Coverage profile
How Substrate can help you with Texas Children's Health Plan
Substrate can help practices and billers with the following claims tasks for Texas Children's Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Texas Children's Health Plan.
Frequently asked questions
Texas Children's Health Plan payer FAQs
What is the payer ID for Texas Children's Health Plan?
The primary payer ID for Texas Children's Health Plan is 75228. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Texas Children's Health Plan?
The 837P and 837I payer ID for Texas Children's Health Plan is 75228 via Stedi.
What is the 270 payer ID for Texas Children's Health Plan?
The 270 payer ID for Texas Children's Health Plan is 75228 via Stedi.
What state does Texas Children's Health Plan operate in?
Texas Children's Health Plan operates in TX.
Routing reference
Texas Children's Health Plan payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Texas Children's Health PlanSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | TXSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 75228Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 75228Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 75228Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Texas Children's Health Plan. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 14372
- 1911
- 2483
- 75228
- 75228MC
- TXCSM
- Texas Children's Health Plan (Medicaid) STAR & STAR Kids
- Texas Children's Hospital
- Texas Childrens Health Plan (Star Medicaid / Medicaid Managed Care)
- TXCHLDSTAR