What is the Stedi payer ID for Medicare Texas Part B?

The Stedi payer ID for Medicare Texas Part B is TPTWE.

What is the primary payer ID for Medicare Texas Part B?

The primary payer ID for Medicare Texas Part B is 04412.

What payer IDs does Medicare Texas Part B use?

In addition to its primary payer ID 04412, Medicare Texas Part B uses several other payer IDs, including 04412, 1440, SMTX0, and TXMCR.

What transactions does Medicare Texas Part B support?

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

What transaction types require transaction enrollment with Medicare Texas Part B?

Medicare Texas Part B requires transaction enrollment for 270/271 eligibility checks, 837P professional claims, and 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 other names does Medicare Texas Part B go by?

Medicare Texas Part B is also known as Novitas - Texas.

All payers

PAYER

Medicare Texas Part B

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

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

Primary Payer ID

04412

Stedi Payer ID

TPTWE

Payer ID aliases

04412, 1440, SMTX0, TXMCR

Coverage types

Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare Texas Part B 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 Medicare Texas Part B.

Enrollment process type

One-click

Activation timeframe

Hours

Not supported

Coordination of benefits checks

(COB)

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

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to Medicare Texas Part B and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Medicare Texas Part B and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare Texas Part B to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to Medicare Texas Part B and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare Texas Part B.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Medicare Texas Part B today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Novitas - Texas

Payer Network

All payers

PAYER

Medicare Texas Part B

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

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

Primary Payer ID

04412

Stedi Payer ID

TPTWE

Payer ID aliases

04412, 1440, SMTX0, TXMCR

Coverage types

Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare Texas Part B 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 Medicare Texas Part B.

Enrollment process type

One-click

Activation timeframe

Hours

Not supported

Coordination of benefits checks

(COB)

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

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to Medicare Texas Part B and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Medicare Texas Part B and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare Texas Part B to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to Medicare Texas Part B and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare Texas Part B.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Medicare Texas Part B today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Novitas - Texas