UT Physicians

2007

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Additional Information

Eligibility Website

Vicki Hernandez

(832) 252-7000 x. 186

Address:

1011 Richmond Ave, Suite 400

Houston, TX 77056

One Plan - Front

HMO/POS - Front

PPO - Front

Active Contracts

Great West

HMO - - Effective Date: October 1, 1998
	Referral Required from PCP

	FRONT OFFICE
Eligibility/Verification Phone Number:		See Patient Card
Precert/Authorization Phone Number:		See Patient Card
Precert/Authorization Fax Number:		See Patient Card
Mental Health Carve Out:		Call Benefits
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		90 days
Appeal Time Frame:		180 days from the date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
Quest, LabCorp

Memorial Hermann Contracted?		Yes

POS - - Effective Date: October 1, 1998

	FRONT OFFICE
Eligibility/Verification Phone Number:		See Patient Card
Precert/Authorization Phone Number:		See Patient Card
Precert/Authorization Fax Number:		See Patient Card
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		90 days
Appeal Time Frame:		180 days from the date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
Quest, LabCorp

Memorial Hermann Contracted?		Yes

PPO - - Effective Date: October 1, 1998

	FRONT OFFICE
Eligibility/Verification Phone Number:		See Patient Card
Precert/Authorization Phone Number:		See Patient Card
Precert/Authorization Fax Number:		See Patient Card
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		90 days
Appeal Time Frame:		180 days from the date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
Quest, LabCorp

Memorial Hermann Contracted?		Yes

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