Claims

Claims Processing

Claims are processed as they are received. Claims must be submitted within 95 days from the date of service unless otherwise specified in a service agreement.

Electronic Claims: 

Payer ID: TCMAP

Clearinghouse: Trizetto

Group IDs

• MAP: 53210000
• MAP Basic: 53230000
• MAP Basic Dental Only: 53220000

Paper Claims Mailing Address:

Central Health
PO BOX 17337
Austin, TX
78760

If you are not contracted with the Travis County Healthcare District dba Central Health, please call Central Health Provider Relations at 512-978-8574 regarding claims.

Payment

For providers contracted with Central Health, use the following link to enroll with Electronic Fund Transfer (EFT): 

• EFT Form: Complete and submit to Central Health Finance at finance@centralhealth.net
• Electronic Remittance Advice (ERA): Enrollment set up via the provider’s clearinghouse and Curative

Check Status of Claims

Sendero: 

• Online: Provider | Portal (eixsys.com)
  
• Phone: 512-978-8669 or toll free at 844-316-2004

* Providers contracted with Ascension Seton or Seton Health Plan: Go to https://www.seton.net/health-plan/providers/ for information regarding claims, payments, etc.

Subrogation:

Subrogation is the right to recover amounts paid by a government-sponsored plan that are the obligation of other payers (such as an insurance company). If a patient is injured or becomes ill under circumstances in which a third party may legally be obligated to pay the medical, dental and/or pharmacy expenses, MAP will reimburse for covered services. Central Health and Ascension Texas (formerly known as Seton), however, have the right to be reimbursed from the settlement or judgment paid by a third party for all medical expenses incurred.  Other providers may have similar subrogation rights in any settlement or judgment made by a third party. Currently, Central Health does not assert its subrogation rights for any services.  For questions, or to submit a subrogation request, please email subrogationrequests@centralhealth.net or call 512-978-8510. Ascension Texas reserves its subrogation rights with respect to services delivered at Ascension hospitals or by Ascension providers. Anyone seeking to resolve any liens for services delivered by Ascension, related to subrogation, should contact: Edward “Brad” Gerstner (EGerstner@R1RCM.com) for acute care/facility billing and Clara Rodriguez (CLRodriguez@ascension.org) for professional billing.