Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not 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) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
6421 - Payer ID
AHCNE - Also listed as AmeriHealth Caritas Pennsylvania
- Also listed as AmeriHealth Northeast
Coverage states
Pennsylvania.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Considerations
- Run 270/271 eligibility checks in Hero EMR before appointments, then document or verify coverage manually when payer responses do not provide needed detail.
- Complete this payer's ERA enrollment paperwork before expecting 835 remittance files in Hero EMR.
- For professional, institutional, or dental claims, use the payer's required alternative submission method.
- Use another approved process for claim status and EFT; do not treat ERA enrollment as enabling the unavailable combined ERA plus EFT option.
Common questions
Can I check eligibility electronically with this payer?
Yes. Hero EMR supports this payer's 270/271 eligibility and benefits transaction.
How do I receive ERA from this payer?
ERA is supported, but you must complete payer enrollment before Hero EMR can receive the 835 transaction.
Can I submit claims electronically through Hero EMR?
No. Hero EMR does not support this payer's 837P, 837I, or 837D transactions, so use the payer's required alternative submission method.
Does Hero EMR support claim status or EFT for this payer?
No. Claim status 276/277, EFT, and the combined ERA plus EFT option are unavailable for this payer in Hero EMR.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
See a demo