P
Payer Directory
Provider Partners Health Plan of Texas: payer ID and claims support
Provider Partners Health Plan of Texas uses payer ID 31405. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
31405Provider Partners Health Plan of Texas at a glance
What billers need before running a check.
Payer ID
31405Also known as 7023, 9407
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
Texas
Payer website
www.pphealthplan.comSupported transactions
What can be exchanged electronically with Provider Partners Health Plan of Texas today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | NOT AVAILABLE |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | SUPPORTED |
Institutional claims (837I) Facility claims | SUPPORTED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Frequently asked questions
What is the payer ID for Provider Partners Health Plan of Texas?+–
Provider Partners Health Plan of Texas uses payer ID 31405. It also appears as 7023, 9407 in some systems.
Does Provider Partners Health Plan of Texas support real-time eligibility verification?+–
Not electronically today. Coverage for Provider Partners Health Plan of Texas has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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