Coverage profile
Work Amerigroup across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
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.
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)
Frequently asked questions
Amerigroup payer FAQs
How do I check claim status with Amerigroup?
Providers check Amerigroup via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Amerigroup portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
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 | AmerigroupSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | DC, GA, MD, NMSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 26375Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 26375Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 26375Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 26375Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | AGPMEDICAIDSource: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 26375Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | AGPMEDICAIDSource: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Amerigroup. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched record: AMERIGROUP. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Amerigroup. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
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