Also covers: Amerigroup Texas, Wellpoint, Wellpoint Texas Medicaid
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
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.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
Aethera's AR team works Wellpoint Texas (formerly Amerigroup Texas) every day — payer rules, appeals, and clean-claim submission, handled.
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