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