Texas payer intelligence
Texas Payer Directory
12 payers. Search names, enrollment and credentialing terms, provider types, portals and documentation.
12 results
| Payer | Type | Submission | Status | Last verified |
|---|---|---|---|---|
| Novitas Solutions (Jurisdiction H) Medicare Part B | Medicare | Electronic, Portal-based | VerifiedRecently updated | Sep 29, 2026 |
| Blue Cross and Blue Shield of Texas (BCBSTX) Commercial / PPO / HMO | Commercial, Medicare | Portal-based | VerifiedRecently updated | Sep 29, 2026 |
| Texas Medicaid (TMHP / PEMS) Medicaid (State Fee-For-Service) | Medicaid | Electronic, Portal-based | VerifiedRecently updated | Sep 29, 2026 |
| Superior HealthPlan (Centene) Medicaid MCO / STAR / CHIP | MCO, Medicaid | Portal-based | VerifiedRecently updated | Sep 29, 2026 |
| Aetna (CVS Health) Commercial / Medicare Advantage | Commercial, Medicare | Not yet verified | Needs reviewRecently updated | Not yet verified |
| UnitedHealthcare Commercial / Medicare Advantage / Medicaid | Commercial, Medicare, MCO | Not yet verified | Needs reviewRecently updated | Not yet verified |
| Cigna Healthcare Commercial | Commercial | Not yet verified | Needs reviewRecently updated | Not yet verified |
| Humana Medicare Advantage | Medicare | Not yet verified | Needs reviewRecently updated | Not yet verified |
| Molina Healthcare of Texas Medicaid / Marketplace | MCO, Medicaid | Not yet verified | Needs reviewRecently updated | Not yet verified |
| Wellpoint Texas (formerly Amerigroup) Medicaid / Medicare Advantage | MCO, Medicaid, Medicare | Not yet verified | Needs reviewRecently updated | Not yet verified |
| Texas Children's Health Plan Medicaid / CHIP | MCO, Medicaid | Not yet verified | Needs reviewRecently updated | Not yet verified |
| Community Health Choice Medicaid / Marketplace | MCO, Medicaid | Not yet verified | Needs reviewRecently updated | Not yet verified |
- Novitas Solutions (Jurisdiction H)
Medicare Part B
VerifiedRecently updated - Blue Cross and Blue Shield of Texas (BCBSTX)
Commercial / PPO / HMO
VerifiedRecently updated - Texas Medicaid (TMHP / PEMS)
Medicaid (State Fee-For-Service)
VerifiedRecently updated - Superior HealthPlan (Centene)
Medicaid MCO / STAR / CHIP
VerifiedRecently updated - Aetna (CVS Health)
Commercial / Medicare Advantage
Needs reviewRecently updated - UnitedHealthcare
Commercial / Medicare Advantage / Medicaid
Needs reviewRecently updated - Cigna Healthcare
Commercial
Needs reviewRecently updated - Humana
Medicare Advantage
Needs reviewRecently updated - Molina Healthcare of Texas
Medicaid / Marketplace
Needs reviewRecently updated - Wellpoint Texas (formerly Amerigroup)
Medicaid / Medicare Advantage
Needs reviewRecently updated - Texas Children's Health Plan
Medicaid / CHIP
Needs reviewRecently updated - Community Health Choice
Medicaid / Marketplace
Needs reviewRecently updated
ElaraNav provides informational and operational guidance based on available payer documentation and verified field intelligence. Payer requirements can change. Users should confirm requirements with the applicable payer or official source before submission.