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 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Amerigroup.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Amerigroup.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Amerigroup.

Supported

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)

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.

Amerigroup payer name, operating states, and transaction-specific payer IDs
Payer name	AmerigroupSource: Substrate payer directory · data last changed Nov 12, 2026
Operating states	DC, GA, MD, NMSource: Substrate payer directory · data last changed Nov 12, 2026
837P professional claims payer IDStedi	`26375`Source: Stedi payer catalog · catalog dated Aug 8, 2026 · matched by payer ID
837I institutional claims payer IDStedi	`26375`Source: Stedi payer catalog · catalog dated Aug 8, 2026 · matched by payer ID
835 ERA payer IDStedi	`26375`Enrollment requiredSource: Stedi payer catalog · catalog dated Aug 8, 2026 · matched by payer ID
270 eligibility payer IDStedi	`26375`Source: Stedi payer catalog · catalog dated Aug 8, 2026 · matched by payer ID
270 eligibility payer IDAvaility	`AGPMEDICAID`Source: Availity payer catalog · catalog dated Feb 2025 · matched by payer name
276 claim status payer IDStedi	`26375`Source: Stedi payer catalog · catalog dated Aug 8, 2026 · matched by payer ID
276 claim status payer IDAvaility	`AGPMEDICAID`Source: Availity payer catalog · catalog dated Feb 2025 · matched by payer name

Routing sources and verification

Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed Nov 12, 2026; checked Nov 13, 2026.Open payer website ↗
Stedi payer catalogMatched by payer ID; matched record: Amerigroup. Source dated Aug 8, 2026.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 Feb 2025.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.

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone numbers30

Amerigroup phone numbers
Channel and number	Payer Notes	Department	Specialties
phone(800) 231-0979	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	AVESIS	Vision (Optometry)
phone(800) 243-1401	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	SUPERIOR VISION	Vision (Optometry)
phone(800) 300-7011	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CAREMORE	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	MCNA DENTAL	Dental Care
phone(800) 454-3730	Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment	CARELONRX UTILIZATION MANAGEMENT	Chiropractic, Chiropractic, Physician Visit - Office: Well, Hospital, Pharmacy
phone(800) 494-6262	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MCNA DENTAL	Dental Care
phone(800) 516-0124	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DENTAQUEST	Dental Care
phone(800) 521-3605	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEMED	Vision (Optometry)
phone(800) 526-9202	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEQUEST	Vision (Optometry)
phone(800) 723-4337	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES	Dental Care
phone(800) 879-6901	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	SUPERIOR VISION	Vision (Optometry)
phone(800) 888-1965	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	OPTUM	Mental Health
phone(844) 594-5084	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CARELONRX	Pharmacy
phone(855) 208-6334	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DENTAQUEST	Dental Care
phone(855) 934-9812	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MARYLAND HEALTHY SMILE DENTAL PROGRAM	Dental Care
phone(866) 434-5520	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MAGELLAN HEALTH SERVICES	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	CARELONRX UTILIZATION MANAGEMENT	Chiropractic, Pharmacy
phone(866) 819-4298	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	SUPERIOR VISION	Vision (Optometry)
phone(866) 864-2526	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	RENAISSANCE	Dental Care
phone(888) 352-7924	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	LIBERTY DENTAL	Dental Care
phone(844) 594-5072	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(410) 581-3535	Other stated contextBenefit context: Other or Additional Payor	CAREFIRST BLUE CROSS BLUE SHIELD OF MD	Health Benefit Plan Coverage
phone(800) 338-6833	Other stated contextBenefit context: Other or Additional Payor	DEVOTED HEALTH PLANS	Health Benefit Plan Coverage
phone(800) 521-2227	Other stated contextBenefit context: Other or Additional Payor	BLUE CROSS BLUE SHIELD OF TEXAS	Health Benefit Plan Coverage
phone(800) 842-5252	Other stated contextBenefit context: Other or Additional Payor	UNITED HEALTHCARE	Health Benefit Plan Coverage
phone(800) 868-2510	Other stated contextBenefit context: Other or Additional Payor	BCBS SOUTH CAROLINA	Health Benefit Plan Coverage
phone(833) 531-2238	Other stated contextBenefit context: Co-Insurance	WELLPOINT	Hospital
phone(866) 756-3313	Other stated contextBenefit context: Other or Additional Payor	MO-KAN TEAMSTER H & W FUND	Health Benefit Plan Coverage
phone(877) 392-9865	Other stated contextBenefit context: Other or Additional Payor	MEDICARE PART A & PART B COVERAGE	Health Benefit Plan Coverage
phone(877) 535-2128	Other stated contextBenefit context: Other or Additional Payor	AETNA	Health Benefit Plan Coverage

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Retired numbers1

These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.

(855) 418-1622Not in service when called; re-check pending