HMO - - Effective Date: August 1, 1996 |
 |
Referral Required |
|
| |
|
|
| |
FRONT OFFICE |
|
Eligibility/Verification Phone Number:
|
877-238-8543 |
Precert/Authorization Phone Number:
|
877-238-8543 |
Precert/Authorization Fax Number:
|
1-866-272-2542 |
| |
CLAIMS FILING &
BILLING INFORMATION |
|
Claim Filing Deadline:
|
95 days |
Appeal Time Frame:
|
90 days from the date of EOB |
Claim Payor:
|
Choice One (CHIP) |
Claim Address:
|
P.O. Box 15548, Austin, TX 78761 |
Electronic Claim Accepted?
|
Yes |
| |
LABS |
|
LabCorp
|
| |
|
Memorial Hermann Contracted?
|
Yes |
