First Choice Next

Summary

First Choice Next is a Medicaid managed care organization, part of AmeriHealth Caritas, offering medical coverage operating in 8 states. Claims route under payer ID 57103, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through AmeriHealth Caritas 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

57103Also seen as 7042, 9425, ACNSC, ASCEX

Also known as

AmeriHealth Caritas, First Choice Next (South Carolina), First Choice Next, A Product of Select Health South Carolina, Inc., First Choice VIP Care (South Carolina Dual-Eligible Special Needs Plan)

Uses CAQH

YesApplication route: Payer portal application

Service area

DC, DE, LA, MI, NC, NH, PA, SC

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 First Choice Next?

The payer ID for First Choice Next is 57103. Alternate IDs seen across clearinghouses include 7042, 9425, ACNSC, ASCEX.

How long does First Choice Next provider enrollment take?

First Choice Next provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does First Choice Next require CAQH?

Yes. First Choice Next uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does First Choice Next require ERA enrollment?

Yes. First Choice Next requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does First Choice Next cover?

First Choice Next operates in DC, DE, LA, MI, NC, NH, PA, SC. Coverage can differ by plan and product line, so confirm the specific plan before you file.