Texas Medicaid (TMHP)
Also covers / subsidiaries: Texas Medicaid & Healthcare Partnership, TMHP, Texas Medicaid Fee-for-Service
Core Payer & Clearinghouse Profile
Electronic Payer ID
10125
No single canonical 837 payer ID for TMHP/Texas Medicaid FFS; claims go via TexMedConnect or a TMHP-approved clearinghouse using provider-specific Submitter/Receiver IDs. (Texas)
Timely Filing Limit (TFL)
95 days from each date of service (365 days for out-of-state providers)
Appeal Window
120 days from the disposition date on the R&S (Remittance & Status) Report
Clearinghouse Gateway
TMHP (TexMedConnect / TMHP EDI gateway)
Provider Services
800-925-9126
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.tmhp.com
Texas Medicaid FFS claims administrator. Acute-care FFS claims go through TMHP; managed-care claims must route to the member's assigned MCO.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Texas Medicaid (TMHP).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Texas Medicaid (TMHP).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Edic | J1289 | Non-Par | None | Workers Comp |
| Edic | WB021 | Non-Par | None | Workers Comp |
| Medica | 10125 | Non-Par | None | 837P837I270/271276/277Dental |
| Medica | 94265 | Non-Par | Required | 837P837I835 ERA |
| Texas Medicaid | 10186 | Non-Par | None | 837P837I270/271Dental |
| Texas Medicaid | TXMK0 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for Texas Medicaid (TMHP) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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