Amerigroup

Summary

Amerigroup is a Medicaid managed care organization, part of Elevance Health, offering dental, medical, and vision coverage operating in 22 states. Claims route under payer ID 26375, with 8 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through Wellpoint Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID

26375Also seen as 10019, 1569, 1741, 26374, 26375MA, AMGRP and 2 more

Also known as

Amerigroup - DC,GA,NM,AZ,IA,NJ,TN,TX,WA, Amerigroup Community Care, WellPoint Maryland Incorporated, Wellpoint

Uses CAQH

YesApplication route: Payer portal application

Service area

22 states

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Amerigroup?

The payer ID for Amerigroup is 26375. Alternate IDs seen across clearinghouses include 10019, 1569, 1741, 26374.

How long does Amerigroup provider enrollment take?

Amerigroup provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Amerigroup require CAQH?

Yes. Amerigroup uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Amerigroup require ERA enrollment?

Yes. Amerigroup requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.

What states does Amerigroup cover?

Amerigroup operates in 22 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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