Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
11199 - Payer ID
7219 - Payer ID
8636 - Payer ID
STMRHT - Also listed as Prominence Health
Coverage states
Texas.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow guidance
- Submit 837P, 837I, or 837D claims as appropriate, and use 275 for supporting attachments.
- Run 270/271 eligibility and benefits checks, but use a separate process for coordination-of-benefits information because that 271 transaction is unavailable.
- Use 276/277 to check claim status electronically after submission.
- Complete payer enrollment before setting up EFT or ERA; until then, use your existing payment-posting process.
- If you need combined ERA and EFT, plan separate EFT and ERA workflows instead; the combined transaction is not supported.
Common questions
Which electronic claim types can I send to this payer?
You can send professional 837P, institutional 837I, and dental 837D claims electronically. Supporting attachments are available through 275.
Can I verify eligibility and check claim status electronically?
Yes. Eligibility and benefits use 270/271, and claim status uses 276/277; the coordination-of-benefits 271 transaction is not supported.
Do I need payer enrollment for EFT and ERA?
Yes. EFT and ERA are supported after the practice completes payer enrollment, so they are not available in the electronic workflow until enrollment is complete.
Does this payer support combined ERA and EFT?
No, the combined ERA and EFT transaction is not supported. EFT and ERA remain available as separate transactions after payer enrollment.
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