Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
UPDATE: Real-Time Eligibility (RTE) Now Available Through Availity
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:
Use Payer ID: TXCPL
Submit eligibility inquiries (270) via Availity
Receive eligibility responses (271) with up-to-date member benefit information
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:
Portal registration
User access/ Account assistance
Transaction submissions
Portal error messages
Claim rejection
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:
Claim denial
Benefit coverage details
Prior Authorization details
Claim payment questions
Network details
Next step for Providers: Providers should share this communication with their billing staff and clearinghouse.
