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Prominence Medicare Advantage (Texas)

Prominence Medicare Advantage (TX)

The provider portal for Prominence Medicare Advantage (Texas) is https://apps.availity.com/

Primary payer ID
80095Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Not enough dataEDI 276/277EDI 270/271Browser automation

Is your practice experiencing high volumes of no response claims or denials from Prominence Medicare Advantage (Texas)? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Prominence Medicare Advantage (Texas)

Substrate can help practices and billers with the following claims tasks for Prominence Medicare Advantage (Texas).

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Prominence Medicare Advantage (Texas).

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Prominence Medicare Advantage (Texas).

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Prominence Medicare Advantage (Texas).

Available

Frequently asked questions

Prominence Medicare Advantage (Texas) payer FAQs

How do I check claim status with Prominence Medicare Advantage (Texas)?

Providers check Prominence Medicare Advantage (Texas) via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Prominence Medicare Advantage (Texas)?

The primary payer ID for Prominence Medicare Advantage (Texas) is 80095. 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 Prominence Medicare Advantage (Texas)?

The provider portal for Prominence Medicare Advantage (Texas) is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for Prominence Medicare Advantage (Texas)?

The 837P and 837I payer ID for Prominence Medicare Advantage (Texas) is 80095 via Stedi.

What is the 835 payer ID for Prominence Medicare Advantage (Texas)?

The 835 payer ID for Prominence Medicare Advantage (Texas) is 80095 via Stedi.

What is the 270 payer ID for Prominence Medicare Advantage (Texas)?

The 270 payer IDs for Prominence Medicare Advantage (Texas) are 80095 via Stedi and 11199 via Availity.

What is the 276 payer ID for Prominence Medicare Advantage (Texas)?

The 276 payer IDs for Prominence Medicare Advantage (Texas) are 80095 via Stedi and 11199 via Availity.

What state does Prominence Medicare Advantage (Texas) operate in?

Prominence Medicare Advantage (Texas) operates in TX.

Resource library

Routing reference

Prominence Medicare Advantage (Texas) 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.

Prominence Medicare Advantage (Texas) payer name, operating states, and transaction-specific payer IDs
Payer nameProminence Medicare Advantage (Texas)
Operating statesTX
837P professional claims payer IDStedi80095
837I institutional claims payer IDStedi80095
835 ERA payer IDStedi80095Enrollment required
270 eligibility payer IDStedi80095
270 eligibility payer IDAvaility11199
276 claim status payer IDStedi80095
276 claim status payer IDAvaility11199

Other aliases

Also known as

  • 11199
  • 7219
  • 80095
  • 8636
  • STMRHT
  • Prominence Health
  • PROMINENCE HEALTH PLAN TEXAS
  • PROMINENCE HEALTH PLAN OF TEXAS