What is the payer ID for Medicare Texas Part B?

The payer ID for Medicare Texas Part B is 04412. Alternate IDs seen across clearinghouses include 1440, SMTX0, TXMCR.

How long does Medicare Texas Part B provider enrollment take?

Medicare Texas Part B provider enrollment typically takes 45-65 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Medicare Texas Part B require CAQH?

No. Medicare Texas Part B does not use CAQH. Applications go through its own enrollment process.

Does Medicare Texas Part B require ERA enrollment?

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

What states does Medicare Texas Part B cover?

Medicare Texas Part B operates in JH: AZ, CO, LA, MS, NM, OK, TX | JL: DC, DE, MD, NJ, PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Medicare Texas Part B

Part of Novitas Solutions, Inc.

Government programdentalmedical

Typical enrollment turnaround

45-65 days

Summary

Medicare Texas Part B is a government program, administered by Novitas Solutions, Inc., offering dental and medical coverage operating in 12 states. Claims route under payer ID 04412, with 3 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-65 days, with applications through Novitas Solutions Portal, and CAQH is not used. Through clearinghouses it supports eligibility checks, professional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID: 04412Also seen as 1440, SMTX0, TXMCR
Also known as: Novitas - Texas
Uses CAQH: NoApplication route: Payer's own application
Service area: JH: AZ, CO, LA, MS, NM, OK, TX | JL: DC, DE, MD, NJ, PA

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)	Required	Same day
Professional claims (837P)	Required	Several weeks
ERA / remittance (835)	Required	Several weeks

Common questions

What is the payer ID for Medicare Texas Part B?: The payer ID for Medicare Texas Part B is 04412. Alternate IDs seen across clearinghouses include 1440, SMTX0, TXMCR.
How long does Medicare Texas Part B provider enrollment take?: Medicare Texas Part B provider enrollment typically takes 45-65 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Medicare Texas Part B require CAQH?: No. Medicare Texas Part B does not use CAQH. Applications go through its own enrollment process.
Does Medicare Texas Part B require ERA enrollment?: Yes. Medicare Texas Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare Texas Part B cover?: Medicare Texas Part B operates in JH: AZ, CO, LA, MS, NM, OK, TX | JL: DC, DE, MD, NJ, PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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.