AmeriHealth Caritas Pennsylvania
dentalmedical
Summary
AmeriHealth Caritas Pennsylvania is a dental and medical payer operating in Pennsylvania. Claims route under payer ID 22248, with 9 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
22248Also seen as 10340, 11189, 11232, 1710, 4547, A3285 and 3 more- Also known as
- AmeriHealth Caritas Nebraska Aligned, AmeriHealth Caritas Nebraska Community HealthChoices, AmeriHealth Caritas Northeast (combined with Line of Business 0500), AmeriHealth Caritas Northwest (Pennsylvania New West) (combined with Line of Business 0500), AmeriHealth Caritas Pennsylvania Aligned
- Service area
- PA
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 Pennsylvania?
- The payer ID for AmeriHealth Caritas Pennsylvania is 22248. Alternate IDs seen across clearinghouses include 10340, 11189, 11232, 1710.
- Does AmeriHealth Caritas Pennsylvania require ERA enrollment?
- Yes. AmeriHealth Caritas Pennsylvania requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does AmeriHealth Caritas Pennsylvania cover?
- AmeriHealth Caritas Pennsylvania 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 Pennsylvania offer?
- AmeriHealth Caritas Pennsylvania covers dental and medical.
- Can I submit claims to AmeriHealth Caritas Pennsylvania electronically?
- Yes. AmeriHealth Caritas Pennsylvania 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.