Programs
Effective January 2025, transitioning a larger volume of your patients (our members) to the new platform

This article was​ updated on 12/19/2024.​​​

January 2025

This transition will include:

  • Members in individual Medigap plans
  • Members with an Affordable Care Act plan

Members in group plans will continue to transition upon their renewal date through July 2025. Members in Medicare Advantage are renewing on the platform in January.

New ID card and number

  • In January, you may see an increased volume of patients presenting with a paper letter, temporary ID card, or digital ID card with a new member ID number. Some members may present a card with an old and inactive ID number.
  • Providers can validate a member’s active plan information by using the Eligibility & Benefits transaction in Practice Management.​
  • Providers should continue to search by name & date of birth if the member or ID number is not found to ensure the most accurate results.​
  • Please call Provider Customer Service at 1-888-YOUR-AH1 (1-888-968-7241) for New Jersey or 1-800-275-2583 for Pennsylvania if you are unable to locate the member to avoid any delays in patient care.

Reminder: It is important to ask members for a copy of their latest ID number at every visit to ensure eligibility and proper claims processing.


Provider payments

As a reminder, providers must review PNC Bank's portal, powered by ECHO Health, for their Explanation of Provider Payment (EPP) for claims processed on the new platform after January 1, 2025.

  • You can view your EPP for recently processed claims on the new platform using the EOB & Remittance transaction in the Practice Management application of the Provider Engagement, Analytics & Reporting (PEAR) portal. 
  • All EPPs for claims processed on the new platform since January 2024 can still be viewed on ECHO Health's provider portal.

Taxonomy code requirements​

Taxonomy codes are required on all claim submissions to ensure proper claims processing and payment. 


  • Claims will be denied if not present. This allows for the accurate application of specialty-driven policies and matching of the provider's agreement(s) with AmeriHealth.
  • If the proper taxonomy code is not present in the required fields/segments, your claim will be denied, and you will be required to submit a corrected claim. Please review the requirements outlined here and the claim submission guides on our website.
  • It's important that you work with your billing vendors and/or billing software vendors to ensure these requirements have been implemented accordingly.

Stay informed

To stay up to date on the transition, please review our on-demand training sessions and FAQ under Training and Resources on our dedicated Platform Transition page. 

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