Updated as of 4/9/2024
As
previously communicated, AmeriHealth confirmed that Change Healthcare, a clearinghouse used by some of our providers, is experiencing a network interruption related to a cyber security issue.
Until service with Change Healthcare is restored, here are some alternate ways to submit claims to AmeriHealth or AmeriHealth Administrators.
Use the PEAR portal.
The
1500 Claim Submission transaction within the Practice Management application of the Provider Engagement, Analytics & Reporting (PEAR)
portal can be used to manually enter claims for professional services. The PEAR portal is available to AmeriHealth-participating providers. However, this transaction is not available for AmeriHealth Administrators.
Use an alternate Clearinghouse. If you already work with another clearinghouse to submit claims, you may be able to use them to submit your claims. Waystar recently migrated to Smart Data Solutions, our new EDI Gateway vendor, and can be used as an alternate clearinghouse. SDS does not require enrollment for claims when using Waystar. You can sign up with Waystar and begin submitting claims right away.
For other clearinghouses, enrollment is required for claim submission. We are working to relax the enrollment requirement for other clearinghouses. Updates will be posted as new information becomes available.
For additional questions on claim submission options, please email our EDI team at
amerihealthgateway@amerihealth.com.