What is the Stedi payer ID for Texas HealthSpring?

The Stedi payer ID for Texas HealthSpring is PDXDT.

What is the primary payer ID for Texas HealthSpring?

The primary payer ID for Texas HealthSpring is THS01.

What payer IDs does Texas HealthSpring use?

In addition to its primary payer ID THS01, Texas HealthSpring uses several other payer IDs, including THS01.

What transactions does Texas HealthSpring support?

Texas HealthSpring supports the following transactions: 837P professional claims and 837I institutional claims.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Texas HealthSpring supports COB checks through Stedi.

All payers

PAYER

Texas HealthSpring

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

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

Primary Payer ID

THS01

Stedi Payer ID

PDXDT

Payer ID aliases

THS01

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Texas HealthSpring 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 Texas HealthSpring.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Texas HealthSpring and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Texas HealthSpring and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Texas HealthSpring to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Texas HealthSpring and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Texas HealthSpring.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Texas HealthSpring today.

Payer Network

All payers

PAYER

Texas HealthSpring

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

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

Primary Payer ID

THS01

Stedi Payer ID

PDXDT

Payer ID aliases

THS01

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Texas HealthSpring 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 Texas HealthSpring.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Texas HealthSpring and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Texas HealthSpring and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Texas HealthSpring to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Texas HealthSpring and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Texas HealthSpring.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Texas HealthSpring today.