T
Payer Directory

Texas Childrens Health Plan (Medicaid Managed Care): payer ID and claims support

Texas Childrens Health Plan (Medicaid Managed Care) uses payer ID 76048MC. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID 76048MCMedicaid

Texas Childrens Health Plan (Medicaid Managed Care) at a glance

What billers need before running a check.

Payer ID
76048MC
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Medicaid
Operating area
Texas

Supported transactions

What can be exchanged electronically with Texas Childrens Health Plan (Medicaid Managed Care) today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
NOT AVAILABLE
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Frequently asked questions

What is the payer ID for Texas Childrens Health Plan (Medicaid Managed Care)?+
Texas Childrens Health Plan (Medicaid Managed Care) uses payer ID 76048MC.
Does Texas Childrens Health Plan (Medicaid Managed Care) support real-time eligibility verification?+
Not electronically today. Coverage for Texas Childrens Health Plan (Medicaid Managed Care) has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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