What is the Stedi payer ID for ProCare Texas?

The Stedi payer ID for ProCare Texas is PGKHC.

What is the primary payer ID for ProCare Texas?

The primary payer ID for ProCare Texas is PTX01.

What payer IDs does ProCare Texas use?

In addition to its primary payer ID PTX01, ProCare Texas uses several other payer IDs, including 3066, 8468, and PTX01.

What transactions does ProCare Texas support?

ProCare Texas supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with ProCare Texas?

ProCare 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.

What is a coordination of benefits (COB) check?

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

All payers

PAYER

ProCare Texas

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

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

Primary Payer ID

PTX01

Stedi Payer ID

PGKHC

Payer ID aliases

3066, 8468, PTX01

Coverage types

Medical

Supported transactions

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

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

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

Supported

Institutional claims

(837I)

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

Supported, enrollment required

Claim payments

(835 ERA)

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

Not supported

Dental claims

(837D)

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

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to ProCare Texas.

Get started

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

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

Payer Network

All payers

PAYER

ProCare Texas

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

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

Primary Payer ID

PTX01

Stedi Payer ID

PGKHC

Payer ID aliases

3066, 8468, PTX01

Coverage types

Medical

Supported transactions

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

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

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

Supported

Institutional claims

(837I)

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

Supported, enrollment required

Claim payments

(835 ERA)

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

Not supported

Dental claims

(837D)

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

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to ProCare Texas.

Get started

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

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