Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
14399 - Payer ID
6038 - Payer ID
9192 - Payer ID
AHCNC - Payer ID
AMNPA - Also listed as AmeriHealth Caritas Next NC
- Also listed as AmeriHealth Caritas North Carolina
Coverage states
North Carolina.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the workflow
- Route professional services through 837P and institutional services through 837I, and send supporting documentation through 275 attachments.
- Use 270/271 for eligibility and benefits, and use the supported 271 coordination-of-benefits transaction when applicable.
- Use 276/277 for claim-status checks; do not use an ERA transaction as a substitute for current claim status.
- Complete payer enrollment before requesting ERA 835 setup, and keep a non-ERA remittance process available until enrollment is complete.
- Do not submit 837D claims or expect EFT or combined ERA/EFT support; confirm another dental and payment workflow.
Common questions
Can I submit both professional and institutional claims electronically to this payer?
Yes. Use 837P for professional claims and 837I for institutional claims, with 275 available for electronic attachments.
Can I verify eligibility and check claim status electronically?
Yes. Eligibility and benefits use 270/271, coordination of benefits uses 271, and claim status uses 276/277.
Is ERA available without payer enrollment?
No. ERA through 835 is supported only after the practice completes this payer's enrollment process.
Does this payer support dental claims or EFT?
No. Dental claims through 837D, EFT, and combined ERA/EFT are not available through this payer.
Run this payer inside Hero EMR
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