Log into NaviNet, to view patient eligibility, claims, and benefits information, and to access iEXCHANGE.
Join a free, live webinar to learn how to complete the precertification process online.
Log into iEXCHANGE to manage precertification requests and treatment updates.
Network Provider Search
Find a network hospital or doctor.
View medical utilization management information.
Secure Document Submission
Upload documents to Patient Care Management via secure document submission portal.
Provider Claim Appeals
Need to appeal a claim? Download a Provider Claim Appeals Form.
Take advantage of the online resources we have available to help you find the information you need.
Integrated ERA/EFT™ to Receive Reimbursements Faster
Providers and facilities can now opt to receive fully reconciled remittance advice and claims settlement payments quickly and electronically for services provided to patients who carry an AmeriHealth Administrators ID card. Powered by InstaMed, Integrated ERA/EFT is convenient and secure and eliminates the need for paper checks and EOBs. Visit InstaMed for more information or to apply.
As a valued AmeriHealth Administrators’ network provider you can easily view patient eligibility, benefits information, and claims history using NaviNet, our online provider service through NaviNet.
AmeriHealth Administrators’ network providers can also manage inpatient and outpatient precertification requests and treatment updates using iEXCHANGE, our convenient online service offered through MEDecision, Inc.
Prescription Drug Formulary
Go to our prescription drug formulary to view the generic and brand prescription drugs that are covered by our plan.
Electronic Data Interchange (EDI)
Submit claims and obtain important documents online through our EDI services.
Locate telephone numbers for precertification and other services, as well as mailing addresses for claims submission and correspondence.
For behavioral health services, please contact the phone number listed on the patient’s AmeriHealth Administrators ID card.