FirstCare

Summary

FirstCare is a dental and medical payer operating in Texas. Claims route under payer ID 94998, with 2 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

94998Also seen as 1656, 5854

Also known as

FirstCare Star Medicaid

Service area

TX

Clearinghouse transaction setup

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

Common questions

What is the payer ID for FirstCare?

The payer ID for FirstCare is 94998. Alternate IDs seen across clearinghouses include 1656, 5854.

Does FirstCare require ERA enrollment?

Yes. FirstCare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does FirstCare cover?

FirstCare operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does FirstCare offer?

FirstCare covers dental and medical.

Can I submit claims to FirstCare electronically?

Yes. FirstCare 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).