FirstCare Health Plans
Part of Baylor Scott & White Health
Summary
FirstCare Health Plans is a regional health plan, part of Baylor Scott & White Health, offering dental and medical coverage operating in Texas. Claims route under payer ID 10870, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BSW Health Plan Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
10870Also seen as 1995, 7435, 94999, FRTCR, TH003- Also known as
- Baylor Scott & White Health, FirstCare, FirstCare Medicaid
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- TX
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for FirstCare Health Plans?
- The payer ID for FirstCare Health Plans is 10870. Alternate IDs seen across clearinghouses include 1995, 7435, 94999, FRTCR.
- How long does FirstCare Health Plans provider enrollment take?
- FirstCare Health Plans provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does FirstCare Health Plans require CAQH?
- Yes. FirstCare Health Plans uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does FirstCare Health Plans require ERA enrollment?
- Yes. FirstCare Health Plans requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does FirstCare Health Plans cover?
- FirstCare Health Plans operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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.