Billing and Claims

AmeriHealth Caritas Louisiana can accept claim submissions via paper or electronically (EDI). For questions about claims submissions, call Provider Services at 1-888-922-0007.

Requests for reconsideration may be submitted through the NaviNet Electronic Claim Inquiry feature. For detailed information on electronic claim inquiry submission, please see the NaviNet Claims Investigation User Guide (PDF).

275 attachment claim transactions

AmeriHealth Caritas Louisiana is accepting ANSI 5010 ASC X12 275 claim attachment transactions (unsolicited) via  Availity. Please contact your Practice Management System Vendor or EDI clearinghouse to inform them that you wish to initiate electronic 275 claim attachment transaction submissions via payer ID: 27357.

A maximum of 10 attachments are allowed per submission. Each attachment cannot exceed 10 megabytes (MB) and total file size cannot exceed 100 MB.

There are two ways 275 claim attachments can be submitted:

The acceptable supported formats are pdf, tif, tiff, jpeg, jpg, png, docx, rtf, doc, and txt. 

After logging in, providers registered with Availity may access the Attachments — Training Demo for detailed instructions on the submission process via: Training Link [apps.availity.com].

The following 275 claim attachment transaction report codes must be used when submitting an attachment. Enter 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). 

Attachment Type Claim assignment attachment report code
Itemized Bill 03
Medical Records for HAC review M1
Single Case Agreement (SCA)/LOA 04
Advanced Beneficiary Notice (ABN) 05
Consent Form CK
Manufacturer Suggested Retail Price /Invoice 06
Electric Breast Pump Request Form 07
CME Checklist consent forms (Child Medical Eval) 08
EOBs – for 275 attachments should only be used for non-covered or exhausted benefit letter EB
Certification of the Decision to Terminate Pregnancy CT
Ambulance Trip Notes/ Run Sheet AM

Submit claims electronically via Change Healthcare

Change Healthcare uses a tool called ConnectCenter to improve claims management functionality. Providers who have a limited ability to submit claims through their hospital or project management system may now benefit from key features of the ConnectCenter tool. There is no cost to providers to use ConnectCenter.

Key features are:

  • Claims users do not need to choose between data entry of claims and upload of 837 files. All users may do both.
  • Secondary and tertiary claims can be submitted.
  • Institutional claims are supported.
  • Claims created online are fully validated in real-time so that providers can correct them immediately.
  • Whether providers upload their claims or create them online, the claim reports are integrated with the claim correction screen for ease in follow-up.
  • Dashboard and work list views enable providers to streamline their billing to-do list.
  • Remittance advice is automatically linked to provider's submitted claim, providing a comprehensive view of the status of their claim.

To register for ConnectCenter, visit ConnectCenter Sign Up Opens a new window. Use vendor code: 21462. If you need assistance, Change Healthcare customer support is available through online chat or by phone at 1-800-527-8133, option 2.

Electronic claims will need to be submitted to Change Healthcare using a 4-digit ConnectCenter payer identifier (CPID). The CPIDs for AmeriHealth Caritas Louisiana are:

Institutional claims: 4638

Professional claims: 6156

To learn how to navigate ConnectCenter visit the resources below.

User guides

Providers