What this payer supports
| 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
16602 - Payer ID
7081 - Payer ID
9484 - Payer ID
ACVDE - Also listed as AmeriHealth Caritas Next - Delaware
- Also listed as AmeriHealth Caritas VIP Care (Dual-Eligible Special Needs Plan)
- Also listed as AmeriHealth Caritas VIP Care - Delaware DSNP
- Also listed as AmeriHealth Caritas VIP Care Delaware DSNP
- Also listed as AmeriHealth Caritas VIP Care Delaware Dual Eligible Special Needs Plan
Coverage states
Delaware.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan your electronic workflow
- Run a 270/271 eligibility check before visits, but route coordination-of-benefits work through a separate approved process.
- Choose 837P for professional services and 837I for institutional claims; use 275 attachments when supporting documentation is required.
- Use 276/277 claim-status transactions to monitor submitted claims electronically.
- Complete this payer’s enrollment paperwork before expecting 835 ERA files; until activation, use your established remittance-posting process.
- Plan a separate approved workflow for 837D dental claims, EFT, and combined ERA/EFT, which this connection does not support.
Common questions
Can I submit both professional and institutional claims to this payer electronically?
Yes. This payer supports 837P professional claims and 837I institutional claims; 837D dental claims are not available.
Can I check eligibility and coordination of benefits electronically?
Eligibility and benefits checks use supported 270/271 transactions. Coordination-of-benefits 271 transactions are not available, so handle that work through another approved process.
How do I receive ERA from this payer?
ERA 835 is supported after your practice completes the payer enrollment. Submit the required enrollment paperwork before relying on electronic remittance.
Does this payer support EFT or ERA and EFT together?
No. EFT and combined ERA plus EFT are not available through this connection, so use a separate approved payment workflow if needed.
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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