News
Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2012
December 27, 2011
Expanded list of services eligible for separate reimbursement above capitation (NJ only)
December 27, 2011
Reminder: Change to anesthesia claims payment methodology calculation
December 27, 2011
Upcoming change to reimbursement methods for obstetric providers (NJ only)
December 27, 2011
Reminder: Authorization submission requirements through NaviNet®
December 27, 2011
ClaimCheck® upgrade and edit clarification
December 20, 2011
ICD-10 readiness for AmeriHealth-participating facilities
December 20, 2011
Precertification process change for certain infusion therapy drugs
December 20, 2011
Upcoming benefits change for progesterone in oil
December 20, 2011
AmeriHealth Follows CMS Lead with HIPAA 5010 90-day Enforcement Grace Period
December 15, 2011
Brand Lipitor® Available to Members Through May 2012
December 15, 2011
Changes to Referral Requirements for Certain Nutrition Counseling Services
December 6, 2011
Changes to the Provider Automated System are postponed until December
December 6, 2011
NaviNet Plan Transactions Menu Options to Change
December 6, 2011
Claims Preprocessing Edits Claims Resolution Document Updated for HIPAA 5010
November 29, 2011
AmeriHealth New Jersey Launches New 51+ HMO Plus Coinsurance Product
November 29, 2011
Toolkit Offers Help for a Successful Flu Vaccine Campaign
November 29, 2011
Specialists Needed to Assist in Developing Medical Policies
November 29, 2011
Seasonal Flu Vaccine Recommendations and Labeling Changes for Tamiflu®
October 20, 2011
New Tip Sheets Available for Attention Deficit/Hyperactivity and Adult Bipolar Disorders
October 20, 2011
Policy on Modifier 52
October 18, 2011
Precertification requirement changes for Medicare Advantage HMO members
October 18, 2011
Provider self-service requirements now in effect
October 11, 2011
Updates made to the NaviNet Chemotherapy/Infusion and Home Infusion Authorizations Guide
October 11, 2011
Select Drug Program® Formulary Updates
October 11, 2011
AmeriHealth New Jersey introduces a new EPO product
October 11, 2011
Prescription Drug Updates
October 11, 2011
Cost-sharing for preventive and nonpreventive services
September 29, 2011
Use updated precertification requirements lists
September 29, 2011
Annual Synagis® (palivizumab) distribution program
September 29, 2011
Changes to AIM request submission options
September 29, 2011
Now available: ICD-10 frequently asked questions
September 15, 2011
Change in reimbursement for assistant-at-surgery services
September 15, 2011
Transitioning select infusion therapy drugs from the outpatient setting to the office or home setting
September 15, 2011
Reminder: Provider self-service requirements effective September 15, 2011
September 8, 2011
Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2011
September 8, 2011
The Clinical Care Report is now available
August 30, 2011
Responsibilities of a NaviNet Security Officer
August 30, 2011
HIPAA 5010 go-live date change
August 30, 2011
Provider self-service requirements effective September 15, 2011
August 18, 2011
Updated procedures for requesting precertification for pain management, DME, and home health providers
August 18, 2011
Updated precertification requirement lists now available
August 16, 2011
Procedures for billing multiple services
August 16, 2011
New user guides now available on NaviNet
August 11, 2011
AmeriHealth New Jersey has moved
August 11, 2011
Are you ready for the HIPAA 5010 transition?
