AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth) continue the journey to move its core business to a new claims processing platform over the next two years. AmeriHealth Administrators will continue to use its existing platform for claims processing, with enhanced capabilities to come.
This transition to a next generation platform will help us efficiently deliver new and innovative products and services.
As planning continues and impacts to the provider journey are identified, we will keep you informed to support a smooth transition for our doctors, hospitals, and health care facilities, with a focus on, and commitment to, service and stability. We will continue to collaborate with our current claims processing vendor towards a successful transition to our new platform.
Recent activity
August 1, 2023:
- We informed Trading Partners and providers who submit claims directly via the current EDI Gateway of the next steps to prepare for their transition to the new EDI Gateway vendor: Smart Data Solutions (SDS).
- Launched the new SDS Trading Partner Information Center.
September 1, 2023:
Look for more updates in the coming weeks and months. Visit our dedicated Platform Transition page frequently to stay informed.
Thank you for your continued contributions to the health and welfare of your patients, our members.