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Remittance Enrollment Guide for MEDICAID TX

MEDICAID TX (758)

What is a Remittance?

A remittance, or Electronic Remittance Advice (ERA), is a digital explanation of payments and adjustments sent from a health plan to a provider after a claim is processed. It details what was paid, denied, or adjusted, and why. Remittances are essential for reconciling payments and understanding claim outcomes.

Why Choose Electronic Remittance?

  • Faster Payments: Receive payment details instantly, without waiting for paper mail.
  • Fewer Errors: Reduce manual data entry and avoid lost or misfiled paper EOBs.
  • Easier Reconciliation: Quickly match payments to claims in your billing system.
  • Better Security: Electronic delivery is more secure and private than paper mail.
  • Eco-Friendly: Cut down on paper waste and storage needs.

Tip: Most providers find that switching to electronic remittance improves office workflow and speeds up revenue cycle management.

Remittance Delivery: Delivery pathway is going to vary and will require clearinghouse level enrollment, please contact us for help if you have trouble getting it working!
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Enrollment Instructions:
An agreement must be completed for every billing TPI number that wants to receive ERAs.  The Availity Production User ID (Submitter ID) is 146206501.  The submitter ID will go in the Use Production User ID field.  If providers are already getting ERAs through another submitter ID and want to switch to Availity, then mark CHANGE Production User ID on the form and include the submitter IDs that were previously registered.  If this is the first time registering for ERAs then check Set up INITIALLY and include 146206501.
Enrollment Form:  http://www.tmhp.com/Provider_Forms/EDI/TMHP%20ERA%20Agreement.pdf
Additional Instructions:
86916_MEDICAID TEXAS_835.042022.pdf
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