Updated September 1, 2026
Verify AmeriHealth Caritas Ohio eligibility in real time.
AmeriHealth Caritas Ohio supports electronic real-time eligibility. Send the check to payer ID 35374 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: AmeriHealth Caritas Ohio Medicaid (Radiology Only) · AmeriHealth Caritas Ohio Medicaid MCE · AmeriHealth Caritas Ohio Medicaid Managed Care Entity · Ohio Medicaid (AmeriHealth)
Seconds
The same AmeriHealth Caritas Ohio check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
5 billing names
AmeriHealth Caritas Ohio shows up on cards under 5 names. Every one routes to payer ID 35374, and so do 6 older payer IDs still printed on cards. No guessing which card this is.
11 AmeriHealth plans
verify in real time through Valian. One setup covers the whole AmeriHealth family, AmeriHealth Caritas Ohio included.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying AmeriHealth Caritas Ohio by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 35374, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a AmeriHealth Caritas Ohio eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where AmeriHealth Caritas Ohio reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID 35374
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, AmeriHealth Caritas Ohio included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What AmeriHealth Caritas OH supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically a few weeks
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
AmeriHealth Caritas Ohio · AmeriHealth Caritas Ohio Medicaid (Radiology Only) · AmeriHealth Caritas Ohio Medicaid MCE · AmeriHealth Caritas Ohio Medicaid Managed Care Entity · Ohio Medicaid (AmeriHealth). Older cards may show payer ID 14380, 7045, 84243, 842435374 and 9428. All of them route to payer ID 35374.
Payer site: www.amerihealthcaritasoh.com
How to verify AmeriHealth Caritas Ohio, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 35374.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
AmeriHealth Caritas Ohio runs Medicaid plans across Ohio. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.
AmeriHealth Caritas Ohio, for your front desk
Phone numbers and portal, from AmeriHealth Caritas Ohio's own provider pages.
- Provider customer service
- 833-644-6001
- Provider email
- ohioproviderservices@amerihealthcaritasoh.com
- Provider portal
- NaviNet
Source: AmeriHealth Caritas Ohio, claims billing page and provider page. Checked September 19, 2026.
AmeriHealth Caritas Ohio, quick answers
Does AmeriHealth Caritas Ohio support real-time eligibility?
Yes. Eligibility checks to AmeriHealth Caritas Ohio clear electronically in seconds through payer ID 35374.
What payer ID do I use for AmeriHealth Caritas Ohio?
35374 for eligibility transactions. The same payer also appears on cards as AmeriHealth Caritas Ohio Medicaid (Radiology Only), AmeriHealth Caritas Ohio Medicaid MCE, AmeriHealth Caritas Ohio Medicaid Managed Care Entity.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does AmeriHealth Caritas Ohio require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which AmeriHealth Caritas Ohio plans does this cover?
AmeriHealth Caritas Ohio runs Medicaid plans in Ohio. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get AmeriHealth Caritas Ohio remittances electronically?
Yes. AmeriHealth Caritas Ohio sends electronic remittance advice (835) after a multi-step enrollment, typically a few weeks.
What if the patient's card shows a different AmeriHealth name?
Alternate billing names route to the same payer ID, 35374. The same check covers them.
More questions about verifying AmeriHealth Caritas Ohio? Schedule 15 minutes with us and bring your toughest plan.
Check any AmeriHealth Caritas Ohio patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other Ohio dental payers
35 other payers operating in Ohio also verify in real time, 15 of them with Medicaid plans.
- Aetna Better Health Ohio50023
- Anthem Blue Cross and Blue Shield MyCare Ohio0022147
- Anthem Blue Cross Blue Shield (Ohio Medicaid)0002937
- Anthem Blue Cross Blue Shield Ohio00834
- Anthem Blue Cross Blue Shield Ohio - DentalAD332
- AultCare10472
- Buckeye Health Plan0004202
- CareSourceCRSCK
- CareSource Ohio Marketplace31114
Medicaid plans in Ohio: Aetna Better Health Ohio, Anthem Blue Cross and Blue Shield MyCare Ohio, Anthem Blue Cross Blue Shield (Ohio Medicaid), Anthem Blue Cross Blue Shield Ohio, Buckeye Health Plan, CareSource, and 9 more.
The AmeriHealth family in the network
11 AmeriHealth plans verify in real time through Valian.
- Verify AmeriHealth eligibility
- Verify AmeriHealth Administrators eligibility
- Verify AmeriHealth Caritas Delaware eligibility
- Verify AmeriHealth Caritas District of Columbia eligibility
- Verify AmeriHealth Caritas Louisiana eligibility
- Verify AmeriHealth Caritas New Hampshire eligibility
- Verify AmeriHealth Caritas North Carolina eligibility
- Verify AmeriHealth Caritas Northeast eligibility
- Verify AmeriHealth Caritas Pennsylvania eligibility
- Verify AmeriHealth NJ eligibility
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.