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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.

Paper claims

AmeriHealth Caritas District of Columbia/Medicaid
Attn: Claims Processing Department
P.O. Box 7342
London, KY 40742
or                 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)