Provider Letters: 2011

December 19, 2011
Obstetrical Needs Assessment Form (OBNAF) Update (PDF)

December 07, 2011
Quality Enhancement Program (QEP) (PDF)

November 02, 2011
New Provider for Incontinence Supplies (PDF)

September 21, 2011
PCP practices have an opportunity to earn bonus and incentive dollars simply by using NaviNet! (PDF)

August 24, 2011
Change In Radiology Management Program Vendor Effective October 1, 2011 (PDF)

August 22, 2011
Important Formulary Update - Selected Generic Medications Require a 90-day Supply (PDF)

August 17, 2011
Change in DRG Readmission Rules (PDF)

August 04, 2011
Reporting Abnormal Birth Weight (PDF)

August 01, 2011
Important reminder from AmeriHealth Mercy regarding Quest Diagnostics and outpatient lab services (PDF)

July 19, 2011
Effective November 1, 2011, AmeriHealth Mercy is adopting InterQual clinical criteria for utilization management. (PDF)

June 29, 2011
Changes to CT Billing Procedures (PDF)

May 09, 2011
Enhancements to Electronic Remittance Advice (PDF)

March 15, 2011
AmeriHealth Mercy Adds Missing Medications to Care Gap Alert Information on NaviNet (PDF)

March 03, 2011
Get Interpreter Services for Your Practice at Discounted Prices (PDF)

• More about Language Services Associates (PDF)
• Provider Letter of Commitment (PDF)

February 28, 2011
Qualitest Pharmaceuticals Voluntary Recall (PDF)

February 11, 2011
New Outpatient Provider Appeals Mailing Address (PDF)

January 27, 2011
Your AmeriHealth Mercy Panel Roster is Now Available on NaviNet (PDF)

January 24, 2011
AmeriHealth Mercy will add another vendor to acquire mobility systems for members (PDF)

January 19, 2011
DPW Guidance on Billing AmeriHealth Mercy Members for Missed Appointments (PDF)

January 01, 2011
NDC (National Drug Codes) Reporting Requirement for Outpatient Hospital Claims (PDF)

January 01, 2011
Effective March 1, 2011, AmeriHealth Mercy will have an updated Prior Authorization List (PDF)

• Updated Prior Authorization List (PDF)
• Searchable List of Codes (PDF)