Driscoll Health Plan

Summary

Driscoll Health Plan is a Medicaid managed care organization, part of Driscoll Children's Hospital, offering dental and medical coverage operating in Texas. Claims route under payer ID 74284, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Driscoll Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID

74284Also seen as 11090, 3234, 3925, DCHCH, DRSCHP

Also known as

Driscoll Children's Health Plan

Uses CAQH

YesApplication route: Payer portal application

Service area

TX (South TX)

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Driscoll Health Plan?

The payer ID for Driscoll Health Plan is 74284. Alternate IDs seen across clearinghouses include 11090, 3234, 3925, DCHCH.

How long does Driscoll Health Plan provider enrollment take?

Driscoll Health Plan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Driscoll Health Plan require CAQH?

Yes. Driscoll Health Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Driscoll Health Plan require ERA enrollment?

Yes. Driscoll Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.

What states does Driscoll Health Plan cover?

Driscoll Health Plan operates in TX (South TX). Coverage can differ by plan and product line, so confirm the specific plan before you file.