Coverage profile
Work AmeriHealth Caritas Next (North Carolina) 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 AmeriHealth Caritas Next (North Carolina).
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with AmeriHealth Caritas Next (North Carolina).
Other aliases
Also known as
- 14399
- 6038
- 83148
- 9192
- AHCNC
- AMNPA
- AmeriHealth Caritas Next NC
- AmeriHealth Caritas North Carolina
- AMERIHEALTH CARITAS NEXT A PRODUCT OF AMERITHEALTH CARITAS NORTH CAROLINA INC.
2027 maternity billing research
When does AmeriHealth Caritas Next (North Carolina) change OB/GYN billing?
The September 22, 2026 AmeriHealth Caritas Next notice for North Carolina says beginning January 1, 2027, bundled prenatal and postpartum CPT codes are retired and replaced with revised and new phase-specific codes. The notice says the update deletes 17 codes, adds 12, and revises six, and that the listed bundled codes should not be reported for dates of service on or after January 1, 2027. It does not state a reimbursement method or how a pregnancy spanning 2026 and 2027 should be billed.
- Transition start
- No 2026 transition date stated
- Billing start
- 2027-01-01
- Published
- 2026-09-22
- Current As Of
- October 2026
Scope: AmeriHealth Caritas Next marketplace plan, North Carolina. Not the AmeriHealth Caritas Medicaid plan in the same state. This is the Next North Carolina catalog row, not the North Carolina Medicaid plan.
Prenatal and Postpartum CPT Coding Changes effective January 1, 2027 (AmeriHealth Caritas Next). Verify the payer source before claim submission.
Frequently asked questions
AmeriHealth Caritas Next (North Carolina) payer FAQs
How do I check claim status with AmeriHealth Caritas Next (North Carolina)?
Providers check AmeriHealth Caritas Next (North Carolina) 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 Caritas Next (North Carolina)?
The primary payer ID for AmeriHealth Caritas Next (North Carolina) is 83148. 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 Caritas Next (North Carolina)?
The 837P and 837I payer ID for AmeriHealth Caritas Next (North Carolina) is 83148 via Stedi.
What is the 835 payer ID for AmeriHealth Caritas Next (North Carolina)?
The 835 payer ID for AmeriHealth Caritas Next (North Carolina) is 83148 via Stedi.
What is the 270 payer ID for AmeriHealth Caritas Next (North Carolina)?
The 270 payer IDs for AmeriHealth Caritas Next (North Carolina) are 83148 via Stedi and 81671 via Availity.
What is the 276 payer ID for AmeriHealth Caritas Next (North Carolina)?
The 276 payer IDs for AmeriHealth Caritas Next (North Carolina) are 83148 via Stedi and 81671 via Availity.
What state does AmeriHealth Caritas Next (North Carolina) operate in?
AmeriHealth Caritas Next (North Carolina) operates in NC.
Routing reference
AmeriHealth Caritas Next (North Carolina) 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 | AmeriHealth Caritas Next (North Carolina)Source: Substrate payer directory · data last changed |
|---|---|
| Operating states | NCSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 83148Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 83148Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 83148Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 83148Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 81671Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 83148Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 81671Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: AmeriHealth Caritas Next (North Carolina). 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 CARITAS NORTH CAROLINA. 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 Caritas Next (North Carolina). 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 Caritas Next (North Carolina) 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.
- Payer phone
- (855) 266-0219AMERIHEALTH CARITAS NEXT NC
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(855) 266-0219 |
|
Phone and fax numbers sourced directly from the payer response