Coverage profile
How Substrate can help you with Medicare Texas Part A
Substrate can help practices and billers with the following claims tasks for Medicare Texas Part A.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Texas Part A.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medicare Texas Part A.
Frequently asked questions
Medicare Texas Part A payer FAQs
Can I automate Medicare Texas Part A portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Medicare Texas Part A?
The primary payer ID for Medicare Texas Part A is 04411. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Medicare Texas Part A?
The provider portal for Medicare Texas Part A is https://www.novitasphere.com. Available features depend on the payer and your account.
What is the 837I payer ID for Medicare Texas Part A?
The 837I payer ID for Medicare Texas Part A is 04411 via Stedi.
What is the 835 payer ID for Medicare Texas Part A?
The 835 payer ID for Medicare Texas Part A is 04411 via Stedi.
What is the 270 payer ID for Medicare Texas Part A?
The 270 payer ID for Medicare Texas Part A is 04411 via Stedi.
What state does Medicare Texas Part A operate in?
Medicare Texas Part A operates in TX.
Routing reference
Medicare Texas Part A 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 | Medicare Texas Part ASource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | TXSource: Substrate payer directory · last refreshed |
| 837I institutional claims payer IDStedi | 04411Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 04411Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 04411Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
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: Medicare Texas Part A. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Medicare Texas Part A phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Eligibility / benefits phone
- (800) 643-4845UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 643-4845 | Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor |
| Health Benefit Plan Coverage, Pharmacy |
| phone(800) 448-6262 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(866) 235-5660 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(888) 888-9355 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 04411
- IMTX0
- Novitas - Texas
- MEDICARE