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AmeriHealth Caritas VIP Care Pennsylvania DSNP

AmeriHealth Caritas VIP Care Pennsylvania DSNP

This page contains information you can use to exchange healthcare transactions with AmeriHealth Caritas VIP Care Pennsylvania DSNP using Stedi.
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Use any of the following payer IDs to send transactions to AmeriHealth Caritas VIP Care Pennsylvania DSNP using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,,
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with AmeriHealth Caritas VIP Care Pennsylvania DSNP using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to AmeriHealth Caritas VIP Care Pennsylvania DSNP.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to AmeriHealth Caritas VIP Care Pennsylvania DSNP to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to AmeriHealth Caritas VIP Care Pennsylvania DSNP in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to AmeriHealth Caritas VIP Care Pennsylvania DSNP and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to AmeriHealth Caritas VIP Care Pennsylvania DSNP and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from AmeriHealth Caritas VIP Care Pennsylvania DSNP to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Dental claims

(837D)
Submit dental claims to AmeriHealth Caritas VIP Care Pennsylvania DSNP and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to AmeriHealth Caritas VIP Care Pennsylvania DSNP.
Get started
Use Stedi's APIs to get fast and reliable connectivity to AmeriHealth Caritas VIP Care Pennsylvania DSNP and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and AmeriHealth Caritas VIP Care Pennsylvania DSNP today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • AmeriHealth Caritas Pennsylvania Community HealthChoices
  • AmeriHealth Caritas VIP Care
  • AmeriHealth Caritas VIP Care (D-SNP)
  • Amerihealth Caritas Northwestern PA
  • Amerihealth Caritas PA Community Healthchoices
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