AmerIHealth Caritas Ohio Providers,

 

Change Healthcare, our electronic data interchange (EDI) clearinghouse for claims and payment cycle management, informed us of a network interruption related to a security incident. Change Healthcare took immediate action to disconnect their systems to mitigate further impact. At this time, there is no indication that our member data or systems have been impacted. 

 
In an abundance of caution, we have disabled connectivity between our systems and Change Healthcare’s impacted systems, to include any related companies. This interruption has had downstream impacts to our plan and the provider community, including:
  • Our ability to:
    • Receive electronic claim transactions
    • Remit claim payments and remittance advice, both electronic and paper
  • Providers’ ability to:
    • Submit claims directly to Change Healthcare via NaviNet ConnectCenter, EDI vendors, or practice management systems
    • Access and view electronic remittance advice in NaviNet
We understand this could present a hardship for our provider community and appreciate your patience. Once electronic claims submission functionality resumes, we will process all claims received as quickly as possible.

Eligibility verification, claim status inquiry, and authorization inquiry via NaviNet are still available. If you do not currently have access to NaviNet provider portal, please visit https://register.navinet.net/ to sign up. 

Please note, in the interim our Provider Services Department will not be able to assist with the processing of your payments any sooner. If you have other questions, you may contact Provider Services at 1-833-644-6001.

We thank you for your partnership and will keep you informed as we learn more.
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5525 Parkcenter Circle, Suite 100, Dublin, OH, 43017


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