Good news! We’ve made it easier for Texas Children’s Health Plan members to log in to the MyChart website. Now, you can access all your MyChart health care features anytime, anywhere using our new sign-in widget. Click the link to log in now
¡Buenas noticias! Hemos hecho más fácil el inicio de sesión en MyChart para nuestros miembros de Texas Children’s Health Plan. Ahora puedes acceder a todas las funciones de cuidado médico de MyChart en cualquier momento y desde cualquier lugar mediante nuestro nuevo widget de inicio de sesión. Haz clic en el enlace para iniciar sesión.
Important UpdateActualización importante:
Good news! All CHIP, STAR, and STAR Kids Member Handbooks are now available online. Quick, easy access to your benefits and coverage information - any time!
¡Buenas noticias! Todos los manuales para miembros de CHIP, STAR y STAR Kids ya están disponibles en línea. Obtén acceso rápido y sencillo a la información sobre tus beneficios y cobertura, ¡en cualquier momento!
Call to action: The purpose of this communication is to inform providers and their designated clearinghouses of the new custom edits scheduled to go live on November 2025. These edits will reject claims before they enter our claims adjudication system if the submitted data does not meet required standards.
How rejections will be communicated:
When a claim is rejected, you will receive a 277CA (Claim Acknowledgment) transaction with the rejection reason.
The rejection reason will be displayed in Loop 2220D, STC segment, element STC12.
The 277CA will be sent to the same entity that currently receives payer rejections today (e.g., your clearinghouse or billing service).
New edits that will cause rejections:
Billing Provider Tax ID
Billing Provider tax ID must be submitted in the correct format per 5010 requirements.
Autism Services
Autism services must be submitted with valid data elements including, CPT code, client age, rendering provider taxonomy, diagnosis code and billing provider entity type.
Zip Code
Zip Codes must be submitted in the correct format per 5010 requirements. (5-digit or 9-digit)
Invalid Frequency Code
UB04 and CMS claims must be submitted with the correct frequency code.
Patient Loop
Patient Loop 2000C is invalid and should not be submitted.
Service Facility Address
Service Facility address must be submitted with a physical address. (no PO Boxes)
Next step for Providers: Providers should share this communication with their billing staff and clearinghouse.
