Clinical Alerts now available on NaviNet
Effective April 18, 2009, Amerihealth announces the introduction of Clinical Alerts.
Clinical Alerts are notifications, based on administrative data, that an AmeriHealth member has not received a recommended service or medication. The alerts are intended to assist with identifying opportunities for improving clinical quality. This new tool is initially available to primary care physicians OB/GYNs, endocrinologists, and cardiologists and will be expanded over time to include additional specialties.
Look for these alerts in the response screen via the Eligibility and Benefits Inquiry transaction on NaviNet.
For additional information, refer to the Clinical Alerts Overview document located in the Administrative Tools & Resources section on AmeriHealth Plan Central.
Please note that Clinical Alerts are not accessible by Billing Agencies or Central Billing Offices.