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Medicaid Texas (Long Term Care)

Medicaid Texas (Long Term Care)

This page contains information you can use to exchange healthcare transactions with Medicaid Texas (Long Term Care) using Stedi.
Use any of the following payer IDs to send transactions to Medicaid Texas (Long Term Care) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
SKTX2
Stedi Payer ID
RGZNL
Payer ID aliases
12K96, 2904, 617591011CMSP, 617591011CMST, 617591011LTCPP, 8202, SKTX1, SKTX2
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicaid Texas (Long Term Care) using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported, enrollment required

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Medicaid Texas (Long Term Care).
Enrollment process type
-
Activation timeframe
Weeks
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Medicaid Texas (Long Term Care) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medicaid Texas (Long Term Care) to review full payment details.
Enrollment process type
-
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to Medicaid Texas (Long Term Care) and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medicaid Texas (Long Term Care).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medicaid Texas (Long Term Care) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medicaid Texas (Long Term Care) 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.
  • Medicaid Texas (LTC)
  • TMHP (LTC)
  • TMHP/Texas Medicaid & Health Partnership (LTC)
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