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AmeriHealth Non-HMO (PPO) New Jersey

AmeriHealth Non-HMO (PPO) New Jersey

This page contains information you can use to exchange healthcare transactions with AmeriHealth Non-HMO (PPO) New Jersey using Stedi.
Use any of the following payer IDs to send transactions to AmeriHealth Non-HMO (PPO) New Jersey using Stedi APIs or SFTP. Read the docs
Primary Payer ID
60061
Stedi Payer ID
GRWQL
Payer ID aliases
3558, 4716, 60061, SX075, Z95397
Parent group
Independence Health Group Inc Group
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with AmeriHealth Non-HMO (PPO) New Jersey 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 Non-HMO (PPO) New Jersey.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to AmeriHealth Non-HMO (PPO) New Jersey.
Get started
Use Stedi's APIs to get fast and reliable connectivity to AmeriHealth Non-HMO (PPO) New Jersey and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and AmeriHealth Non-HMO (PPO) New Jersey 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 Non-Health Maintenance Organization (Preferred Provider Organization) New Jersey
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