hotline at
215-640-7410.
NaviNet® is a registered trademark of
NaviNet, Inc., an independent company.