New Real-Time Feedback on Claim Submissions

Date: October 10, 2025

Attention: Providers

Effective date: November 2, 2025

Call to action: Texas Children’s Health Plan (TCHP) is excited to announce that real-time claims feedback and an editing feature will be available beginning on November 2, 2025.

How this impacts providers:

Claim Edit Validation. Providers will get front-end validation during claim entry that will tell them if they entered an invalid value and what to do to correct. This should help cleaner claims to be submitted via the CMS Entry and UB04 Entry forms in Tapestry Link.
Corrected/Replacement claim functionality. Providers will now be able to correct claims that they have entered in Tapestry Link via the CMS Entry or UB04 Entry forms. This will prevent the new claim from being denied as a duplicate.

Here is an example of what this will look like in the system:

Next step for Providers: Providers should share this communication with their billing staff.

If you have any questions, please email Provider Relations at providerrelations@texaschildrens.org.

For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.