AmeriHealth

Summary

AmeriHealth is a dental, medical, and vision payer operating in Delaware, New Jersey, and Pennsylvania. Claims route under payer ID 95044, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

95044Also seen as 10974, 11230, 1930, 23037, 2800

Also known as

AmeriHealth Administrators, AmeriHealth HMO, AmeriHealth HMO New Jersey and Delaware, AmeriHealth HMO, Inc., AmeriHealth NJ – HMO

Service area

DE, NJ, PA

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 AmeriHealth?

The payer ID for AmeriHealth is 95044. Alternate IDs seen across clearinghouses include 10974, 11230, 1930, 23037.

Does AmeriHealth require ERA enrollment?

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

What states does AmeriHealth cover?

AmeriHealth operates in DE, NJ, PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does AmeriHealth offer?

AmeriHealth covers dental, medical, and vision.

Can I submit claims to AmeriHealth electronically?

Yes. AmeriHealth is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

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