Provider Alert! Provider Claims Appeal Report now offers a Status Update on the Provider Portal
Date: September 20, 2021
Attention: All Providers
Effective Date: September 9, 2021
Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: A new enhancement for the provider portal claims appeal report includes a status update for appeals submitted September 9, 2021 or later.
How this impacts providers: The four statuses now visible on the report are the following:
- Received
- In Process
- Complete-Upheld
- Complete-Overturned
Appeals submitted before September 9, 2021 may not have the Upheld/Overturned determination and will only show Completed once all reviews are finalized.
Next steps for providers: Providers should share this communication with their billing staff.
If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.
For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.
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