Coverage profile
Work AmeriHealth Caritas Northeast 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 Northeast.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with AmeriHealth Caritas Northeast.
Other aliases
Also known as
- 6421
- 77001
- AHCNE
- AmeriHealth Caritas Pennsylvania
- AmeriHealth Northeast
- AMERIHEALTH CARITAS NORTHEAST (AMERIHEALTH NORTHEAST)
Frequently asked questions
AmeriHealth Caritas Northeast payer FAQs
How do I check claim status with AmeriHealth Caritas Northeast?
Providers check AmeriHealth Caritas Northeast 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 Northeast?
The primary payer ID for AmeriHealth Caritas Northeast is 77001. 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 835 payer ID for AmeriHealth Caritas Northeast?
The 835 payer ID for AmeriHealth Caritas Northeast is 77001 via Stedi.
What is the 270 payer ID for AmeriHealth Caritas Northeast?
The 270 payer IDs for AmeriHealth Caritas Northeast are 77001 via Stedi and 77001 via Availity.
What state does AmeriHealth Caritas Northeast operate in?
AmeriHealth Caritas Northeast operates in PA.
Routing reference
AmeriHealth Caritas Northeast 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 NortheastSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | PASource: Substrate payer directory · data last changed |
| 835 ERA payer IDStedi | 77001Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 77001Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 77001Source: Availity payer catalog · catalog dated · matched by payer ID |
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 Northeast. 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 ID; matched record: AMERIHEALTH CARITAS NORTHEAST (AMERIHEALTH NORTHEAST). 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 Pennsylvania. 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.