Keystone First

Medicaid

Also covers: Keystone First Pennsylvania, Keystone First Community HealthChoices

Payer ID

23284

23284 confirmed as the Keystone First EDI payer ID. Keystone First CHC and other lines may route differently. (Pennsylvania)

Timely Filing Limit (TFL)

Initial claims within 180 days of DOS; resubmissions/corrections within 365 days of DOS

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse

NaviNet (claim status/eligibility); EDI for claims submission

Provider Services

800-521-6007

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Keystone First Claims Processing Department, P.O. Box 7115, London, KY 40742

Provider Portal

https://www.navinet.net

Southeastern Pennsylvania Medicaid (HealthChoices) plan, part of the AmeriHealth Caritas family.

Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.

Stop chasing Keystone First denials and TFLs

Aethera's AR team works Keystone First every day — payer rules, appeals, and clean-claim submission, handled.