Supported electronic transactions
| 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) | Supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
10451 - Payer ID
10466 - Payer ID
10560 - Payer ID
10561 - Payer ID
10562 - Payer ID
10564 - Payer ID
10565 - Payer ID
10566 - Payer ID
10586 - Payer ID
10587 - Payer ID
10589 - Payer ID
10590 - Payer ID
10592 - Payer ID
10620 - Payer ID
10756 - Payer ID
10759 - Payer ID
10760 - Payer ID
10761 - Payer ID
10763 - Payer ID
10764 - Also listed as Absolute Total Care
- Also listed as Ambetter
- Also listed as Ambetter from Buckeye Community Health Plan
- Also listed as Ambetter from CeltiCare Health
- Also listed as Ambetter from Coordinated Care
- Also listed as Ambetter from Health Net
- Also listed as Ambetter from Magnolia Health Plan
- Also listed as Ambetter from Managed Health Services
- Also listed as Ambetter from Peach State Health Plan
- Also listed as Ambetter from Sunshine Health
- Also listed as Ambetter from Superior HealthPlan
- Also listed as Ambetter of Arkansas
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow notes for this payer
- Use 270/271 before visits and 276/277 after submission to verify benefits and monitor claim status electronically.
- Send 837P for professional claims and 837I for institutional claims; use 275 when electronic attachments are required.
- Use the supported COB 271 transaction when coordination-of-benefits information is needed.
- Complete this payer's enrollment before requesting ERA 835; until enrollment is active, follow your practice's non-ERA remittance workflow.
- Do not plan on 837D claims, EFT, or combined ERA and EFT through this payer.
Common questions
Which claim types can I submit electronically to this payer?
You can submit professional claims through 837P and institutional claims through 837I. Dental claims through 837D are not available.
Can I check eligibility and claim status electronically?
Yes. Use 270/271 for eligibility and benefits, and 276/277 for claim status.
Does this payer support electronic attachments and coordination of benefits?
Yes. The supported transactions include attachments through 275 and coordination of benefits through 271.
Can I receive an ERA or EFT from this payer?
ERA 835 is supported after your practice completes this payer's enrollment process. EFT and combined ERA and EFT are not available.
Run this payer inside Hero EMR
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