July 19, 2011
Important information about the upcoming Clinical Care Report
July 19, 2011
Update regarding NaviNet Gateway electronic claim issue
July 14, 2011
Prescription mail order service transition
July 14, 2011
Precertification requirement changes and updated lists now available
July 14, 2011
Reminder: New email address replaces the Network Credentialing Support Services Hotline
July 14, 2011
NaviNet Gateway electronic claim issue
June 30, 2011
Reminder: Three hyaluronate acid products designated as preferred brands for treatment of osteoarthritis of the knee
June 28, 2011
Professional Injectable and Vaccine Fee Schedule updates
June 23, 2011
Updated InterQual® guidelines for 2011
June 23, 2011
Upcoming provider self-service requirements
June 14, 2011
Select Drug Program® Formulary updates
June 14, 2011
Prescription drug updates
June 14, 2011
Are you ready?: HIPAA 5010 transition
June 14, 2011
AmeriHealth New Jersey introduces new NJ Protect plan
June 9, 2011
New Delaware chiropractic mandate
June 9, 2011
Upcoming changes to precertification requirements
June 9, 2011
Policy on X-rays associated with fractures in the office setting
June 9, 2011
Reminder: Sign up for Electronic Funds Transfer
May 26, 2011
Verify copayment amounts for preventive services
May 24, 2011
Get important information delivered by email
May 24, 2011
Health Risk Partners –
A new vendor for Medicare Advantage HMO member medical chart review
May 17, 2011
Change to anesthesia claims payment methodology calculation
May 17, 2011
Revised InterQual® guidelines for 2011
May 17, 2011
Upcoming webinar: Electronically request precertification for your AmeriHealth Administrators patients
May 10, 2011
ClaimCheck® upgrade and edit clarification
May 10, 2011
Reminder: Capitation guidelines and the importance of specialty subcontractor arrangements
April 26, 2011
Reminder: AmeriHealth New Jersey introduces a new Value Network (NJ only)
April 26, 2011
AmeriHealth supports the Drug Enforcement Administration’s National Prescription “Drug Take-Back Day”
April 26, 2011
Changes in notification of approved peer-to-peer determination letters for NaviNet-enabled providers
April 19, 2011
Administering injectable/infusion therapy drugs in the office and home settings
April 19, 2011
New car safety seat guidelines from the AAP
April 19, 2011
Essential tools for atypical antipsychotics monitoring
April 19, 2011
HIPAA 5010 go-live date change
April 12, 2011
Professional Injectable and Vaccine Fee Schedule updates, effective April 1, 2011
March 29, 2011
Preventive drugs covered at $0 copayment
March 22, 2011
AmeriHealth New Jersey introduces a new value network (NJ only)
March 22, 2011
Coming soon: The new Clinical Care Report
March 22, 2011
Register our maternity members for Baby FootSteps® to ensure early outreach
February 3, 2011
2010 Cumulative Index now available
February 3, 2011
Submit Coordination of Benefits information electronically (NJ only)
January 25, 2011
New guide available for submitting chemotherapy/infusion or home infusion authorizations
January 11, 2011
HIPAA 5010 FAQ now available
January 11, 2011
Introducing Quality Performance Measure (QPM) manuals for providers in New Jersey and Delaware
Jauary 11, 2011
Clinical Insights now available
December 28, 2010
New requirements for precertification and user guide available
December 28, 2010
Revised guidelines for perinatal screening and prophylaxis of Group B Strep
December 16, 2010
Changes to our self-injectable drugs policy
December 9, 2010
Clinical Practice Guidelines now available
December 9, 2010
Upcoming Medicare Advantage HMO changes
November 18, 2010
Upcoming CFID provider audits
November 18, 2010
Seasonal flu vaccine recommendations
October 26, 2010
New email address replaces the Network Credentialing Support Services Hotline
October 26, 2010
Two new components for precertification
October 19, 2010
New professional fee schedules and revised reimbursement for all Delaware and Maryland PCPs
October 7, 2010
Enhancements to the interest payment process begins mid-October 2010
October 7, 2010
New fall prevention and chronic pain programs
September 23, 2010
Annual Synagis® (palivizumab) distribution program
September 23, 2010
Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2010 (PA and NJ only)
September 9, 2010
Formulary changes for basal insulin
September 9, 2010
Choosing the most appropriate site of service
September 9, 2010
Providers and office staff are invited to participate in Step OutSM
August 31, 2010
Options for submitting claims overpayment requests
August 24, 2010
Preauthorization submission requirements through NaviNet start October 1
August 24, 2010
Did you know? The electronic Preventives Services Selector (ePSS) is now available
August 10, 2010
Catalyst Health Solutions and our parent company announce agreement on sale of FutureScripts®
August 5, 2010
Personal Health Record allows members to track claims and lab data online
August 3, 2010
