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AmeriHealth NJ

AmeriHealth NJ

This page contains information you can use to exchange healthcare transactions with AmeriHealth NJ using Stedi.
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Use any of the following payer IDs to send transactions to AmeriHealth NJ 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 NJ 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 NJ.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

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

Dental claims

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

Unsolicited claim attachments

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