AmeriHealth Caritas Ohio
dentalmedical
Summary
AmeriHealth Caritas Ohio is a dental and medical payer operating in Ohio. Claims route under payer ID 35374, 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 takes several weeks.
At a glance
- Payer ID
35374Also seen as 14380, 7045, 84243, 9428, AMEROH- Also known as
- AmeriHealth Caritas Ohio Medicaid MCE, AmeriHealth Caritas Ohio Medicaid Managed Care Entity, Ohio Medicaid (AmeriHealth)
- Service area
- OH
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 Ohio?
- The payer ID for AmeriHealth Caritas Ohio is 35374. Alternate IDs seen across clearinghouses include 14380, 7045, 84243, 9428.
- Does AmeriHealth Caritas Ohio require ERA enrollment?
- Yes. AmeriHealth Caritas Ohio requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does AmeriHealth Caritas Ohio cover?
- AmeriHealth Caritas Ohio operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does AmeriHealth Caritas Ohio offer?
- AmeriHealth Caritas Ohio covers dental and medical.
- Can I submit claims to AmeriHealth Caritas Ohio electronically?
- Yes. AmeriHealth Caritas Ohio 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).
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 Spot something out of date?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.