Updates to Safe Prescribing Procedures for opioid withdrawal drugs
July 20, 2010
CMS compliance training no longer required
July 13, 2010
Changes to our specialty pharmacy network
July 13, 2010
Requirements for submitting changes to your office information
June 3, 2010
ConnectionsSM Complex Care Management Program seeks panelists for Physician Advisory Board
June 3, 2010
Reminder: New prior authorization requirements for members taking insulin
June 3, 2010
Billing guidelines for observation services
May 27, 2010
Zostavax®, Gardasil®, and Menactra®/Menomune® vaccines now available through the Direct Ship Specialty Pharmacy Program
May 27, 2010
AmeriHealth announces early extension dependent care coverage
April 29, 2010
Reminder to provide notice of Medicare non-coverage
April 29, 2010
A revised Provider Manual is now available
April 29, 2010
AmeriHealth statement on the House passage of health care reform
March 30, 2010
Changes to home health authorization requests
March 30, 2010
Requirements for billing NDCs in an 11-digit format
March 9, 2010
New prior authorization requirements for insulin
March 9, 2010
2009 Cumulative Index now available
February 25, 2010
Submitting accurate contact information reduces waste
February 25, 2010
Timely submission of Medicare Advantage HMO members’ medical records
February 4, 2010
Specialty Drugs Requiring Precertification document updated
February 4, 2010
Implementation of HIPAA 5010 standards
January 27, 2010
Medicare Advantage HMO members must receive notice of noncovered/excluded services and member payment responsibility
January 7, 2010
Clinical Insights now available
December 31, 2009
Electronic Funds Transfer feature available through the NaviNet® web portal
December 31, 2009
Update your tax information before the end of the year
December 10, 2009
Medicare Advantage product name and logo changes
December 10, 2009
Nutrition counseling benefit available for New Jersey members
December 10, 2009
New Clinical Alerts are now available
December 10, 2009
Clinical Practice Guidelines now available
November 24, 2009
Elimination of authorization approval confirmation letters for NaviNet-enabled providers
November 17, 2009
Provider Satisfaction Survey: Deadline extended to December 18
November 12, 2009
New credentialing procedure effective January 1, 2010 (PA and DE only)
November 12, 2009
Process changes for Baby FootSteps® prenotification and inpatient routine maternity services status letters
October 29, 2009
Important information about diabetic test strips
September 2, 2009
Enhancements to the provider Interactive Voice Response (IVR) system
July 14, 2009
Claims INFO Adjustment Guides now available
May 28, 2009
Clinical Alerts now available on NaviNet
April 18, 2009
NDC code submission changes effective January 1, 2009
February 19, 2009
Update on ICD-10 Timeframe
February 10, 2009
A new Hospital Manual for Participating Hospitals, Ancillary Facilities, and Ancillary Providers (Hospital Manual) is now available through NaviNet® [NJ only]
February 3, 2009
Submit Coordination of Benefits information electronically
November 25, 2008
New Clinical Practice Guidelines Now Available
November 20, 2008
Clinical Insights Now Available
November 20, 2008
Call One Number for Your Needs
September 25, 2008
Policy Notifications Available Online
September 25, 2008
AmeriHealth New Jersey National Access Program (NJ only)
September 25, 2008
New Claims and Billing Website Introduced
September 9, 2008
Enhancements to AmeriHealth's NaviNet® Plan Central
September 9, 2008
Planned Maintenance on Universal Credentialing Datasource
August 21, 2008
Coverage Change Regarding Wheelchairs
August 1, 2008
Prevent Claims Rejections Related to Member ID and Eligibility
July 29, 2008
Elimination of Capitation Program for Northern and Central New Jersey Physical Therapy Networks (NJ Only)
July 1, 2008
Montgomery Rehab Hospital Closure
June 19, 2008
May 23, 2008 is Here! Are You Using Your Registered NPI?
May 22, 2008
May 23, 2008 is Fast Approaching! Are You Using Your Registered NPI Correctly?
May 6, 2008
Hospitals and Physicians Can Prevent Pertussis (Whooping Cough) with Tdap Vaccine
March 13, 2008
SMART® Registry Release Date Has Changed
December 27, 2007
October 2007 Provider Manual for Participating Professional Providers CD Now Available
November 6, 2007
Frequently Asked Questions Regarding Nonemergency Medical Ambulance Transport (12.04.02)
October 30, 2007
Key Fields Must Be Entered Correctly on CMS-1500 (08/05) to Avoid Claim Returns or Rejections
July 26, 2007
New Nutrition Counseling Benefit Available to Commercial HMO, POS, and PPO Members (PA and DE only)
May 31, 2007
Get Your News on the Internet or NaviNet®
March 15, 2007
Paper Referrals Will No Longer Be Accepted After April 1, 2007
March 13, 2007
For Your Patients’ Health: The ConnectionsSM Health Management Programs
February 9, 2006
Centers for Disease Control and Prevention Recommendations
May 5, 2005
