Providers Communications

Contact Information

 Hours Monday - Friday; 8:00 a.m. - 5:00 p.m.
 Phone 713-295-2295 or 1-888-760-2600
 Fax 713-295-2291

  • 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 24 hours a day, 7 days a week
 Phone 713-295-2319

  • Referral Authorization Request 1-888-760-2600 or 713-295-2295
  • Referral Authorization Request (Fax: 713-295-2283)
  • 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 1-877-343-3108

Website https://www.beaconhealthoptions.com/

  • 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

CHIP Members

Hours 24 hours a day, 7 days a week
Phone 1.844.433.6881

Website https://visionbenefits.envolvehealth.com

Contact Information

STAR Members

Hours 24 hours a day, 7 days a week
Phone 1.844.686.4358

Website https://visionbenefits.envolvehealth.com

Community Health Choice offers all standard eye care covered by Medicaid. Eye doctors:

  • Are used to working with children and Medicaid rules
  • Have walk-in and after-hours appointments