Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
11196 - Payer ID
66001 - Payer ID
66002 - Payer ID
7299 - Payer ID
9624 - Also listed as Blue Cross Blue Shield Texas Medicaid STAR Children's Health Insurance Program
- Also listed as Blue Cross Blue Shield Texas Medicaid State of Texas Access Reform Children's Health Insurance Program
Coverage states
Texas.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow notes for this payer
- Use 270/271 before visits and 276/277 after submission to verify benefits and monitor claim status electronically.
- Send 837P for professional claims and 837I for institutional claims; use 275 when electronic attachments are required.
- Use the supported COB 271 transaction when coordination-of-benefits information is needed.
- Complete this payer's enrollment before requesting ERA 835; until enrollment is active, follow your practice's non-ERA remittance workflow.
- Do not plan on 837D claims, EFT, or combined ERA and EFT through this payer.
Common questions
Which claim types can I submit electronically to this payer?
You can submit professional claims through 837P and institutional claims through 837I. Dental claims through 837D are not available.
Can I check eligibility and claim status electronically?
Yes. Use 270/271 for eligibility and benefits, and 276/277 for claim status.
Does this payer support electronic attachments and coordination of benefits?
Yes. The supported transactions include attachments through 275 and coordination of benefits through 271.
Can I receive an ERA or EFT from this payer?
ERA 835 is supported after your practice completes this payer's enrollment process. EFT and combined ERA and EFT are not available.
Run this payer inside Hero EMR
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