Log into NaviNet to view patient eligibility, claims, and benefits information and to access iEXCHANGE.”
Log into iEXCHANGE to manage precertification requests and treatment updates.
Join a free, live webinar to learn how to complete the precertification process online.
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.
Because you are a valued network provider, Independence Administrators provides you with access to a number of online resources to help you find the information you need.
AmeriHealth Administrators, a leading independent national third party administrator, provides medical management services for Independence Administrators.
Procedures and medications that require precertification
Certain procedures and prescription drugs require precertification before they are performed or administered. You can request precertification online using iEXCHANGE or call the phone number on the plan member's ID card. Required precertification must be obtained to avoid reduced payment or non-payment for the service or medication. Please refer to the following list of procedures and medications that require precertification.
Manage inpatient and outpatient precertification requests and treatment updates by logging into iEXCHANGE, our convenient online service offered through MEDecision, Inc.
For behavioral health services, please contact Magellan at 800-778-2119.
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 Independence 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.
Once enrolled, InstaMed also offers a free training video to learn how to quickly and easily download remittances electronically and see all transaction details within the InstaMed Online Provider Portal. To view the video, please click the link below and enter the password provided.
- View the ERA/EFT training video
- Password: AHATraining
Prescription Drug Formulary
Go to our prescription drug formulary to view our listing of formulary drugs.
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.