Resources
The below resources are available to help conduct EDI business successfully. For questions on Provider EDI Services, you can reference the frequently asked questions page.
Payer ID grids
AmeriHealth maintains multiple payer IDs to represent different product lines. The links below contain detailed inform professional and facility payer IDs.
• 2023 Professional claims payer IDs
• 2023 Facility claims payer IDs
• 2024 Professional claims payer IDs
• 2024 Facility claims payer IDs
Claim Resolution Matrix
The following document provides guidance on resolving claim rejections:
• Professional & Institutional
Companion guides
These documents provide guidelines for conducting EDI transactions with AmeriHealth and supplement the HIPAA–mandated 5010 ASC X12 Implementation Guides and addenda with clarifications and payer–specific usage and content requirements.
• AmeriHealth HIPAA Transaction Standard Companion Guide
• AmeriHealth Administrators HIPAA Transaction Standard Companion Guide
• SDS 270 Eligibility Inquiry Companion Guide
Sample transactions
De-identified EDI transaction samples that Trading Partners may conduct formatted with carriage returns for ease of review.
• 837P: health care claim professional
• 837I: health care claim institutional (facility)
• TA1: interchange acknowledgment
• 999: implementation acknowledgment for health care insurance
• 277CA: health care claim acknowledgment
• 835: health care Claim payment/advice
EFT/ERA resolution procedures
• If an EFT payment has not been received after 4 business days of receipt of the corresponding ERA/835 file, you can research it by contacting AmeriHealth through the Provider eBusiness Inquiry form:
• If an ERA/835 file has not been received after 4 business days of receipt of the corresponding EFT payment, you can research it by contacting SDS support at 855-297-4436.
System maintenance
• System Maintenance is performed every third Saturday from 9 p.m. to 2 a.m. ET
• QuickClaim update notifications
Privacy policy & end user agreement
• Smart Data Solutions privacy policy
• QuickClaim portal end–user agreement
Contact us
You can contact our support team Mon. – Fri., 8 a.m. – 5 p.m. ET at stream.support@sdata.us or 855-297-4436.
AmeriHealth, HMO, Inc., AmeriHealth Insurance Company of New Jersey, AmeriHealth Administrators, Inc. These portal pages are licensed to AmeriHealth for its exclusive use.