Date: April 14, 2025
Attention: All Providers
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that a recent claims processing issue affecting certain vaccine administration codes has been identified and resolved.
Between January 1, 2025 to February 14, 2025, claims vaccine administration codes (90460, 90471, 90472, 90473, or 90474) were denied due to the vaccine procedure code being denied by DVC08, DCS110 and DCS209.
The claims will now be reprocessed, allowing the system to read the claim history and prevent further denials of the vaccine administration.
We appreciate your patience and understanding as we worked to resolve this matter. If you have any questions or require additional information on this, please reach out to your assigned Provider Relations Liaison (PRL). If you are not sure who your PRL is, visit our Meet Our Team page.
Next step for providers: Providers are encouraged to share this communication with their staff.
If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.
For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.