AvMed
Also covers / subsidiaries: AvMed Inc., Sentara Health Plans
Core Payer & Clearinghouse Profile
Electronic Payer ID
59274
59274 for professional + institutional. Alt IDs: AVMED, 1573, 3802.
Timely Filing Limit (TFL)
180 days from date of service (RCM sources stating '1 year' are incorrect)
Appeal Window
Participating 150 days from initial EOP; non-participating 60 days from remittance
Clearinghouse Gateway
Availity (portal) + Zelis (payments/ERA)
Provider Services
800-452-8633
Claims Fax
800-452-3847
Claims Address
AvMed, PO Box 569000, Miami, FL 33256-9000
Provider Portal
https://myhub.avmed.org/en/provider
Commercial HMO + Medicare Advantage (South FL + Orlando metro), now under Sentara Health Plans. Appeals go to PO Box 569004, Miami, FL 33256-9004.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for AvMed.
Resolution Tools for AvMed 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 AvMed Denials & Delayed Payments?
Aethera's billing specialists work AvMed every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.