Provider Notifications

March 21, 2023
Updated training material for NaviNet medical authorizations is now available online (PDF)
A newly activated feature allows providers to bypass the InterQual review process when completing prior authorization submissions.
March 21, 2023
Spring issue of Connections now online (PDF)
Highlights include: Medical Assistance renewals are coming — important information to share with your patients regarding their health care coverage; Inpatient claims and Medicare Part B billing recommendations; Members’ and Participants’ rights and responsibilities; and more.
March 7, 2023
Dental benefit limit exception (BLE) update (PDF)
Please review these details regarding the process for submitting dental benefit limit exception (BLE) requests.
March 1, 2023
Update: formulary changes (PDF)
Effective May 1, 2023, members currently receiving more than the quantity limit for certain products will require prior authorization. This change does not apply to members for whom it is not medically advisable to change therapy.
February 7, 2023
New choice for AmeriHealth Caritas Pennsylvania outpatient laboratory services (PDF)
Effective January 2023, Labcorp is another choice for your AmeriHealth Caritas Pennsylvania patients requiring outpatient lab tests or processing of lab specimens.