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AmeriHealth Caritas Northeast

dentalmedical

Summary

AmeriHealth Caritas Northeast is a dental and medical payer operating in Pennsylvania. Claims route under payer ID 77001, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
77001Also seen as 6421, AHCNE
Also known as
AmeriHealth Caritas Pennsylvania, AmeriHealth Northeast
Service area
PA

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for AmeriHealth Caritas Northeast?
The payer ID for AmeriHealth Caritas Northeast is 77001. Alternate IDs seen across clearinghouses include 6421, AHCNE.
Does AmeriHealth Caritas Northeast require ERA enrollment?
Yes. AmeriHealth Caritas Northeast requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does AmeriHealth Caritas Northeast cover?
AmeriHealth Caritas Northeast operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does AmeriHealth Caritas Northeast offer?
AmeriHealth Caritas Northeast covers dental and medical.
Which EDI transactions does AmeriHealth Caritas Northeast support?
AmeriHealth Caritas Northeast is reachable through clearinghouses for eligibility checks and electronic remittance.

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 Spot something out of date?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.