AmeriHealth Caritas
Also covers / subsidiaries: AmeriHealth Caritas Pennsylvania, ACFC
Core Payer & Clearinghouse Profile
Electronic Payer ID
22248
Payer ID DIFFERS BY STATE/PLAN. AmeriHealth Caritas Pennsylvania uses 22248; other state plans (LA, FL, DC, SC, NC, OH) and affiliated Keystone First use different IDs. (Multi-state)
Timely Filing Limit (TFL)
AmeriHealth Caritas PA: initial claims within 180 days of DOS; resubmissions/corrections within 365 days
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
NaviNet (provider portal)
Provider Services
800-521-6007
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
AmeriHealth Caritas PA Provider Appeals: P.O. Box 7316, London, KY 40742 (verify the first-pass claims box)
Provider Portal
https://www.navinet.net
Multi-state Medicaid family of companies (PA, LA, FL, DC, SC, NC, OH, and others). Values shown are for AmeriHealth Caritas Pennsylvania (payer ID 22248).
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for AmeriHealth Caritas.
Resolution Tools for AmeriHealth Caritas Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing AmeriHealth Caritas Denials & Delayed Payments?
Aethera's billing specialists work AmeriHealth Caritas every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.