What is the Stedi payer ID for UnitedHealthcare Community Plan Texas?

The Stedi payer ID for UnitedHealthcare Community Plan Texas is KGNLA.

What is the primary payer ID for UnitedHealthcare Community Plan Texas?

The primary payer ID for UnitedHealthcare Community Plan Texas is TEX01.

What payer IDs does UnitedHealthcare Community Plan Texas use?

In addition to its primary payer ID TEX01, UnitedHealthcare Community Plan Texas uses several other payer IDs, including 6891 and TEX01.

What transactions does UnitedHealthcare Community Plan Texas support?

UnitedHealthcare Community Plan Texas supports the following transactions: 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with UnitedHealthcare Community Plan Texas?

UnitedHealthcare Community Plan Texas requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

All payers

PAYER

UnitedHealthcare Community Plan Texas

This page contains information you can use to exchange healthcare transactions with UnitedHealthcare Community Plan Texas using Stedi.

Use any of the following payer IDs to send transactions to UnitedHealthcare Community Plan Texas using Stedi APIs or SFTP. Read the docs

Primary Payer ID

TEX01

Stedi Payer ID

KGNLA

Payer ID aliases

6891, TEX01

Supported transactions

Use Stedi to exchange the following transactions with UnitedHealthcare Community Plan Texas using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Not supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to UnitedHealthcare Community Plan Texas.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to UnitedHealthcare Community Plan Texas to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to UnitedHealthcare Community Plan Texas in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to UnitedHealthcare Community Plan Texas and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to UnitedHealthcare Community Plan Texas and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from UnitedHealthcare Community Plan Texas to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to UnitedHealthcare Community Plan Texas and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to UnitedHealthcare Community Plan Texas.

Get started

Use Stedi's APIs to get fast and reliable connectivity to UnitedHealthcare Community Plan Texas and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and UnitedHealthcare Community Plan Texas today.

Payer Network

All payers

PAYER

UnitedHealthcare Community Plan Texas

This page contains information you can use to exchange healthcare transactions with UnitedHealthcare Community Plan Texas using Stedi.

Use any of the following payer IDs to send transactions to UnitedHealthcare Community Plan Texas using Stedi APIs or SFTP. Read the docs

Primary Payer ID

TEX01

Stedi Payer ID

KGNLA

Payer ID aliases

6891, TEX01

Supported transactions

Use Stedi to exchange the following transactions with UnitedHealthcare Community Plan Texas using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Not supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to UnitedHealthcare Community Plan Texas.

Not supported

Coordination of benefits checks

(COB)

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to UnitedHealthcare Community Plan Texas in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to UnitedHealthcare Community Plan Texas and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to UnitedHealthcare Community Plan Texas and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from UnitedHealthcare Community Plan Texas to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to UnitedHealthcare Community Plan Texas and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to UnitedHealthcare Community Plan Texas.

Get started

Use Stedi's APIs to get fast and reliable connectivity to UnitedHealthcare Community Plan Texas and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and UnitedHealthcare Community Plan Texas today.