Fringe Benefit Group
dentalmedical
Summary
Fringe Benefit Group is a dental and medical payer operating in Texas. Claims route under payer ID 45289, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
45289Also seen as 11013, 23243, 6230, 8810, LNSTR, QERJV- Also known as
- FBG, Fringe Benefit Group Inc., Lone Star Medical Group, Lone Star TPA
- 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 |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Fringe Benefit Group?
- The payer ID for Fringe Benefit Group is 45289. Alternate IDs seen across clearinghouses include 11013, 23243, 6230, 8810.
- Does Fringe Benefit Group require ERA enrollment?
- Yes. Fringe Benefit Group requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Fringe Benefit Group cover?
- Fringe Benefit Group operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Fringe Benefit Group offer?
- Fringe Benefit Group covers dental and medical.
- Can I submit claims to Fringe Benefit Group electronically?
- Yes. Fringe Benefit Group is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.