The Texas Independence Health Plan (TIHP) Provider Portal represents a crucial digital platform designed to streamline communication and administrative processes for healthcare providers serving Medicare patients, specifically within the Institutional Special Needs Plan (I-SNP) framework.
Official Links
- Provider Portal: https://www.txindependencehealthplan.com/provider-portal/
- Providers Page: https://www.txindependencehealthplan.com/providers/
What Is the Provider Portal?
The Provider Portal offers healthcare professionals a comprehensive digital resource with tools and information to enhance the provider experience. As of October 29, 2023, providers can register for the portal after receiving their PIN letter from RAM.
Who Can Use the Portal
Providers can access the portal if they meet the following criteria:
- Have at least one practice location within TIHP’s service area
- Cover patients in one of the 89 counties served by Texas Independence Health Plan
- Are committed to delivering high-quality long-term care
Access and Registration
Registration Process
- Providers must wait to receive a PIN letter from RAM
- Registration opens on 10/29/2023
- Download the eHEALTHsuite Provider User Guide for detailed instructions
Key Features and Services
While specific portal features are not comprehensively detailed in the available documentation, providers can likely expect:
- Claims submission tracking
- Patient information management
- Administrative tools for healthcare professionals
Service Area Coverage
TIHP serves an extensive network of 89 Texas counties, including:
- Major metropolitan areas: Harris, Bexar, Travis
- Coastal counties: Galveston, Nueces, Matagorda
- Rural counties: Frio, Zavala, Kenedy
Support and Contact Information
Provider Inquiries
- Phone: 833-471-8447
- TTY: 833-414-8447
Operating Hours
- October 1 – March 31: 8:00 AM to 8:00 PM, seven days a week
- April 1 – September 30: 8:00 AM to 8:00 PM, Monday to Friday
Claims Submission Details
Paper Claims
- Payer ID: 31403
- Mailing Address:
Texas Independence Health Plan
TIHP Claims
PO Box 25738
Tampa, FL 33622-5738
Privacy and Security
While specific security details are not provided, as a Medicare-contracted HMO-SNP, TIHP is expected to maintain robust privacy protocols consistent with healthcare industry standards.
Unprovided Information
Several details are not explicitly outlined in the source documents:
- Exact portal login procedure
- Comprehensive list of portal features
- Specific user interface details
- Mobile app availability
Compliance and Contract Information
- Medicare contract-based health plan
- Enrollment subject to annual contract renewal
- Plan identifier: H5015_TIHPWEB_2025
The Texas Independence Health Plan Provider Portal offers healthcare professionals a dedicated digital platform to manage patient care and administrative tasks efficiently within their specialized Medicare Advantage and Special Needs Plan network.
Recommended Next Steps
- Await PIN letter from RAM
- Download eHEALTHsuite Provider User Guide
- Complete portal registration
- Explore available portal features
Disclaimer: Information current as of October 15, 2024. Always verify details directly with Texas Independence Health Plan.
FAQ
What is the Texas Independence health Plan?Texas Independence Health Plan (TIHP) is a Medicare Advantage HMO plan for individuals enrolled in Medicare who reside in long-term care facilities.
What is the payer ID for Texas Independence health Plan?
How do I renew my Texas children’s health Plan?ONLINE: Log into your profile at YourTexasBenefits.com to renew online. PHONE: Call HHSC at 2-1-1, option 2 to renew over the phone.
What is the best health plan in Texas?
- Best overall: Community Health Choice.
- Best for medical out-of-pocket costs: Aetna CVS Health.
- Most affordable Silver plans: Ambetter from Superior HealthPlan.
- Best for low-cost coverage: Oscar Insurance Company.
https://www.txindependencehealthplan.com/provider-portal/
Tools and information to help improve the provider experience! Providers can register starting 10/29/2023 once they receive their PIN letter from RAM.
https://www.txindependencehealthplan.com/providers/
Providers · Provider Portal · Medicare Advantage Plans · Advantages for Providers · Texas TIHP Provider Documents · Clinical Determination Criteria · Provider