Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10974 - Payer ID
11230 - Payer ID
1930 - Payer ID
23037 - Payer ID
2800 - Also listed as AmeriHealth Administrators
- Also listed as AmeriHealth HMO
- Also listed as AmeriHealth HMO New Jersey and Delaware
- Also listed as AmeriHealth HMO, Inc.
- Also listed as AmeriHealth NJ – HMO
- Also listed as AmeriHealth NJ – POS, POS NG
- Also listed as AmeriHealth New Jersey
- Also listed as AmeriHealth PA – ERISA HMO
- Also listed as AmeriHealth PA – ERISA POS
- Also listed as AmeriHealth PA – HMO and Self-Funded HMO
- Also listed as AmeriHealth PA – POS and Self-Funded POS
Coverage states
Delaware, New Jersey, Pennsylvania.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Guidance
- Submit 837P professional claims and 837I institutional claims through the this payer connection, then use 276/277 to monitor claim status.
- Run 270/271 eligibility checks for benefits, but handle coordination-of-benefits information outside this payer workflow.
- Complete enrollment for this payer before relying on 835 ERA; until activation, use your approved non-ERA process to reconcile payments.
- Do not plan an ERA and EFT combined workflow; use enrollment for ERA and an alternative process for EFT.
- Route dental claims and attachments through an alternative process because 837D and 275 transactions are unavailable.
Common questions
Can this payer receive both professional and institutional claims electronically?
Yes. Hero EMR supports 837P professional claims and 837I institutional claims for this payer.
Can I check eligibility and claim status electronically?
Yes, use 270/271 for eligibility and benefits and 276/277 for claim status. Coordination-of-benefits 271 transactions are not supported.
Does this payer support ERA 835?
Yes, but only after the practice completes the enrollment process for this payer. ERA access should not be expected before enrollment is completed.
Can I use EFT, dental claims, or attachments with this payer?
No, this support profile does not include 837D dental claims, EFT, combined ERA and EFT processing, or 275 attachments.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
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