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, EMDEON, TRIZETTO, PRACTICE INSIGHT, RELAY, SSI, TKSOFTWARE. Providers should contact their clearinghouse for questions regarding electronic claims submission:

Clearinghouse Phone Number Payor ID Format
AVAILITY 1-800-282-4548 48145 5010
EMDEON 1-800-845-6592 48145 5010
TRIZETTO 1-800-969-3666 48145 5010
PRACTICE INSIGHT 713-333-6000 48145 5010
RELAY 1-800-527-8133 48145 5010
SSI 1-800-820-4774 48145 5010
TKSOFTWARE 1-888-372-2808 48145 5010

 

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