Email InquirySchedule Meeting
Back to Payer Directory

AmeriHealth

CommercialClearinghouse Participating (Par)EDI Enrollment Required

Also covers / subsidiaries: AmeriHealth NJ, AHNJ, AmeriHealth Administrators

Core Payer & Clearinghouse Profile

Electronic Payer ID

54763

60061 is AmeriHealth New Jersey (Non-HMO); DE Non-HMO commonly 93688, and HMO/PA lines use different IDs. Pull the correct ID from AmeriHealth's payer-ID reference for the member's product/state.

Timely Filing Limit (TFL)

365 days from date of service (verify in the NJ provider manual)

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse Gateway

EDI via clearinghouses; NaviNet for portal transactions

Provider Services

609-662-2400

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

AmeriHealth NJ (Non-HMO, payer ID 60061): Claims Receipt Center, P.O. Box 211184, Eagan, MN 55121

Provider Portal

https://www.amerihealth.com/resources/for-providers/

NJ/PA/DE plan with multiple payer IDs by state and by HMO vs. non-HMO — a common source of wrong-ID denials. Always confirm the correct ID for the member's product and state.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for AmeriHealth.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under AmeriHealth.

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Amerihealth10974Non-ParNone
276/277
Amerihealth Administrators54763ParRequired
837P837I835 ERA270/271Dental
Amerihealth AdministratorsDX143Non-ParNone
Dental
Amerihealth Nj Ppo60061Non-ParRequired
837P835 ERA

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 Denials & Delayed Payments?

Aethera's billing specialists work AmeriHealth every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

Cookie preferences

With your permission, we use analytics and advertising services, including business visitor identification. Essential Only keeps these services off. Read our privacy policy.