Community Health Choice
Part of Community Health Choice, Inc.
Summary
Community Health Choice is a Medicaid managed care organization, part of Community Health Choice, Inc., offering dental and medical coverage operating in Texas. Claims route under payer ID 60495, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through CHC Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
60495Also seen as 6687, 6791- Also known as
- Community Health Choice (Marketplace), Community Health Choice Texas HIM
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- TX (Harris County area)
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Community Health Choice?
- The payer ID for Community Health Choice is 60495. Alternate IDs seen across clearinghouses include 6687, 6791.
- How long does Community Health Choice provider enrollment take?
- Community Health Choice provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Community Health Choice require CAQH?
- Yes. Community Health Choice uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Community Health Choice require ERA enrollment?
- Yes. Community Health Choice requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Community Health Choice cover?
- Community Health Choice operates in TX (Harris County area). Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.