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AmeriHealth

AmeriHealth

This page contains information you can use to exchange healthcare transactions with AmeriHealth using Stedi.
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Use any of the following payer IDs to send transactions to AmeriHealth using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,,
Parent group
Independence Health Group Inc Group
Coverage types
Dental, Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with AmeriHealth 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.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to AmeriHealth 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 in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to AmeriHealth and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from AmeriHealth to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Days
Not supported

Dental claims

(837D)
Submit dental claims to AmeriHealth and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to AmeriHealth.
Get started
Use Stedi's APIs to get fast and reliable connectivity to AmeriHealth and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and AmeriHealth 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 Administrators
  • AmeriHealth HMO
  • AmeriHealth HMO New Jersey and Delaware
  • AmeriHealth HMO, Inc.
  • AmeriHealth NJ – HMO
  • AmeriHealth NJ – POS, POS NG
  • AmeriHealth New Jersey
  • AmeriHealth PA – ERISA HMO
  • AmeriHealth PA – ERISA POS
  • AmeriHealth PA – HMO and Self-Funded HMO
  • AmeriHealth PA – POS and Self-Funded POS
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