Coverage profile
Work AmeriHealth NJ 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.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with AmeriHealth NJ.
Other aliases
Also known as
- 3558
- 4716
- 60061
- SX075
- Z95397
- AmeriHealth Insurance Company of New Jersey
- AmeriHealth New Jersey (Non-HMO)
- AmeriHealth Non-HMO (PPO) New Jersey
- AmeriHealth Non-Health Maintenance Organization (Preferred Provider Organization) New Jersey
- AmeriHealth PPO
- Comprehensive Major Medical
- AMERHLTHNJ
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
5 days- 10% of adjudications by
- 5 days
- 90% of adjudications by
- 6 days
- Applicable state coverage
- PA
- Current As Of
- July 2026
Five-month median trend
Days to 835 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | No qualified data | ||||
| May | 5 days | 5 days | 6 days | 275 | PA |
| Jun | 5 days | 5 days | 5 days | 216 | PA |
| Jul | 5 days | 5 days | 6 days | 254 | PA |
| Aug | No qualified data | ||||
Frequently asked questions
AmeriHealth NJ payer FAQs
What is the payer ID for AmeriHealth NJ?
The primary payer ID for AmeriHealth NJ is 60061. 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 NJ?
The 837P and 837I payer ID for AmeriHealth NJ is 60061 via Stedi.
What is the 835 payer ID for AmeriHealth NJ?
The 835 payer ID for AmeriHealth NJ is 60061 via Stedi.
What is the 270 payer ID for AmeriHealth NJ?
The 270 payer ID for AmeriHealth NJ is 60061 via Stedi.
What state does AmeriHealth NJ operate in?
AmeriHealth NJ operates in NJ.
Routing reference
AmeriHealth NJ 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 NJSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | NJSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 60061Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 60061Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 60061Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 60061Source: 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 NJ. 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 NJ. 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 NJ 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 |
| Chiropractic, Consultation, Physician Visit - Office: Well |
Phone and fax numbers sourced directly from the payer response