How To Submit Claims To Community Health Choice,

For Community Health Choice,, the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single address.

At a glance

• Community’s provider claims guidance indicates multiple submission channels. For Marketplace/HIM electronic claims, the plan receives electronic transactions through Change Healthcare with payer ID 60495. The claims billing guidelines also state an online claims portal at the provider site with payer ID 48145, and note that the CHC portal currently accepts only professional CMS-1500 claims while UB-04 claims should be mailed in. Paper claims are sent to PO Box 301404, Houston, TX 77230-1404. Corrected CMS-1500 claims use resubmission code 7 in Box 22 with the original claim; corrected UB-04 claims use resubmission code 7 in the third digit of the bill type, original claim number in Box 64, and a copy of the original EOP.

Submission channels

• Provider portal (professional claims only, per billing guideline)
• Mail
• Electronic claims through clearinghouses
• Availity
• Change Healthcare
• TMHP
• Trizetto Provider Solutions

Electronic claims payer IDs

• 60495
• 48145

Paper claims addresses

• Community Health Choice, PO Box 301404, Houston, TX 77230-1404

Corrected claims and follow-up

• CMS-1500 corrected claims: use resubmission code 7 in Box 22 with the original claim; do not use this if the original claim was rejected.

• UB-04 corrected claims: submit with resubmission code 7 in the third digit of the bill type, include the original claim number in Box 64, and attach a copy of the original EOP.

• Claims status resource 1

• Claims status resource 2

• Claims status resource 3

Caveats

• The claims billing guideline states the CHC portal currently accepts only professional services (CMS-1500); UB-04 claims should be mailed.
• The Marketplace/HIM electronic claims page identifies Change Healthcare as the electronic transaction clearinghouse and lists payer ID 60495, while the claims billing guideline lists payer ID 48145 for the online claims portal; both are preserved because they appear in official sources but may apply to different lines of business or routes.
• No explicit claim status-check URL was identified beyond the provider portal/resources pages.

Provider resources

• Provider Home (official)
• Resources (official)
• Forms and Guides (official)
• Prior Authorization Information (official)
• HIPAA / Electronic Claims (Marketplace) (official)
• Contact Community (official)
• Provider Claims Billing Guidelines (Jan 2026) (official)

Sources