Protecting our enrollees’ todays, and their tomorrows, together.
Claims submission alert:
Please note that there are two separate plans offered by AmeriHealth Caritas North Carolina, Inc.:
- For AmeriHealth Caritas Next QHP claims, please use EDI payer ID number 83148.
- For AmeriHealth Caritas North Carolina Medicaid claims, please use EDI payer ID number 81671.
Please see the complete notice (PDF) for more information. Improper claim submissions could result in payment delays.
AmeriHealth Caritas Next is excited to help you deliver high-quality care to our enrollees. Thank you for choosing us!
When you work with us, you benefit from years of valuable health care experience, knowledge, and a provider service team whose job is to make yours easier.
If you have any questions, call AmeriHealth Caritas Next Provider Services at 1-855-266-0219. Access information to help you do what you do best, including:
- Join our provider network.
Learn how you can join our dedicated network of providers.
- Find a provider, pharmacy, or drug.
Use our directories and other online tools to find providers and pharmacies in our network, as well as drugs in our formulary.
- Learn about claims, billing, and payment.
Find resources you need to help manage your submission of claims and receipt of payments.
- Access information on prior authorizations.
Get tools and support for submitting prior authorization requests.
- Get forms and documents.
Discover reference materials to help you when caring for our enrollees.
- Access tools and services.
Get access to online tools like NaviNet and Jiva.
- Report fraud, waste, and abuse.
Learn how you can help AmeriHealth Caritas Next monitor and report fraud, waste, and abuse.