Over the past 12 years, TTC has grown to become one of the largest PPO access network of providers in Texas serving insurance companies, TPA's, brokers/consultants and employers. Today, the TTC PPO network is comprised of 380 hospitals and over 46,000 providers serving 1,080,000 members through the State.

If you are a current TTC provider, we want to thank you for your participation in TTC and your contribution to our unprecedented growth. If you are not currently participating in TTC and are interested in becoming a participating provider, please complete our "Provider Nomination Form" and return via e-mail, fax or mail. The TTC Provider Relations Department will contact you promptly to assist you with the process of becoming a participating provider.

To preserve our status as the "elite" access network in the State, we continually strive to provide services to assist in making your practice run more smoothly. To that end, TTC offers:

• TTC Client Listing
• National Network Affiliation
• Provider Updates
• Chiropractic & Ancillary Providers
• Electronic Submission of Claims
• Focus on Quality
• TTC Provider Relations Assistance

TTC Client Listing
TTC offers network solutions to over 100 clients (TPA's) in Texas and throughout the nation. The organizations accessing the TTC network are displayed in the TTC Client Listing. This list is subject to change. For the most current client information, please call TTC Customer Service at 800-683-4856.

National Network Affiliation
TTC utilizes Beech Street as our national PPO network outside of Texas. Beech Street is only available to those clients who have contractually elected to have access to Beech.

Providers who participate with Beech Street or a provider network contracted with Beech Street can obtain a listing of clients accessing their provider contract by clicking here: Beech Street Client List.

Provider Updates
If you are a Texas True Choice provider (or office staff for a TTC provider), and wish to update the demographic information in your provider profile, please submit your information via fax or U.S. mail as noted below.

The following data changes require written notification to the TTC Network Operations Department and must be submitted on your office stationary. The chart below outlines the different ways you can submit each change.

Type of Change	Method of Submission
	Fax: (214) 291-5907	Mail:1000 Central Parkway North, Ste. 110, San Antonio TX 78232
Tax Identification Number (TIN) name and number addition or change. (NOTE: must include copy of W-9 form)	X	X
Tax Identification Number (TIN) removal	X	X
Retirement	X	X
Disenrollment	X	X
Deceased Provider	X	X
Malpractice changes on the malpractice face sheet	X	X

Thank you for assisting us in maintaining accurate data.

Chiropractors & Ancillary Providers
TTC has contracted with Empower Chiro as our exclusive chiropractic provider network in Texas. Please click here, “Empower Chiro” for more information.

TTC has contracted with Ancillary Care Services (ACS) for ancillary provider contracting in Texas. ACS contracts ancillary providers for TTC for the following specialties:

Cardiac Monitoring	Infusion
Diagnostic Imaging	Lab
Dialysis	Orthotics & Prosthetics
DME	Physical/Occupational Therapy
Genetic Testing	Surgery Centers (Non-Hospital Affiliated only)
Home Health	Transportation
Hospice	Vision (Retail Optometry only)

To nominate a provider represented in one of the ancillary specialties shown above, please complete the ACS Provider Nomination Form and fax to (972) 980-2560, or email to providerrelations@anci-care.com. If you have multiple providers, please provide the same essential data on a spreadsheet and fax or email to the same number or address shown above. To learn more about ACS, please click here.

Electronic Submission of Claims:
TTC endeavors to ease the healthcare administrative burden for our providers by offering multiple means by which claims can be submitted and retrieved. TTC strongly encourages the electronic submission of claims because of the following benefits:

• Reduction of time and cost associated with mail preparation
• Greater accuracy of claims processing
• Quick claims turnaround with most claims received electronically being sent to payor partners within 24 hours of receipt

Within Texas, HCFA 1500 and UB-92 claims transactions can now be submitted electronically to TTC via our clearinghouse partner - Availity (formerly THIN).

The TTC electronic payor ID is:    TTCEC

For more information about submitting claims to Availity, please contact 800-282-4548, or visit their website at www.availity.com. You may also contact the TTC Provider Relations Department at 214-267-3300.

Focus on Quality:
We believe the backbone of TTC is our quality network of providers. In an effort to achieve and maintain quality levels, we utilize primary source verification to evaluate the following criteria:

• The JCAHO accreditation status of every hospital.
• The board status and medical license history of all physicians interested in participating in the TTC network. (All physicians are credentialed upon their initial TTC application and every three years thereafter in accordance with NCQA standards.)
• Physicians maintain minimum malpractice insurance coverage levels.

As a result of these checks and balances, TTC is able to assure that all participating providers are contributing to, and participating in a network organization that is committed to providing quality care to its members.

TTC Provider Relations Representative Assistance:
TTC is proud to have earned the reputation of being the most "provider friendly" access network in the State. Being locally owned and managed allows us to offer our providers the highest levels of customer service. Our goal is to assist in resolving your questions and issues in a timely manner. Please contact your TTC Provider Relations Representative at 214-267-3300 for any questions you may have.