HIPAA Policies and Procedures & Notice of Privacy Practices

Electronic Code Sets and Standard Transactions

New federal regulations effective April 1, 2012, require covered entities to comply with HIPAA 5010 approved transactions and code sets. Community currently receives electronic transactions through the following clearinghouses: AVAILITY, CHANGE HEALTHCARE, TRIZETTO, and TMHP. Providers should contact their clearinghouse for questions regarding electronic claims submission:

Clearinghouse Phone Number Payor ID Format
AVAILITY 1-800-282-4548 48145 5010
CHANGE HEALTHCARE 1-877-469-3263 48145 5010
TRIZETTO 1-800-556-2231 48145 5010
TMHP www.TMHP.com 48145 5010
       
       
       

 

You may also contact Community Provider Relations.
Call 713-295-2295 or 1-888-760-2600, or email: Providerrelations@CommunityHealthChoice.org.