What is the payer ID for Provider Partners Health Plan of Texas?

The payer ID for Provider Partners Health Plan of Texas is 31405. Alternate IDs seen across clearinghouses include 7023, 9407.

Does Provider Partners Health Plan of Texas require ERA enrollment?

Yes. Provider Partners Health Plan of Texas requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Provider Partners Health Plan of Texas cover?

Provider Partners Health Plan of Texas operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Provider Partners Health Plan of Texas offer?

Provider Partners Health Plan of Texas covers medical.

Provider Partners Health Plan of Texas

medical

Summary

Provider Partners Health Plan of Texas is a medical payer operating in Texas. Claims route under payer ID 31405, with 2 alternate IDs in use across clearinghouses. 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: 31405Also seen as 7023, 9407
Also known as: Provider Partners Health Plans
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
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 Provider Partners Health Plan of Texas?: The payer ID for Provider Partners Health Plan of Texas is 31405. Alternate IDs seen across clearinghouses include 7023, 9407.
Does Provider Partners Health Plan of Texas require ERA enrollment?: Yes. Provider Partners Health Plan of Texas requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Provider Partners Health Plan of Texas cover?: Provider Partners Health Plan of Texas operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Provider Partners Health Plan of Texas offer?: Provider Partners Health Plan of Texas covers medical.
Can I submit claims to Provider Partners Health Plan of Texas electronically?: Yes. Provider Partners Health Plan of 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.