Coverage profile
How Substrate can help you with Amerigroup
Substrate can help practices and billers with the following claims tasks for Amerigroup.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Amerigroup.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Amerigroup.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Amerigroup.
Frequently asked questions
Amerigroup payer FAQs
What is the payer ID for Amerigroup?
The primary payer ID for Amerigroup is 26375. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Amerigroup?
The provider portal for Amerigroup is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Amerigroup?
The 837P and 837I payer ID for Amerigroup is 26375 via Stedi.
What is the 835 payer ID for Amerigroup?
The 835 payer ID for Amerigroup is 26375 via Stedi.
What is the 270 payer ID for Amerigroup?
The 270 payer IDs for Amerigroup are 26375 via Stedi and AGPMEDICAID via Availity.
What is the 276 payer ID for Amerigroup?
The 276 payer IDs for Amerigroup are 26375 via Stedi and AGPMEDICAID via Availity.
What states does Amerigroup operate in?
Amerigroup operates in DC, GA, MD, and NM.
Routing reference
Amerigroup 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 | Amerigroup |
|---|---|
| Operating states | DC, GA, MD, NM |
| 837P professional claims payer IDStedi | 26375 |
| 837I institutional claims payer IDStedi | 26375 |
| 835 ERA payer IDStedi | 26375Enrollment required |
| 270 eligibility payer IDStedi | 26375 |
| 270 eligibility payer IDAvaility | AGPMEDICAID |
| 276 claim status payer IDStedi | 26375 |
| 276 claim status payer IDAvaility | AGPMEDICAID |
Payer contact directory
Amerigroup phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Eligibility / benefits phone
- (800) 231-0979AVESIS
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 231-0979 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 243-1401 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 300-7011 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Medical Care, Chiropractic, Hospital, Hospital - Inpatient, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Mental Health, Urgent Care |
| phone(800) 341-8478 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 454-3730 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Chiropractic, Chiropractic, Physician Visit - Office: Well, Hospital, Pharmacy |
| phone(800) 494-6262 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 516-0124 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 521-3605 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 526-9202 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 723-4337 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 879-6901 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 888-1965 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Mental Health |
| phone(844) 594-5084 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(855) 208-6334 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(855) 418-1622 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(855) 934-9812 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(866) 434-5520 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 805-4589 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment |
| Chiropractic, Pharmacy |
| phone(866) 819-4298 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 864-2526 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(844) 594-5072 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(410) 581-3535 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 338-6833 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 521-2227 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 842-5252 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 868-2510 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(833) 531-2238 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(866) 756-3313 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 392-9865 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 535-2128 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 26375
- 10019
- 1569
- 1741
- 26374
- 26375MA
- AMGRP
- AMRGRP
- GQMUZ
- Amerigroup - DC,GA,NM,AZ,IA,NJ,TN,TX,WA
- Amerigroup Community Care
- WellPoint Maryland Incorporated
- Wellpoint
- EMPIRE BCBS NEW YORK HEALTHPLUS
- HEALTHPLUS AMERIGROUP
- AMERIGROUP (IA, DC, MD, FL, GA, WA, TN, TX, NM)
