Use CHIP Patients' New IDs Oct. 1 or Later … or Else

Patients in the Children's Health Insurance Program (CHIP) are receiving new identification (ID) numbers that physicians must use to bill for services provided on or after Oct. 1. That's because the Texas Health and Human Services Commission (HHSC) placed CHIP cases in the Texas Integrated Eligibility Redesign System (TIERS).

The new CHIP ID will be a nine-digit number (not an alphanumeric) TIERS will recognize. Physicians should confirm whether the patient is enrolled in CHIP or Medicaid because the new ID is similar to a Medicaid ID number, HHSC said. You can call the CHIP Provider Line at (800) 645-7164 to verify eligibility of CHIP and CHIP perinatal clients, or you can contact the patient's health plan.

HHSC added that physicians must use the old alphanumeric CHIP ID for services provided before Oct. 1, with one exception: CHIP perinatal patients who enrolled on or after Sept. 3, 2013, already have received the new ID number, and physicians should immediately begin billing using the new CHIP ID number.

If a practice does not use the appropriate CHIP ID number to bill services, the claim will be denied.  However, physicians can appeal a claim denial using the standard appeals process.

For questions, email  CHIPintoTIERS@hhsc.state.tx.us.  


Action, Sept. 17, 2013


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