AmeriHealth Caritas Florida
Part of Centene Corporation
Summary
AmeriHealth Caritas Florida is a Medicaid managed care organization, part of Centene Corporation, offering medical coverage operating in Florida. Claims route under payer ID 77003, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Prestige 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 several weeks.
At a glance
- Payer ID
77003Also seen as 10965, 2106, 45056, 8963, PHCMCO- Also known as
- AmeriHealth Caritas Florida Family of Plans, Prestige Health Choice
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- FL
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for AmeriHealth Caritas Florida?
- The payer ID for AmeriHealth Caritas Florida is 77003. Alternate IDs seen across clearinghouses include 10965, 2106, 45056, 8963.
- How long does AmeriHealth Caritas Florida provider enrollment take?
- AmeriHealth Caritas Florida provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does AmeriHealth Caritas Florida require CAQH?
- Yes. AmeriHealth Caritas Florida uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does AmeriHealth Caritas Florida require ERA enrollment?
- Yes. AmeriHealth Caritas Florida requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does AmeriHealth Caritas Florida cover?
- AmeriHealth Caritas Florida operates in FL. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.