Date: August 27, 2025
Attention: Providers
Effective date: September 2, 2025
Call to action: We are pleased to announce that Real-Time Eligibility (RTE) functionality to check your patients (or our member’s) eligibility status in real time has been re-enabled through our clearinghouse partner, Availity.
How this impacts providers: Effective September 2, 2025, providers can once again submit ANSI X12 270/271 eligibility transactions and receive eligibility results and details in real time—just as previously done with Change Healthcare.
To access RTE services:
Operational Support:
Availity Customer Support (ACS) supports providers with all Availity Essentials Portal actions. Provider’s clearinghouse are welcome to contact Availity at 1-800-282-4548 for one of the reasons below. Availity call center is available Monday – Friday, 8am to 8pm EST. Examples include:
Texas Children’s Health Plan Call Center supports providers with all ‘data’ related provider inquiries. Providers can contact the Call Center at 832-828-1004 or toll-free at 1-800-731-8527. Examples include:
Next step for Providers: Providers should share this communication with their billing staff and clearinghouse.
If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org.
For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.