Coverage profile
How Substrate can help you with Medicaid Texas - Acute
Substrate can help practices and billers with the following claims tasks for Medicaid Texas - Acute.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Texas - Acute.
Frequently asked questions
Medicaid Texas - Acute payer FAQs
What is the payer ID for Medicaid Texas - Acute?
The primary payer ID for Medicaid Texas - Acute is 86916. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Medicaid Texas - Acute?
The 837P and 837I payer ID for Medicaid Texas - Acute is 86916 via Stedi.
What is the 835 payer ID for Medicaid Texas - Acute?
The 835 payer ID for Medicaid Texas - Acute is 86916 via Stedi.
What is the 270 payer ID for Medicaid Texas - Acute?
The 270 payer IDs for Medicaid Texas - Acute are 86916 via Stedi and 00350 and 10186 via Availity.
What is the 276 payer ID for Medicaid Texas - Acute?
The 276 payer ID for Medicaid Texas - Acute is 10186 via Availity.
What state does Medicaid Texas - Acute operate in?
Medicaid Texas - Acute operates in TX.
Routing reference
Medicaid Texas - Acute payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Medicaid Texas - AcuteSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | TXSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 86916Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 86916Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 86916Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 86916Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 0035010186Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDAvaility | 10186Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicaid Texas - Acute. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched records: MEDICAID TEXAS, MEDICAID TEXAS AND TEXAS HEALTH STEPS. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 00350
- 1470
- 617591011C21P
- 617591011C21T
- 86916
- CKTX1
- ELOGE
- Children with Special Healthcare Needs (CSHCN)
- Medicaid Texas Health Steps
- TMHP(Acute)
- TMHP/Texas Medicaid & Health Partnership (Acute)
- MEDICAID TX
- MCAID_TX86
- MEDICAID TEXAS
- MEDICAID TEXAS AND TEXAS HEALTH STEPS
- MCAORIDUT0