Provcomm.amerihealth.com

Check member ID cards and verify eligibility

WEBVerify eligibility and benefits. Check a patient's eligibility and benefits using the Eligibility & Benefits transaction in PEAR Practice Management on the Provider Engagement, …

Actived: Just Now

URL: https://provcomm.amerihealth.com/pnc-ah/news/Pages/Check-member-ID-cards-and-verify-eligibility.aspx

Upcoming transition of provider payments to PNC’s CPR service

WEBLearn more. If you have questions on this transition, please contact Provider Services at 1-888-YOUR-AH1 (1-888-. 968-7241) in New Jersey or 1-800-275-2583 in Pennsylvania. …

Category:  Health Go Health

New Jersey Medicare telehealth reimbursement rate announcement

WEBReimbursement for behavioral health telehealth services will be at 100 percent. We view telehealth as a complement to, not a replacement for, in-office services. It is not …

Category:  Health Go Health

New AmeriHealth Administrators website!

WEBAmeriHealth Administrators offers third-party administration (TPA) services for self-funded group health plans and business process outsourcing services to health insurers, …

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Now in effect: New Jersey Medicare Advantage telehealth …

WEBEffective January 1, 2024, AmeriHealth Insurance Company of New Jersey (AmeriHealth) implemented a new telehealth reimbursement rate for Medicare Advantage members in …

Category:  Health Go Health

New! Explanation of Provider Payment

WEBExplanation of Provider Payment. We recently transitioned to PNC Bank's Claim Payments & Remittances (CPR) service, powered by ECHO Health, for medical claim payments …

Category:  Medical Go Health

New Jersey introduces 2024 Medicare Advantage plans

WEBAmeriHealth Insurance Company of New Jersey (AmeriHealth) has announced its 2024 Medicare Advantage plans, which feature must-have benefits and an extensive care …

Category:  Health Go Health

Behavioral Health

WEBQuartet: Supporting behavioral health. Quartet Health – an independent health care technology and services company – enables primary care and behavioral …

Category:  Health Go Health

Provider Manual (NJ)

WEBThe manual was developed to assist participating professional providers in conducting business with AmeriHealth New Jersey in accordance with the Provider Agreement. …

Category:  Health Go Health

Next Generation platform transition FAQ

WEBWe will transition to the new platform over the next two years, starting with select membership on January 1, 2024, and will continue through 2025. Customers and groups …

Category:  Health Go Health

January 2024 fee schedules updated and available on PEAR portal

WEBAmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey have updated several fee schedules effective January 1, 2024, that are available to view …

Category:  Health Go Health

Platform Transition

WEBInformation session on platform transition coming soon! October 9, 2023. AmeriHealth to offer individuals who qualify for Medicare in New Jersey new health …

Category:  Health Go Health

Clinical Services – Utilization Management 6

WEBOverview. The Clinical Services – Utilization Management (UM) department is comprised of health care professionals whose objective is to support and facilitate the delivery of …

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Table of contents

WEBMagellan Behavioral Health Claims Submission Magellan Behavioral Health, Inc. P.O. Box 1958 Maryland Heights, MO 63043-1958. This address is for the following claims: …

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2023 InterQual guidelines

WEBBehavioral Health Child and Adolescent Psychiatry Criteria Updates. • Global changes for all levels of care − Updated notes and citations in all levels of care …

Category:  Health Go Health