Electronic Data Interchange (EDI) Services
Our EDI Services enable you to submit claims electronically and view HIPAA Companion Guides.
Submit Claims
- increase accuracy of claims processing;
- reduce payer rejections and increase speed of claims payment.
View HIPAA Companion Guides
4010
Health Care Eligibility Benefit Inquiry & Response (270/271 - 004010X092A1) - Health Care Claim Status Request & Response (276/277 - 004010X093A1)
- Health Care Claim Unsolicited Claim Status Response (277U - 4010)
- Health Care Claim Payment Advice (835 - 004010X091A1)
- Health Care Claim Institutional (837I - 004010X096A1)
- Health Care Claim Professional (837P - 004010X098A1)
- Health Care Claim Dental (837D - 004010X097A1)
5010
- Health Care Eligibility Benefit Inquiry & Response (270/271 - 005010X279A1)
- Health Care Claim Payment Advice (835 - 005010X221A1)
- Health Care Claim Institutional (837I - 005010X223A2)
- Health Care Claim Professional (837P - 005010X222A1)
- Health Care Claim Dental (837D - 005010X224A2)
Technical Requirements
Practice management systems include EDI interfaces, providing a mechanism for submitting claims electronically to AmeriHealth Administrators. Here is the information you’ll need to submit claims to AmeriHealth Administrators electronically:
Payer ID for electronic claims submission: 54763
Contact Information
Provider Inquiries
Reach provider services, care management, and clinical pharmacy services.