Claims Submission Guidlines

1. Submit Claims Through the TECQ Payer Portal (Recommended)

TECQ strongly encourages providers to submit all claims directly through the TECQ Payer Portal. This method provides the fastest, most secure, and most accurate processing for all professional, facility, and ancillary claims. Using the portal allows providers to:

• Submit new claims electronically using our integrated online tools
• Track claim submissions in real time
• View clearinghouse acceptance or rejection messages instantly
• Access remittance advice (ERA/EOB) and payment details
• Edit, correct, or resubmit claims with a single click
• Reduce administrative delays and minimize billing errors

All claims—new, corrected, or resubmissions—can be managed inside the TECQ Payer System. To begin submitting or checking claim status, log in using the button below:

2. Paper Claim Submission (Alternative Option)

Providers who cannot submit electronically may mail paper claims using CMS-1500 or UB-04 forms. Please note that paper claims result in significantly slower processing times. Ensure all fields are completed accurately to avoid processing delays.

Mailing Address:
TECQ Foundation Claims Department
8278 Bellaire Blvd #B
Houston, TX 77036

3. Required Claim Information

To ensure timely processing, all claims must include complete and accurate information:

• Patient full name, DOB, member ID
• Rendering and billing provider NPI
• Taxonomy code and Tax ID
• Date(s) of service
• Accurate ICD-10 diagnosis codes
• CPT/HCPCS procedure codes with modifiers (if applicable)
• Place of service
• Units, charges, and total billed amount
• Referring provider NPI (if required)
• Prior authorization number (when applicable)

4. Check Claim Status (Portal or Automated Phone)

TECQ provides multiple ways to check the status of submitted claims:

Option A: TECQ Payer Portal (Recommended)

Log into the system to view:

• Claim submission history
• Accepted and rejected clearinghouse reports
• Outstanding, processed, approved, and denied claims
• Electronic remittance advice (ERA/EOB)

Option B: Automated Phone Line

Providers may also check claim status by calling:
(XXX) XXX-XXXX, then press X for automated claim lookup.

5. Timely Filing Requirements

Claims must be submitted within the timeframe outlined in your contract or plan guidelines. Unless otherwise specified:

• Professional & Facility Claims: 180 days from date of service
• Corrected Claims: 90 days from original denial date
• Coordination of Benefits (COB) Claims: 120 days from secondary eligibility confirmation