Claims submissions
Claims with dates of service on or after May 1, 2013 may be submitted to AmeriHealth Caritas DC as follows:
NaviNet
Requests can be submitted through NaviNet.
Electronic claims
AmeriHealth Caritas DC participates with Change Healthcare. As long as you have the capability to send EDI claims to Change Healthcare, whether through direct submission or through another clearinghouse/vendor, you may submit claims electronically. Electronic claim submissions to AmeriHealth Caritas DC should follow the same process as other electronic commercial submissions.
To initiate electronic claims:
- Contact your practice management software vendor or EDI software vendor.
- Inform your vendor of AmeriHealth Caritas DC's EDI Payer ID# 77002.
- You may also contact Change Healthcare at 1-877-363-3666 or visit www.changehealthcare.com for information on contracting for direct submission to Change Healthcare. AmeriHealth Caritas DC does not require Change Healthcare payer enrollment to submit EDI claims.
Change Healthcare ConnectCenter electronic claims user guides
- Enrollment Central – Getting Started (PDF)
- Claims – Getting Started (PDF)
- Claim Status – Getting Started (PDF)
- Uploading an 837 Batch Claim File (PDF)
- Create a Claim (Video)
- Eligibility – Getting Started (PDF)
- Keying an Institutional Claim UB-04 (PDF)
- Keying a Professional Claim (PDF)
- Provider Management – Getting Started (PDF)
- Provider Sign-up and User Management (PDF)
- Remits – Getting Started (PDF)
Paper claims
| Medicaid | Alliance |
|---|---|
| AmeriHealth Caritas District of Columbia/Medicaid Attn: Claims Processing Department P.O. Box 7342 London, KY 40742 |
AmeriHealth Caritas District of Columbia/Alliance Attn: Claims Processing Department P.O. Box 7354 London, KY 40742 |
AmeriHealth Caritas District of Columbia accepts paper and electronic claims. Plan providers and practitioners are encouraged to submit claims electronically for faster turn-around.
Billing information and how to get paid
Electronic funds transfer (EFT) and electronic remittance advice (ERA)