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Wellpoint Texas (formerly Amerigroup Texas)

MedicaidNon-ParticipatingEDI Enrollment Required

Also covers / subsidiaries: Amerigroup Texas, Wellpoint, Wellpoint Texas Medicaid

Core Payer & Clearinghouse Profile

Electronic Payer ID

WLPNT

Amerigroup rebranded to Wellpoint eff. Jan 1, 2024; payer ID changed from legacy 26375 to WLPNT. 26375 reportedly still accepted during transition. (Texas)

Timely Filing Limit (TFL)

95 days from DOS (standard Texas Medicaid; some lines such as STAR+PLUS nursing-facility allow 365 days)

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse Gateway

Availity (payer ID WLPNT)

Provider Services

833-731-2143

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Varies — confirm via portal / clearinghouse

Provider Portal

https://provider.wellpoint.com/texas-provider/home

Texas Medicaid managed-care plan — Amerigroup TX rebranded to Wellpoint (eff. Jan 1, 2024). 'Amerigroup' and 26375 are legacy.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Wellpoint Texas (formerly Amerigroup Texas).

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Wellpoint Texas (formerly Amerigroup Texas).

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Amerigroup/WellpointWLPNTNon-ParRequired
837P837I835 ERA
Amerigroup/Wellpoint ArizonaWLPNTNon-ParNone
837P837I835 ERA
Amerigroup/Wellpoint IowaWLPNTNon-ParNone
837P837I835 ERA
Amerigroup/Wellpoint New JerseyWLPNTNon-ParNone
837P837I835 ERA
Amerigroup/Wellpoint TennesseeWLPNTNon-ParNone
837P837I835 ERA
Amerigroup/Wellpoint TexasWLPNTNon-ParNone
837P837I835 ERA

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing Wellpoint Texas (formerly Amerigroup Texas) Denials & Delayed Payments?

Aethera's billing specialists work Wellpoint Texas (formerly Amerigroup Texas) every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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