RightCare

Summary

RightCare is a regional health plan, part of Baylor Scott & White Health, offering medical coverage operating in Texas. Claims route under payer ID 74205, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BSW Health Plan Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

74205Also seen as 4678, 6182

Also known as

Baylor Scott & White Health, Right Care from Scott and White, RightCare from Scott and White Healthplan, Scott and White Health Plan

Uses CAQH

YesApplication route: Payer portal application

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 RightCare?

The payer ID for RightCare is 74205. Alternate IDs seen across clearinghouses include 4678, 6182.

How long does RightCare provider enrollment take?

RightCare provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does RightCare require CAQH?

Yes. RightCare uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does RightCare require ERA enrollment?

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

What states does RightCare cover?

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

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