Electronic Data Interchange (EDI)

Amerigroup Community Care uses Availity* as its exclusive partner for managing all electronic data interchange (EDI) transactions. EDI, including electronic remittance advices (ERAs) and electronic funds transfers (EFTs), allows for a faster, more efficient and cost-effective way for providers and employers to do business.

EDI lets you: 

• Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction.
• Reduce overhead and administrative costs by eliminating paper claim submissions.
• Speed up enrollment and payment for employer groups benefits.
• Upload files through file transfer protocol (FTP) or directly in Availity as a batch or single claim submission.

For Amerigroup in Availity, you can complete the following HIPAA transactions: 

• 837 - Institutional Claims
• 837 - Professional Claims
• 837 - Dental Claims
• 835 - Electronic Remittance Advice
• 276/277 - Claim Status
• 270/271 - Eligibility Request
• 275 - Electronic Medical Attachments
• 278 - Prior Authorizations and Referrals

Payer ID

Payer IDs route EDI transactions to the appropriate payer.

Amerigroup Payer Name and ID: 

• Your Payer Name is Amerigroup.
• Your Payer ID is 26375
• Note: If you use a Billing Company or Clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use.