What is the Stedi payer ID for Prominence Health Plan of Texas?

The Stedi payer ID for Prominence Health Plan of Texas is XYTHJ.

What is the primary payer ID for Prominence Health Plan of Texas?

The primary payer ID for Prominence Health Plan of Texas is 80095.

What payer IDs does Prominence Health Plan of Texas use?

In addition to its primary payer ID 80095, Prominence Health Plan of Texas uses several other payer IDs, including 11199, 7219, 80095, 8636, and STMRHT.

What transactions does Prominence Health Plan of Texas support?

Prominence Health Plan of Texas supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837D dental claims, 837I institutional claims, 275 claim attachments, and 276/277 real-time claim status.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Prominence Health Plan of Texas supports COB checks through Stedi.

All payers

PAYER

Prominence Health Plan of Texas

This page contains information you can use to exchange healthcare transactions with Prominence Health Plan of Texas using Stedi.

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

Primary Payer ID

80095

Stedi Payer ID

XYTHJ

Payer ID aliases

11199, 7219, 80095, 8636, STMRHT

Coverage types

Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Prominence Health Plan of 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 Prominence Health Plan of Texas.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Prominence Health Plan of Texas to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Prominence Health Plan of Texas in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Prominence Health Plan of Texas and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prominence Health Plan of Texas and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prominence Health Plan of Texas to review full payment details.

Supported

Dental claims

(837D)

Submit dental claims to Prominence Health Plan of Texas and receive 277 claim acknowledgments asynchronously.

Supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prominence Health Plan of Texas.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Prominence Health Plan of Texas today.

Payer Network

All payers

PAYER

Prominence Health Plan of Texas

This page contains information you can use to exchange healthcare transactions with Prominence Health Plan of Texas using Stedi.

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

Primary Payer ID

80095

Stedi Payer ID

XYTHJ

Payer ID aliases

11199, 7219, 80095, 8636, STMRHT

Coverage types

Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Prominence Health Plan of 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 Prominence Health Plan of Texas.

Not supported

Coordination of benefits checks

(COB)

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Prominence Health Plan of Texas in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Prominence Health Plan of Texas and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prominence Health Plan of Texas and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prominence Health Plan of Texas to review full payment details.

Supported

Dental claims

(837D)

Submit dental claims to Prominence Health Plan of Texas and receive 277 claim acknowledgments asynchronously.

Supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prominence Health Plan of Texas.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Prominence Health Plan of Texas today.