Keystone First

Summary

Keystone First is a Medicaid managed care organization, part of AmeriHealth Caritas / Independence, offering medical coverage operating in Pennsylvania. Claims route under payer ID 23284, with 6 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Keystone First 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

23284Also seen as 6531, 8475, A3284, KEYST, KMHPLN, ZLNUO

Also known as

Keystone Family Health Plan, Keystone First Aligned, Keystone First TPA, Vista Health Plan

Uses CAQH

YesApplication route: Payer portal application

Service area

PA (SE PA)

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 Keystone First?

The payer ID for Keystone First is 23284. Alternate IDs seen across clearinghouses include 6531, 8475, A3284, KEYST.

How long does Keystone First provider enrollment take?

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

Does Keystone First require CAQH?

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

Does Keystone First require ERA enrollment?

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

What states does Keystone First cover?

Keystone First operates in PA (SE PA). Coverage can differ by plan and product line, so confirm the specific plan before you file.