Electronic Submission Services
Welcome to claim submission services! We encourage Providers to access our electronic transaction services such as Electronic Fund Transfer (EFT), Electronic Remittance Advice (ERA) and electronic claims submission. We are committed to helping our Providers maximize the use of online tools and increase efficiencies. Please review the information below for details on accessing each of these services.
Electronic Claim Submission
We're pleased to partner with Availity to provide a secure platform where Providers can submit single claim submissions at no cost. Follow the links below to register and login to the Availity portal.
For questions, call Availity client services at 1-800-282-4548.
Electronic Filing Guidelines
- TMHP - electronic data interchange - (EDI) companion guides
- CCHP electronic data interchange (EDI) requirements – institutional
- CCHP electronic data interchange (EDI) requirements – professional
Availity Payor ID's
CHIP Payor ID is CCHP1 and STAR/STAR Kids Payor ID is CCHP9.
Electronic Fund Transfer (EFT)
Providers must elect to receive Electronic Funds Transfer (EFT) for all Cook Children's Health Plan claim and incentive payments. Log in to the Secure Provider Portal and select Customer Service Request to submit an Electronic Funds Transfer New Request or an Electronic Funds Transfer Change Request. Please view our Electronic Funds Transfer and Electronic Remittance Advice presentation for additional guidance.
Electronic Remittance Advice (ERA)
Following EFT enrollment, Providers should enroll with Availity to receive ERA. Go to Availity and register for provider portal access if you do not already have an account. Log in to your Availity account to request ERA enrollment. Contact Availity client services at 1-800-282-4548 for assistance.
Paper Claim Submission
While we highly encourage electronic claim submissions, should you find that you can only submit a claim on paper, please submit the claim via certified mail to:
Cook Children's Health Plan, P O Box 21271, Eagan MN 55121-0271
Providers should submit paper claims in accordance with the billing guidelines outlined in the Texas Medicaid Provider Procedures Manual.