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Additional Information
 
Active Contracts
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First Health/CCN/Coventry

PPO--Effective Date: August 1, 1998
Front Office
Eligibility/Verification Phone Number: See Patient Card
Precert/Authorization Phone See Patient Card
Precert/Authorizations Fax Number: See Patient Card
Mental Health Carveout Call Benefits
Claim Filing and Billing Information
Claim filing Deadline: Varies by Plan
Appeal Timeframe: Varies by Plan
Claim Payor See Patient Card
Claim Address: See Patient Card
Electronic Claim Accepted? No
Labs: UT Pathology, Quest, LabCorp
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.
 
 
Visit the Health Plan's Website
Provider Directory
Contact the Plan Representative
Eliza M. Pastrana
(972) 870-4327
Address:
750 Riverpoint Dr.
West Sacramento, CA 95605
See Sample ID Cards
Additional Sample *

 
 
     
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