Coverage profile
How Substrate can help you with AMBETTER
Substrate can help practices and billers with the following claims tasks for AMBETTER.
2027 maternity billing research
When does AMBETTER change OB/GYN billing?
No corporate 2027 start date found. The current template supports global maternity billing and code-audit review, but it is effective only when adopted by a specific Centene health plan on that plan's own date.
- Transition start
- Not published
- Billing start
- Not published
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Centene corporate template; state-plan adoption must be verified
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
AMBETTER payer FAQs
What is the payer ID for AMBETTER?
The primary payer ID for AMBETTER is A6001. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for AMBETTER?
The 837P and 837I payer IDs for AMBETTER are 68068 and 68069 via Stedi.
What is the 835 payer ID for AMBETTER?
The 835 payer IDs for AMBETTER are 68068 and 68069 via Stedi.
What is the 270 payer ID for AMBETTER?
The 270 payer IDs for AMBETTER are 68068 and 68069 via Stedi.
What is the 276 payer ID for AMBETTER?
The 276 payer IDs for AMBETTER are 68068 and 68069 via Stedi.
Routing reference
AMBETTER payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | AMBETTERSource: Substrate payer directory · last refreshed |
|---|---|
| 837P professional claims payer IDStedi | 6806868069Source: Stedi payer catalog · catalog dated · matched by payer name |
| 837I institutional claims payer IDStedi | 6806868069Source: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | 6806868069Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | 6806868069Source: Stedi payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 6806868069Source: Stedi payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .
- Stedi payer catalogMatched by payer name; matched records: Centene (Behavioral Health), Centene (Medical). Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- AMBETTER HEALTH