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Provider Directory


Plan Representative
Kim Howard- Jackson
(281) 637-3165

 

Address:
1 Prudential Circle
Sugarland, TX 77478

Sample ID Cards
HMO - Front, Back
Open Access -
POS - Front, Back
PPO - Front, Back
USA Access - Front, Back
Sample ID Cards for Aetna TRS
Sample 1 - Front, Back
Sample 2 - Front, Back
Sample 3 - Front, Back
 
 
 
Active Contracts
Go to Accountable Health Plan Website

Aetna

PPO - - Effective Date: January 1, 1997
     

FRONT OFFICE  

Eligibility/Verification Phone Number:

 1-800-624-0756

Precert/Authorization Phone Number:

  

Precert/Authorization Fax Number:

 See Patient Card

Mental Health Carve Out :

 Aetna Megellan Behavior 1-800-424-5707

CLAIMS FILING & BILLING INFORMATION  

Claim Filing Deadline:

 Call Benefits (Depend on the plan)

Appeal Time Frame:

 4 Years

Claim Payor:

 Aetna

Claim Address:

 PO Box 981106, EL Paso, TX 79998-1106

Electronic Claim Accepted?

 Yes
   
  LABS  

UT Pathology, Quest
   

Memorial Hermann Contracted? YES

  

 
EPO - - Effective Date: January 1, 1997
     

FRONT OFFICE  

Eligibility/Verification Phone Number:

 1-800-624-0756

Precert/Authorization Phone Number:

 1-800-624-0756

Precert/Authorization Fax Number:

 See Patient Card

CLAIMS FILING & BILLING INFORMATION  

Claim Filing Deadline:

 Call Benefits (Depend on the plan)

Appeal Time Frame:

 4 Years

Claim Payor:

 Aetna

Claim Address:

 PO Box 981106, EL Paso, TX 79998-1106

Electronic Claim Accepted?

 Yes
   
  LABS  

UT Pathology, Quest
   

Memorial Hermann Contracted? YES

  

 
HMO - - Effective Date: January 1, 1997
Referral Required
 
 

FRONT OFFICE  

Eligibility/Verification Phone Number:

 1-888-624-0756

Precert/Authorization Phone Number:

 1-888-632-3862

Precert/Authorization Fax Number:

 See Patient Card

CLAIMS FILING & BILLING INFORMATION  

Claim Filing Deadline:

 120

Appeal Time Frame:

 4 Years

Claim Payor:

 Aetna

Claim Address:

 PO Box 981106, EL Paso, TX 79998-1107

Electronic Claim Accepted?

 Yes
   
  LABS  

UT Pathology, Quest
   

Memorial Hermann Contracted? YES

  

 
POS - - Effective Date: January 1, 1997
Referral Required
     

FRONT OFFICE  

Eligibility/Verification Phone Number:

 1-800-624-0756

Precert/Authorization Phone Number:

 1-800-624-0756

Precert/Authorization Fax Number:

 See Patient Card

CLAIMS FILING & BILLING INFORMATION  

Claim Filing Deadline:

 120

Appeal Time Frame:

 4 Years

Claim Payor:

 Aetna

Claim Address:

 PO Box 14586, Lexington, KY 40512-4586

Electronic Claim Accepted?

 Yes
   
  LABS  

UT Pathology, Quest
   

Memorial Hermann Contracted? YES

  

 
Visit the UCP Provider DirectoryQuestions? Email us at UTPBusinessOperations@uthouston.edu.
For individual physician participation status, please refer to the UT Physicians Provider Participation Directory.
 
 

 
 
     
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