Welcome Providers

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.

In an ongoing effort to improve our web-based services we have created a new Provider Portal. Included in this new secure site you will find:

Eligibility Medical And Pharmacy Claim History Claim Status Check Batch Claim Submission Claim Appeals Authorization Requests Review Current Authorizations Care Management Program Referral Additional Payer Available for Electronic Remittance Advice (835)

One unfortunate fact of this transition is that all prior Cook Children's Health Plan Provider Portal Users will be required to re-register to use the new Provider Portal. Please use the ICN number you currently use to access the old claims status portal as your Provider ID to check claim status online.

To become a participating provider

To learn more about becoming a participating provider for Cook Children's Health Plan, please submit a completed Letter of Interest Questionnaire, your curriculum vitae, a list of your hospital privileges and specialties to Cook Children's Health Plan. Submissions may be made by fax at 682-885-8403 or by mail to:

Cook Children's Health Plan
Attention: Network Development
P.O. Box 2488
Fort Worth, TX 76113-2488

Cook Children's Health Plan will respond to your request within 90 days.

Letter of Interest Questionnaire

This form may supplement, or replace, a letter of interest for our provider network. Please open this document and answer the following questions. This information will help us in assessing your qualifications with the service needs of our network.

Additional Payer Available for Electronic Remittance Advice (835)

Availity is pleased to announce that Cook Children's Health Plan now delivers electronic remittance advice (ERA) files via the Availity Health Information Network.

• Multi-Payer Electronic Remittance Advice Enrollment
• Electronic Fund Transfer (EFT) and ERA Files

To enroll for ERA delivery on the Availity Web Portal, click Enrollments | ERA Enrollment in the Availity menu, or click ERA Enrollment in the Additional Enrollments section on the Administrator Dashboard. For information about using the ERA enrollment service, review the Enrolling Online for Electronic Remittance Advice topic. You may also call Availity Client Services at (800) 282-4548.

You can also find information about enrolling for ERA delivery with participating payers in the Availity Health Plan Partners list.

To view your ERA files, click EDI File Management | Send and Receive EDI Files in the Availity menu.

If you have any questions please call 1-800-964-2247 Monday through Friday from 8 a.m. to 5 p.m.