New Texas Children’s Health Plan provider portal features added

New Texas Children’s Health Plan provider portal features added

Texas Children’s Health Plan has been actively adding new features to the provider portal located at www.tchp.us/providers

Providers can continue to view eligibility, claim status, authorizations and all of our provider news. In addition, providers are able to view the named Service Coordinator for STAR Kids members and submit claim appeals online.

The named Service Coordinator for STAR Kids members can be found on the member enrollment information screen under additional information. The Texas Children’s Health Plan Service Coordinator serves as the central contact between Texas Children’s Health Plan and a member’s providers and family members to coordinate all of a member’s health services.

Texas Children’s Health Plan can now accept claim appeals via the portal. You may attach supporting clinical documentation attached for your appeal. Billing staff can submit individual appeals via the portal which not only eliminates the cost of printing and mailing, but will also speed up the process by approximately 5 days.

Additional improvements are on the way in the coming months.

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