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Baylor Scott and White Health Plan

dentalmedicalvision

Summary

Baylor Scott and White Health Plan is a dental, medical, and vision payer operating in Texas. Claims route under payer ID 88030, with 11 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
88030Also seen as 00255, 00331, 10360, 2254, 49096, 7907 and 5 more
Also known as
Scott & White Health Plan, Scott and White Health Plan
Service area
TX

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)RequiredSeveral weeks
Institutional claims (837I)RequiredSeveral weeks
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Baylor Scott and White Health Plan?
The payer ID for Baylor Scott and White Health Plan is 88030. Alternate IDs seen across clearinghouses include 00255, 00331, 10360, 2254.
Does Baylor Scott and White Health Plan require ERA enrollment?
Yes. Baylor Scott and White Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Baylor Scott and White Health Plan cover?
Baylor Scott and White Health Plan operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Baylor Scott and White Health Plan offer?
Baylor Scott and White Health Plan covers dental, medical, and vision.
Can I submit claims to Baylor Scott and White Health Plan electronically?
Yes. Baylor Scott and White Health Plan is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.