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Medicaid Texas - Acute

Medicaid Texas - Acute

This page contains information you can use to exchange healthcare transactions with Medicaid Texas - Acute using Stedi.
Use any of the following payer IDs to send transactions to Medicaid Texas - Acute using Stedi APIs or SFTP. Read the docs
Primary Payer ID
86916
Stedi Payer ID
MHBFC
Payer ID aliases
00350, 1470, 617591011C21P, 617591011C21T, 86916, CKTX1, ELOGE
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Medicaid Texas - Acute using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Medicaid Texas - Acute.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Medicaid Texas - Acute 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 Medicaid Texas - Acute in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Medicaid Texas - Acute and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Medicaid Texas - Acute and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medicaid Texas - Acute to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Medicaid Texas - Acute and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medicaid Texas - Acute.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medicaid Texas - Acute and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medicaid Texas - Acute today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Children with Special Healthcare Needs (CSHCN)
  • Medicaid Texas Health Steps
  • TMHP(Acute)
  • TMHP/Texas Medicaid & Health Partnership (Acute)
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