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AmeriHealth HMO New Jersey and Delaware

AmeriHealth HMO New Jersey and Delaware

This page contains information you can use to exchange healthcare transactions with AmeriHealth HMO New Jersey and Delaware using Stedi.
Use any of the following payer IDs to send transactions to AmeriHealth HMO New Jersey and Delaware using Stedi APIs or SFTP. Read the docs
Primary Payer ID
95044
Stedi Payer ID
DOMQR
Payer ID aliases
10974, 11230, 1930, 23037, 2800, 95044
Parent group
Independence Health Group Inc Group
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with AmeriHealth HMO New Jersey and Delaware 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 HMO New Jersey and Delaware.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to AmeriHealth HMO New Jersey and Delaware to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to AmeriHealth HMO New Jersey and Delaware in real-time by sending a claim status check (276/277).
Supported

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from AmeriHealth HMO New Jersey and Delaware to review full payment details.
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to AmeriHealth HMO New Jersey and Delaware.
Get started
Use Stedi's APIs to get fast and reliable connectivity to AmeriHealth HMO New Jersey and Delaware and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and AmeriHealth HMO New Jersey and Delaware today.
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