AmeriHealth Caritas
MedicaidAlso covers: AmeriHealth Caritas Pennsylvania, ACFC
Payer ID
Varies — confirm via portal / clearinghouse
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
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).
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
Stop chasing AmeriHealth Caritas denials and TFLs
Aethera's AR team works AmeriHealth Caritas every day — payer rules, appeals, and clean-claim submission, handled.
Get a Free Assessment