Provider Communication

Contact Information

Hours Monday - Friday; 8:00 a.m. - 5:00 p.m.
Phone 713-295-6704 or 1-855-315-5386
Fax 713-295-2293

Can help with:

  • Claims Adjustments and Appeals Questions
  • Claims Denials
  • Claims Policies and Procedures
  • Claims Submittal Procedures
  • Complaint Investigations
  • Concerns or Questions
  • Coordination of Benefits (Other Insurance, Medicare, etc.)
  • Correspondence
  • Lists of Current Participating Providers
  • Medical Policies
  • Provider Directory Changes
  • Provider Manuals
  • Provider Related Membership Question
  • Status of Payments
  • Status on Claims Submitted (or Resubmitted)
  • Subrogation (Legal Suits)

Medical Affairs

Contact Information

Hours
Monday - Friday; 6:00 a.m. - 6:00 p.m.
Weekends/holidays; 9:00 a.m. - 12:00 p.m.
Phone 1-855-315-5386 or 713-295-6704
Fax 713-295-2283

Can help with:

  • Pre-Admission Certification
  • Referral Verification
  • Obstetrical Notification
  • Authorizations for Out-of-Area Care/Referrals
  • Use of Non-Participating Providers
  • Utilization Review

Beacon Health Options

Alcohol/Substance Abuse and Mental Health

Phone 1-855-539-5881

  • Psychiatric Assessment and Referral Services
  • Individual, Family, and Group Counseling
  • Acute Inpatient Hospitalization
  • Short-term Residential
  • Partial Hospitalization
  • Intensive Outpatient
  • Medication Evaluation and Monitoring
  • Referral for other Community Services
  • Case Management

Envolve Vision

Contact Information

Hours 24 hours a day, 7 days a week
Phone 1-844-293-1752

Website https://visionbenefits.envolvehealth.com