What is the Stedi payer ID for AmeriHealth Caritas Northeast?

The Stedi payer ID for AmeriHealth Caritas Northeast is MDQTM.

What is the primary payer ID for AmeriHealth Caritas Northeast?

The primary payer ID for AmeriHealth Caritas Northeast is 77001.

What payer IDs does AmeriHealth Caritas Northeast use?

In addition to its primary payer ID 77001, AmeriHealth Caritas Northeast uses several other payer IDs, including 6421, 77001, and AHCNE.

What transactions does AmeriHealth Caritas Northeast support?

AmeriHealth Caritas Northeast supports the following transactions: 270/271 eligibility checks and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with AmeriHealth Caritas Northeast?

AmeriHealth Caritas Northeast requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. AmeriHealth Caritas Northeast supports COB checks through Stedi.

What other names does AmeriHealth Caritas Northeast go by?

AmeriHealth Caritas Northeast is also known as AmeriHealth Caritas Pennsylvania and AmeriHealth Northeast.

All payers

PAYER

AmeriHealth Caritas Northeast

This page contains information you can use to exchange healthcare transactions with AmeriHealth Caritas Northeast using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to AmeriHealth Caritas Northeast using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with AmeriHealth Caritas Northeast 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 Northeast.

Not supported

Coordination of benefits checks

(COB)

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

Not supported

Professional claims

(837P)

Submit professional claims to AmeriHealth Caritas Northeast and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to AmeriHealth Caritas Northeast and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from AmeriHealth Caritas Northeast to review full payment details.

Enrollment process type

One-click

Activation timeframe

Days

Not supported

Dental claims

(837D)

Submit dental claims to AmeriHealth Caritas Northeast and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to AmeriHealth Caritas Northeast.

Get started

Use Stedi's APIs to get fast and reliable connectivity to AmeriHealth Caritas Northeast and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and AmeriHealth Caritas Northeast today.

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
AmeriHealth Northeast

Payer Network

All payers

PAYER

AmeriHealth Caritas Northeast

This page contains information you can use to exchange healthcare transactions with AmeriHealth Caritas Northeast using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to AmeriHealth Caritas Northeast using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with AmeriHealth Caritas Northeast 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 Northeast.

Not supported

Coordination of benefits checks

(COB)

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

Not supported

Professional claims

(837P)

Submit professional claims to AmeriHealth Caritas Northeast and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to AmeriHealth Caritas Northeast and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from AmeriHealth Caritas Northeast to review full payment details.

Enrollment process type

One-click

Activation timeframe

Days

Not supported

Dental claims

(837D)

Submit dental claims to AmeriHealth Caritas Northeast and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to AmeriHealth Caritas Northeast.

Get started

Use Stedi's APIs to get fast and reliable connectivity to AmeriHealth Caritas Northeast and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and AmeriHealth Caritas Northeast today.

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
AmeriHealth Northeast