Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Enrollment required |
| 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) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
11208 - Payer ID
12K96 - Payer ID
2904 - Payer ID
617591011CMSP - Payer ID
617591011CMST - Payer ID
617591011LTCPP - Payer ID
8202 - Payer ID
SKTX1 - Also listed as Medicaid Texas (LTC)
- Also listed as TMHP (LTC)
- Also listed as TMHP/Texas Medicaid & Health Partnership (LTC)
Coverage states
Texas.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow and follow-up
- Send professional claims as 837P now; complete payer enrollment before submitting 837I claims, checking eligibility, or requesting ERA.
- Until enrollment is complete, use your established payer-approved process for eligibility and benefits rather than expecting a 270/271 response.
- If an ERA is missing, verify enrollment first; EFT and combined ERA plus EFT are not available, so plan payment posting separately.
- Use your established non-electronic workflow for claim status, dental claims, coordination of benefits, and attachments.
Common questions
Can I submit professional claims electronically to this payer?
Yes. Professional claims using 837P are available in Hero EMR without prior payer enrollment.
Are institutional claims and eligibility checks supported?
Yes, but both require completion of payer enrollment before use. Institutional claims use 837I, and eligibility and benefits use 270/271.
How can I receive an ERA, and does it include EFT?
ERA (835) is supported after payer enrollment. EFT and a combined ERA plus EFT service are not supported, so electronic remittance does not provide funds transfer through this profile.
Can I check claim status or send attachments electronically?
No. Claim status (276/277) and attachments (275) are unavailable, as are dental claims (837D) and coordination of benefits (271).
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
See a demo