Dear Provider Partners,

AmeriHealth Caritas Ohio is pleased to announce added functionality for network providers to submit electronic attachments (275 transactions) to support a medical claim via Change Healthcare, our electronic data interchange (EDI) clearinghouse, effective 8/1/23.


This functionality expands the options for providers to provide supplemental documents providing additional patient medical information that cannot be accommodated within the ANSI ASC X12, 837 claim format.


AmeriHealth Caritas Ohio providers will submit 275 transactions using:


Payer name: AmeriHealth Caritas Ohio
Payer ID: 35374


In addition, the following 275 claims attachment report codes have been added effective 8/1. When submitting an attachment, use the applicable code in field number 19 of the CMS 1500 or field number 80 of the UB04, as documented in the Claims Filing Instructions PDF located on the AmeriHealth Caritas Ohio website.


View the Change Healthcare 275 claims attachment transaction video for detailed instructions on this new process.


If you need other assistance, please feel free to reach out to AmeriHealth Caritas Ohio's Provider Services at 1-833-644-6001, and as always, you can reach out to your local account executive.
Thank you again for allowing us to serve you.
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