Community Health Choice provider portal, phone and payer ID quick facts
| Provider resource entry point | https://provider.communityhealthchoice.org/ |
|---|---|
| Payer contact reference | 1-713-295-22951-713-295-2295 is provider services on the Medicaid/CHIP resource hub. Marketplace uses separate support; the historical 1-713-295-2294 is member services. |
| Claims payer ID | Marketplace HIPAA resources list claims routing through Change Healthcare with ID 60495. Verify the Marketplace product and clearinghouse. The stored 48145 is a retained Medicaid/CHIP research reference, not a newly approved all-product identifier; its PDF evidence remains gated. |
| Eligibility payer ID | Stored eligibility references remain unverified for the current product and transaction. A claims identifier must not be reused for 270/271 routing. |
| ERA payer ID | 48145 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier. |
| Timely filing | 95 days (verify applicability) |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- 1-713-295-2295 is provider services on the Medicaid/CHIP resource hub. Marketplace uses separate support; the historical 1-713-295-2294 is member services.
- This registry has not established a payer-specific appeal ladder for Community Health Choice. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier.
Community Health Choice at a glance
| Legal name | Community Health Choice, Inc. |
|---|---|
| Also known as | CHC, Community Health Choice Texas |
| Category | Medicaid MCO |
| Parent organization | Harris Health System (nonprofit) |
| Claims payer ID | Marketplace HIPAA resources list claims routing through Change Healthcare with ID 60495. Verify the Marketplace product and clearinghouse. The stored 48145 is a retained Medicaid/CHIP research reference, not a newly approved all-product identifier; its PDF evidence remains gated. |
| Eligibility (270/271) payer ID | Stored eligibility references remain unverified for the current product and transaction. A claims identifier must not be reused for 270/271 routing. |
| ERA (835) payer ID | 48145 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier. |
| NAIC company code | Not established in this registry |
| States covered | Texas |
| Members covered | ~400k members |
| Provider resource entry point | https://provider.communityhealthchoice.org/ |
| Provider phone | 1-713-295-22951-713-295-2295 is provider services on the Medicaid/CHIP resource hub. Marketplace uses separate support; the historical 1-713-295-2294 is member services. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Community Health Choice
This registry lists 95 days as an initial-claim reference for Community Health Choice. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 95 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Community Health Choice. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Community Health Choice provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Community Health Choice
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Community Health Choice electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Community Health Choice. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Community Health Choice
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Community Health Choice volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | Marketplace HIPAA resources list claims routing through Change Healthcare with ID 60495. Verify the Marketplace product and clearinghouse. The stored 48145 is a retained Medicaid/CHIP research reference, not a newly approved all-product identifier; its PDF evidence remains gated. |
| 270 / 271 eligibility | Listed in registry; verify current scope | Stored eligibility references remain unverified for the current product and transaction. A claims identifier must not be reused for 270/271 routing. |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 48145 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
Provider resources and contact
Source comparison: 2026-09-26
The provider hub lists 1-713-295-2295. Select product-specific support rather than reusing the historical member-services contact.
Primary source for provider resources and contactMarketplace claims scope
Source comparison: 2026-09-26
The Marketplace HTML lists Change Healthcare and 60495. It does not validate eligibility/ERA identifiers or approve the PDF-gated Medicaid/CHIP ID and numerical filing proposals.
Primary source for marketplace claims scope
Not checked in this pass: Whole-record approval, legal identity and all ownership relationships; Product-specific filing and appeal rules beyond the stated findings; Transaction-specific eligibility/ERA IDs and live electronic capabilities; Authenticated access, QuickIntell integrations and outcomes; PDF-gated Medicaid/CHIP claim-ID and numerical filing proposals; no new approval of stored values.
Sources used for this guide
State coverage
Community Health Choice operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Community Health Choice
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Community Health Choice; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Community Health Choice; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Community Health Choice before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Community Health Choice
Where is the Community Health Choice provider portal?
Use https://provider.communityhealthchoice.org/ as a starting point for Community Health Choice provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Community Health Choice?
This registry lists 95 days as an initial-claim reference for Community Health Choice. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
What is the Community Health Choice payer ID?
Claims: Marketplace HIPAA resources list claims routing through Change Healthcare with ID 60495. Verify the Marketplace product and clearinghouse. The stored 48145 is a retained Medicaid/CHIP research reference, not a newly approved all-product identifier; its PDF evidence remains gated.. Eligibility (270/271): Stored eligibility references remain unverified for the current product and transaction. A claims identifier must not be reused for 270/271 routing.. ERA (835): 48145 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier.. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Community Health Choice accept electronic claims?
Verify Community Health Choice electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Community Health Choice denial?
This registry has not established a payer-specific appeal ladder for Community Health Choice. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Community Health Choice prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Community Health Choice provider phone number?
This registry lists 1-713-295-2295 as a contact reference for Community Health Choice. 1-713-295-2295 is provider services on the Medicaid/CHIP resource hub. Marketplace uses separate support; the historical 1-713-295-2294 is member services.
Automate workflows around Community Health Choice requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Community Health Choice's current published documents before submission. CPT® is a registered trademark of the American Medical Association.