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) | Supported |
Other payer IDs and names
- Payer ID
7043 - Payer ID
9426 - Payer ID
ACNDE - Also listed as AmeriHealth Caritas Next, Delaware
- Also listed as AmeriHealth Caritas VIP Next, Inc.
Coverage states
Delaware.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Guidance
- Use 270/271 eligibility and benefits transactions before visits, then submit the correct 837P or 837I claim format.
- Send required claim attachments through 275 and use 276/277 transactions to monitor claim status.
- Complete payer enrollment before relying on 835 electronic remittance for posting and reconciliation.
- If an expected 835 is missing, verify that enrollment is complete before treating the remittance as unavailable.
- For dental claims, EFT, combined ERA/EFT, or coordination of benefits, arrange a separate workflow outside this payer’s supported transactions.
Common questions
Does this payer support ERA 835?
Yes, but the practice must complete payer enrollment first. The enrollment requirement applies to 835 ERA support.
Can I submit both 837P and 837I claims electronically?
Yes. This payer supports electronic professional claims through 837P and institutional claims through 837I.
Can I check eligibility and claim status electronically?
Yes. Use 270/271 for eligibility and benefits and 276/277 for claim status. This does not include coordination-of-benefits transactions identified as 271.
Does this payer support dental claims or EFT?
No. Dental claims (837D), EFT, combined ERA/EFT, and coordination of benefits (271) are not available through this payer’s electronic transaction support.
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