Provider Portal Provides Instant Access to Claims and Member Information
Date: April 22, 2022 Attention: All ProvidersProviders should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated with 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.
TCHP will apply updates and reprocess impacted claims as soon as possible. However, please allow up to sixty (60) business days for reprocessing. Providers are not required to appeal claims unless denied for other reasons.
Call to action: TCHP would like to remind providers of the information easily accessible by accessing our online resources.
Provider Portal
http://texaschildrenshealthplan.org/for-providers to log into the Provider Portal.
Features include:
Member eligibility
Claim submissions- both individual and batch
Claim status
Claim appeals
Access to Healthcare Effectiveness Data and Information Set (HEDIS®) data through Inovalon Population management software, offering insights to quality performance
Access to forms to update demographic information
Reports with improved descriptions and instructions