PCA Health Plans Texas
medical
Summary
PCA Health Plans Texas is a medical payer. Claims route under payer ID 95885. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
95885- Also known as
- PCA HealthPlans of Texas
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| 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 PCA Health Plans Texas?
- The payer ID for PCA Health Plans Texas is 95885.
- Does PCA Health Plans Texas require ERA enrollment?
- Yes. PCA Health Plans Texas requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does PCA Health Plans Texas offer?
- PCA Health Plans Texas covers medical.
- Can I submit claims to PCA Health Plans Texas electronically?
- Yes. PCA Health Plans Texas is reachable through clearinghouses for 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 Spot something out of date?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.