Provider Alert! Update on the Inpatient Claims Review Process
Date: August 30, 2023 Attention: Hospital Providers and Inpatient Facilities for All Lines of Business The purpose of this communication is to provide information related to prepayment claims review. As communicated in a previous Provider Alert, Texas Children’s Health Plan (TCHP) has engaged Optum Health to perform routine prepayment claims reviews. As a result, providers may be required to submit medical records and itemized billing statements that support the charges billed and are encouraged to submit this information upon original submission of...
