Coverage profile
How Substrate can help you with AmeriHealth
Substrate can help practices and billers with the following claims tasks for AmeriHealth.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with AmeriHealth.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with AmeriHealth.
Frequently asked questions
AmeriHealth payer FAQs
How do I check claim status with AmeriHealth?
Providers check AmeriHealth via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for AmeriHealth?
The primary payer ID for AmeriHealth is 95044. 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 AmeriHealth?
The 837P and 837I payer ID for AmeriHealth is 95044 via Stedi.
What is the 835 payer ID for AmeriHealth?
The 835 payer ID for AmeriHealth is 95044 via Stedi.
What is the 270 payer ID for AmeriHealth?
The 270 payer IDs for AmeriHealth are 95044 via Stedi and 10416 via Availity.
What is the 276 payer ID for AmeriHealth?
The 276 payer ID for AmeriHealth is 95044 via Stedi.
What states does AmeriHealth operate in?
AmeriHealth operates in DE, NJ, and PA.
Routing reference
AmeriHealth 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 | AmeriHealthSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | DE, NJ, PASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 95044Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 95044Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 95044Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 95044Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 10416Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 95044Source: Stedi payer catalog · catalog dated · matched by payer ID |
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: AmeriHealth. 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: AMERIHEALTH ADMINISTRATORS. 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: AmeriHealth. 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
AmeriHealth 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.
- Other stated context phone
- (800) 275-2583AUTHORIZATIONS
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 275-2583 | Other stated contextBenefit context: Co-Insurance |
| Consultation, Physician Visit - Office: Well |
| phone(800) 952-3404 | Other stated contextBenefit context: Co-Payment |
| Hospital |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 10974
- 11230
- 1930
- 23037
- 2800
- 95044
- AmeriHealth Administrators
- AmeriHealth Delaware - HMO/POS
- AmeriHealth HMO
- AmeriHealth HMO New Jersey and Delaware
- AmeriHealth HMO, Inc.
- AmeriHealth NJ – HMO
- AmeriHealth NJ – POS, POS NG
- AmeriHealth New Jersey
- AmeriHealth New Jersey - HMO/POS
- AmeriHealth PA – ERISA HMO
- AmeriHealth PA – ERISA POS
- AmeriHealth PA – HMO and Self-Funded HMO
- AmeriHealth PA – POS and Self-Funded POS
- AmeriHealth Pennsylvania - HMO/POS/ERISA
- AMERIHEALTHHMO