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Amida Care

MedicaidClearinghouse Participating (Par)Instant 837 Submission

Also covers / subsidiaries: Amida Care Health Plan, Amida Care SNP

Core Payer & Clearinghouse Profile

Electronic Payer ID

79966

Amida Care medical payer ID is 79966. Behavioral health routes separately via Carelon/Beacon — use the BH ID for BH claims. (New York)

Timely Filing Limit (TFL)

Varies — confirm via portal / clearinghouse

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse Gateway

National Clearinghouse / EDI Gateway

Provider Services

800-556-0674

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Medical: Amida Care Claims, P.O. Box 21455, Eagan, MN 55121

Provider Portal

https://www.amidacareonline.org

New York City Medicaid Special Needs Plan (SNP) for people living with HIV/AIDS and other special-needs populations.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Amida Care.

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)

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 Amida Care Denials & Delayed Payments?

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

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