Coverage profile
How Substrate can help you with ProCare Advantage
Substrate can help practices and billers with the following claims tasks for ProCare Advantage.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with ProCare Advantage.
Frequently asked questions
ProCare Advantage payer FAQs
What is the payer ID for ProCare Advantage?
The primary payer ID for ProCare Advantage is PTX01. 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 ProCare Advantage?
The 837P and 837I payer ID for ProCare Advantage is PTX01 via Stedi.
What is the 835 payer ID for ProCare Advantage?
The 835 payer ID for ProCare Advantage is PTX01 via Stedi.
What is the 270 payer ID for ProCare Advantage?
The 270 payer ID for ProCare Advantage is PTX01 via Stedi.
What state does ProCare Advantage operate in?
ProCare Advantage operates in TX.
Routing reference
ProCare Advantage 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 | ProCare Advantage |
|---|---|
| Operating states | TX |
| 837P professional claims payer IDStedi | PTX01 |
| 837I institutional claims payer IDStedi | PTX01 |
| 835 ERA payer IDStedi | PTX01Enrollment required |
| 270 eligibility payer IDStedi | PTX01 |
Other aliases
Also known as
- 15536
- 3066
- 8468
- PTX01
- Cantex Continuing Care Network
- ProCare Texas
