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New Rewards! ¡Nuevas recompensas!

Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.

¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

TCHP now accepts Outpatient Authorizations for many services online via Clear Coverage effective June 1, 2017

✔ Tired of faxing authorization requests and medical records? ✔ Spending too much time on hold waiting to speak to an Authorization Specialist for non-urgent authorization requests? ✔ Looking for a faster, more efficient way to submit authorizations?   Why not submit your authorizations request through Clear Coverage?   What are the benefits?
  • Easy, 24/7 online access to Clear Coverage.
  • Receive real-time authorization status by viewing your office’s home page in Clear Coverage.
  • Services are immediately uploaded into Texas Children’s Health Plan’s authorization for clinical review.
  • Automatic APPROVALS may be obtained for Genetic Testing via online medical necessity review.
  • Ability to upload medical records to support authorization requests.
  • Verify member eligibility and benefits instantaneously.
  • Ability to print proof of authorization.
  How does it work?
  • Access Clear Coverage through the Texas Children’s Health Plan Provider Web Portal.
  • Take the online Clear Coverage training. Takes approximately 30 minutes to complete.
  • Schedule an on-site Clear Coverage Training by contacting your Provider Relations Manager.
  Want to learn more?   If you have any questions or concerns, please contact your Provider Relations Manager at 832-828-1008 or toll-free at 1-800-731-8527 Monday through Friday between 8:00 a.m. and 5:00 p.m.