provcomm.amerihealth.com

You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Provider News Center srv-pnc-exaccess Use SHIFT+ENTER to open the menu (new window). Share -- It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Provider News Center WorkCenter IBC Sites Root Site News Site Archive SIte Amerihealth Sites Root Site News SIte Archive Site Provider News Center > Amerihealth Provider News Center Page Content We are moving to the PEAR portal! ​ 1. COVID-19-Telemed-small.jpg /ah/FeatureNewsImages/Small/1.%20Vaccine-banner-small.jpg 20-2351-Telemed-AHNJ.aspx ​COVID-19 (Coronavirus): Vaccine coverage and reimbursement​ ​ 1. COVID-19-Telemed-small.jpg /ah/FeatureNewsImages/Small/2.%20HealthNurse-banner-small.jpg 20-2351.aspx Registered Nurse Health Coaches: Supporting AmeriHealth providers and their patients ​ 2. COVID-19-AIM-small.jpg /ah/FeatureNewsImages/Small/3.%20Formulary-1-1-20-small.jpg 20-2351-AIM.aspx Preferred products for long- and short-acting colony-stimulating factors Partners in Health Update SM All News Professional Facility Ancillary View the latest news and information specific to the AmeriHealth-participating provider community below: • ​Encourage pregnant AmeriHealth members to enroll in Baby FootSteps ® (Health and Wellness) P • COVID-19 (Coronavirus): Member cost-share claims processing for testing and treatment for AmeriHealth Pennsylvania members (Medical) P, F, A • NaviNet Open and EDI: eBusiness hotlines will be discontinued on March 15, 2021 (Administrative) P, F, A • ​Concierge medical care violates the terms of your provider agreement with AmeriHealth (Administrative) P • A new approach to diabetes management (Health and Wellness) P • ​Enhanced claim edits to support correct coding principles – new coding validation program now in effect (Billing & Reimbursement) P • Check member ID cards and verify eligibility (Administrative) P, F, A • ​​AmeriHealth Administrators to delegate some precertification to eviCore (Medical) P, F, A • ​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth Pennsylvania members (Medical) P, F, A • ​​​​​​​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth New Jersey members (Medical) P, F, A • COVID-19 (Coronavirus): Temporary suspension of certain prior authorizations (Medical) P, F, A • ​COVID-19 (Coronavirus): Vaccine coverage and reimbursement (Medical) P, F, A • Formulary change to Proair ® HFA postponed (Pharmacy) P, F, A • ​Encourage pregnant AmeriHealth members to enroll in Baby FootSteps ® (Health and Wellness) • COVID-19 (Coronavirus): Member cost-share claims processing for testing and treatment for AmeriHealth Pennsylvania members (Medical) • NaviNet Open and EDI: eBusiness hotlines will be discontinued on March 15, 2021 (Administrative) • ​Concierge medical care violates the terms of your provider agreement with AmeriHealth (Administrative) • A new approach to diabetes management (Health and Wellness) • ​Enhanced claim edits to support correct coding principles – new coding validation program now in effect (Billing & Reimbursement) • Check member ID cards and verify eligibility (Administrative) • ​​AmeriHealth Administrators to delegate some precertification to eviCore (Medical) • ​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth Pennsylvania members (Medical) • ​​​​​​​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth New Jersey members (Medical) • COVID-19 (Coronavirus): Temporary suspension of certain prior authorizations (Medical) • ​COVID-19 (Coronavirus): Vaccine coverage and reimbursement (Medical) • Formulary change to Proair ® HFA postponed (Pharmacy) • COVID-19 (Coronavirus): Member cost-share claims processing for testing and treatment for AmeriHealth Pennsylvania members (Medical) • NaviNet Open and EDI: eBusiness hotlines will be discontinued on March 15, 2021 (Administrative) • Check member ID cards and verify eligibility (Administrative) • ​​AmeriHealth Administrators to delegate some precertification to eviCore (Medical) • ​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth Pennsylvania members (Medical) • ​​​​​​​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth New Jersey members (Medical) • COVID-19 (Coronavirus): Temporary suspension of certain prior authorizations (Medical) • ​COVID-19 (Coronavirus): Vaccine coverage and reimbursement (Medical) • Formulary change to Proair ® HFA postponed (Pharmacy) • COVID-19 (Coronavirus): Member cost-share claims processing for testing and treatment for AmeriHealth Pennsylvania members (Medical) • NaviNet Open and EDI: eBusiness hotlines will be discontinued on March 15, 2021 (Administrative) • Check member ID cards and verify eligibility (Administrative) • ​​AmeriHealth Administrators to delegate some precertification to eviCore (Medical) • ​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth Pennsylvania members (Medical) • ​​​​​​​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth New Jersey members (Medical) • COVID-19 (Coronavirus): Temporary suspension of certain prior authorizations (Medical) • ​COVID-19 (Coronavirus): Vaccine coverage and reimbursement (Medical) • Formulary change to Proair ® HFA postponed (Pharmacy) COVID-19 (Coronavirus) AmeriHealth is committed to serving people who rely on us, especially when a significant health risk may be present. We are closely monitoring the outbreak of COVID-19 and will publish resources to assist you in providing care to our members, your patients COVID-19 webpages Providers AmeriHealth New Jersey Members AmeriHealth New Jersey AmeriHealth Pennsylvania Acute care prior authorization Claim adjustments AmeriHealth Pennsylvania Telemedicine AmeriHealth Pennsylvania Testing and treatment AmeriHealth New Jersey Telemedicine, testing and treatment CRNP/PA requirements CT chest imaging DME waiver Drug program formulary updates Drugs to treat hospitalized patients Flu vaccine specimen collection Policy information Pulse oximeters Respiratory equipment Stress test Telemedicine AmeriHealth New Jersey AmeriHealth Pennsylvania Telemedicine reimbursement Temporary credentialing procedures Temporary facility changes AmeriHealth New Jersey AmeriHealth Pennsylvania Testing Billing and coding Testing and treatment Vaccine coverage and reimbursement Well visits NaviNet ® Open To help you navigate our secure, online provider portal and various transactions, we have created a central location for a variety of NaviNet web portal (NaviNet Open) resources, including user guides, webinars, and a communications archive. NaviNet Open Utilization Management Certain utilization review activities are delegated to different entities. Here you will find detailed information on our utilization management programs and common resources used among them. Utilization Management --...