This page contains information you can use to exchange healthcare transactions with AmeriHealth Caritas Ohio Medicaid MCE using Stedi.
Use any of the following payer IDs to send transactions to AmeriHealth Caritas Ohio Medicaid MCE using Stedi APIs or SFTP. Read the docs
Primary Payer ID
35374
Stedi Payer ID
RFOHR
Payer ID aliases
35374, 7045, 84243, 9428, AMEROH
Coverage types
Dental, Medical
Supported transactions
Use Stedi to exchange the following transactions with AmeriHealth Caritas Ohio Medicaid MCE 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 Ohio Medicaid MCE.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to AmeriHealth Caritas Ohio Medicaid MCE 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 Ohio Medicaid MCE in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to AmeriHealth Caritas Ohio Medicaid MCE and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to AmeriHealth Caritas Ohio Medicaid MCE and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from AmeriHealth Caritas Ohio Medicaid MCE to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to AmeriHealth Caritas Ohio Medicaid MCE and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to AmeriHealth Caritas Ohio Medicaid MCE.
Get started
Use Stedi's APIs to get fast and reliable connectivity to AmeriHealth Caritas Ohio Medicaid MCE and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and AmeriHealth Caritas Ohio Medicaid MCE today.