TCHP now accepts Outpatient Authorizations for many services online via Clear Coverage effective June 1, 2017

✔ Tired of faxing authorization requests and medical records? ✔ Spending too much time on hold waiting to speak to an Authorization Specialist for non-urgent authorization requests? ✔ Looking for a faster, more efficient way to submit authorizations?   Why not submit your authorizations request through Clear Coverage?   What are the benefits?

• Easy, 24/7 online access to Clear Coverage.
• Receive real-time authorization status by viewing your office’s home page in Clear Coverage.
• Services are immediately uploaded into Texas Children’s Health Plan’s authorization for clinical review.
• Automatic APPROVALS may be obtained for Genetic Testing via online medical necessity review.
• Ability to upload medical records to support authorization requests.
• Verify member eligibility and benefits instantaneously.
• Ability to print proof of authorization.

  How does it work?

• Access Clear Coverage through the Texas Children’s Health Plan Provider Web Portal.
• Take the online Clear Coverage training. Takes approximately 30 minutes to complete.
• Schedule an on-site Clear Coverage Training by contacting your Provider Relations Manager.

  Want to learn more?

• Visit the Texas Children’s Health Plan Provider Web Portal at www.texaschildrenshealthplan.org/for-providers
• Contact your Provider Relations Manager today

  If you have any questions or concerns, please contact your Provider Relations Manager at 832-828-1008 or toll-free at 1-800-731-8527 Monday through Friday between 8:00 a.m. and 5:00 p.m.