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AmeriHealth Caritas Ohio

AmeriHealth Caritas OH

AmeriHealth Caritas Ohio logo
Primary payer ID
Compare transaction IDs ↓
Last successful claim statusWithin the past weekObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271

Coverage profile

Work AmeriHealth Caritas Ohio 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 AmeriHealth Caritas Ohio.

Available

Eligibility

EDI 270/271

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

Available

Other aliases

Also known as

  • 14380
  • 35374
  • 7045
  • 84243
  • 842435374
  • 9428
  • AMEROH
  • AmeriHealth Caritas Ohio Medicaid (Radiology Only)
  • AmeriHealth Caritas Ohio Medicaid MCE
  • AmeriHealth Caritas Ohio Medicaid Managed Care Entity
  • Ohio Medicaid (AmeriHealth)

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

15 days
10% of adjudications by
13 days
90% of adjudications by
16 days
Applicable state coverage
KY
Current As Of
July 2026

Five-month median trend

Days to 835 payment
AmeriHealth Caritas Ohio median observed adjudication timingMonthly median days from payer receipt to 835 payment from April 2026 through August 2026. Missing qualified months are shown as gaps.07.515AprMayJunJulAug
View chart data as a table
AmeriHealth Caritas Ohio observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
Apr13 days12 days15 days348KY
May13 days12 days17 days393KY
Jun15 days13 days17 days268KY
Jul15 days13 days16 days211KY
AugNo qualified data

Frequently asked questions

AmeriHealth Caritas Ohio payer FAQs

How do I check claim status with AmeriHealth Caritas Ohio?

Providers check AmeriHealth Caritas Ohio 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 Ohio?

The primary payer ID for AmeriHealth Caritas Ohio is 35374. 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 Ohio?

The 837P and 837I payer ID for AmeriHealth Caritas Ohio is 35374 via Stedi.

What is the 835 payer ID for AmeriHealth Caritas Ohio?

The 835 payer ID for AmeriHealth Caritas Ohio is 35374 via Stedi.

What is the 270 payer ID for AmeriHealth Caritas Ohio?

The 270 payer ID for AmeriHealth Caritas Ohio is 35374 via Stedi.

What is the 276 payer ID for AmeriHealth Caritas Ohio?

The 276 payer ID for AmeriHealth Caritas Ohio is 35374 via Stedi.

What state does AmeriHealth Caritas Ohio operate in?

AmeriHealth Caritas Ohio operates in OH.

Routing reference

AmeriHealth Caritas Ohio 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.

AmeriHealth Caritas Ohio payer name, operating states, and transaction-specific payer IDs
Payer nameAmeriHealth Caritas OhioSource: Substrate payer directory · last refreshed
Operating statesOHSource: Substrate payer directory · last refreshed
837P professional claims payer IDStedi35374Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi35374Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi35374Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi35374Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStedi35374Source: 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 Caritas Ohio. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: AmeriHealth Caritas Ohio. 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 Ohio 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
(833) 644-6001AMERIHEALTH CARITAS OHIO
AmeriHealth Caritas Ohio payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(833) 644-6001
  • AMERIHEALTH CARITAS OHIO

Phone and fax numbers sourced directly from the payer response

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services — including claims affected by the 2027 CPT code revisions — providers should consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.