Out-of-network Providers and Services | Providers – Amerigroup

Out-of-network Providers and Services

Out-of-network providers that have rendered services to Amerigroup Community Care members for emergency treatment, poststabilization care or any other services authorized by Amerigroup should seek payment for related claims as follows:

Amerigroup encourages the submission of claims electronically through electronic data interchange. Electronic claims must be submitted within 180 days of the date of service.

Electronic claims submission is available through:

  • Emdeon (formerly WebMD) – payer ID 27514
  • MedAvant (formerly ProxyMed) – payer ID 28804
  • Availity (formerly THIN) – payer ID 26375

Providers also have the option of submitting paper claims.  Amerigroup utilizes Optical Character Reading (OCR) technology as part of its front-end claims processing procedures. In order to use OCR technology, claims must be submitted on original UB-04 or CMS 1500 (08-05) claim forms (not black and white or photocopied forms) laser printed or typed (not handwritten) in a large dark font. Paper claims must be submitted within 180 days of the date of service and submitted to the following address:

Claims
Amerigroup Community Care
P.O. Box 61010
Virginia Beach, VA  23466-1010

Providers may call the automated Provider Inquiry Line at 1-800-454-3730 to check the status of submitted claims.