ProCare Advantage

Summary

ProCare Advantage is a medical payer operating in Texas. Claims route under payer ID PTX01, with 3 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

PTX01Also seen as 15536, 3066, 8468

Also known as

Cantex Continuing Care Network, ProCare Texas

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 ProCare Advantage?

The payer ID for ProCare Advantage is PTX01. Alternate IDs seen across clearinghouses include 15536, 3066, 8468.

Does ProCare Advantage require ERA enrollment?

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

What states does ProCare Advantage cover?

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

What types of coverage does ProCare Advantage offer?

ProCare Advantage covers medical.

Can I submit claims to ProCare Advantage electronically?

Yes. ProCare Advantage is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).