Coverage profile
How Substrate can help you with Anthem CareMore
Substrate can help practices and billers with the following claims tasks for Anthem CareMore.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Anthem CareMore.
Frequently asked questions
Anthem CareMore payer FAQs
What is the payer ID for Anthem CareMore?
The primary payer ID for Anthem CareMore is CARMO. 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 Anthem CareMore?
The 837P and 837I payer ID for Anthem CareMore is CARMO via Stedi.
What is the 835 payer ID for Anthem CareMore?
The 835 payer ID for Anthem CareMore is CARMO via Stedi.
What is the 270 payer ID for Anthem CareMore?
The 270 payer IDs for Anthem CareMore are CARMO via Stedi and AGPMEDICAID via Availity.
What is the 276 payer ID for Anthem CareMore?
The 276 payer ID for Anthem CareMore is AGPMEDICAID via Availity.
What states does Anthem CareMore operate in?
Anthem CareMore operates in AR, AZ, CT, GA, IL, MD, OH, TN, and TX.
Routing reference
Anthem CareMore 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 | Anthem CareMoreSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | AR, AZ, CT, GA, IL, MD, OH, TN, TXSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | CARMOSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | CARMOSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | CARMOEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | CARMOSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | AGPMEDICAIDSource: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDAvaility | AGPMEDICAIDSource: Availity payer catalog · catalog dated · matched by payer name |
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: Anthem CareMore. 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: AMERIGROUP. 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: Amerigroup. 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
Anthem CareMore 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.
- Eligibility / benefits phone
- (800) 300-7011CAREMORE
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 268-9012 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 300-7011 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Chiropractic, Hospital, Hospital - Inpatient, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Mental Health, Urgent Care, Medical Care, Chiropractic, Hospital, Hospital - Inpatient, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Mental Health, Urgent Care, Pharmacy |
| phone(866) 797-9884 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment |
| Chiropractic, Pharmacy |
| phone(888) 350-3447 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(888) 581-3648 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 274-7767 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital, Hospital, Hospital - Inpatient |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 11080
- 3293
- 5635
- CARMO
- CARMOMA
- CM001
- CRMRE
- CRMRE1
- Amerigroup
- CareMore Health
- Carelon Health
- CARELON HEALTH - ADVANCED PRIMARY CARE
- CAREMORE
- CAREMORE HEALTH - ADVANCED PRIMARY CARE