This page contains information you can use to exchange healthcare transactions with AmeriHealth Caritas Next Florida using Stedi.
Use any of the following payer IDs to send transactions to AmeriHealth Caritas Next Florida using Stedi APIs or SFTP. Read the docs
Primary Payer ID
45408
Stedi Payer ID
PVYNT
Payer ID aliases
15550, 45408, 7044, 9427, A8233, ACNFL, IRGXY
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with AmeriHealth Caritas Next Florida 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 Next Florida.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to AmeriHealth Caritas Next Florida 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 Caritas Next Florida in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to AmeriHealth Caritas Next Florida and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to AmeriHealth Caritas Next Florida and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from AmeriHealth Caritas Next Florida to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to AmeriHealth Caritas Next Florida and receive 277 claim acknowledgments asynchronously.
Supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to AmeriHealth Caritas Next Florida.
Get started
Use Stedi's APIs to get fast and reliable connectivity to AmeriHealth Caritas Next Florida and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and AmeriHealth Caritas Next Florida today.