If you are Texas Children’s Health Plan Member, we have tips that can help you deal with the severe weather. Learn more
Si eres miembro de Texas Children’s Health Plan, tenemos consejos que pueden ayudarte a lidiar con el clima severo. Aprende Más
Date: May 2, 2025
Attention: Providers
Effective date: May 19, 2025
Call to action: Texas Children’s Health Plan (TCHP) would like to inform you that we will be initiating Strategic National Implementation Process (SNIP) Level edits 3-7 in the upcoming release effective May 19, 2025. During last year’s Change Health Care outage, when we transitioned to the Availity Lifeline contract, only SNIP Level edits 1-2 were included.
As part of our ongoing updates, we are now activating the additional SNIP Level edits, 3-7. Going forward, after the effective date of May 19, 2025 you will begin to see claims being rejected at the clearinghouse level, if they are billed incorrectly rather than receiving a denied claim.
How this impacts providers: SNIP Level edits included in the latest update.
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.