El Paso Health Authorization Requirements

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Medicaid/CHIP Prior Authorization – El Paso Health

(8 days ago) People also askDoes El Paso health require a prior authorization form?Non-participating providers in El Paso Health’s network must submit a prior authorization form for all services (some exceptions exist, see below). Emergent services do not require prior authorization. Inpatient services require notification within 24-hours of admission. Prior to submitting requests for the following services:Medicaid/CHIP Prior Authorization – El Paso Healthelpasohealth.comWhen does Eph require prior authorization?Within one (1) hour of receipt of request, if the request is related to post-hospitalization or life-threatening conditions, except that for Emergency Medical Conditions and Emergency Behavioral Health Conditions, EPH will not require prior authorization.Prior Authorization – El Paso Healthelpasohealth.comHow do I access a prior authorization request form?Authorization Forms To access Prior Authorization Request forms for applicable services, visit Superior’s Provider Forms webpage. Authorization Clinical Documentation RequirementsPrior Authorization Superior HealthPlansuperiorhealthplan.comDo I need a prior authorization for urgent care in Texas?This list contains prior authorization requirements for participating care providers in Texas and New Mexico for inpatient and outpatient services. Prior authorization is NOT required for emergency or urgent care. How to submit the request?WellMed Texas Prior Authorization Requirements Effective January 1, 20…wellmedhealthcare.comFeedbackEl Paso Healthhttp://www.elpasohealth.com/providers/prior-authorizationPrior Authorization – El Paso HealthWEBProviders can submit Pharmacy Prior Authorizations (PA) for Outpatient Drugs to El Paso Health’s Pharmacy Provider Hotline at 1-877-908-6023. Clinical staff is available 24 hours a day, 7 days a week. Providers may also fax prior authorization forms to El Paso …

https://www.elpasohealth.com/providers/medicaid-chip-prior-authorization/#:~:text=Non-participating%20providers%20in%20El%20Paso%20Health%E2%80%99s%20network%20must,Inpatient%20services%20require%20notification%20within%2024-hours%20of%20admission.

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Summary of Benefits

(8 days ago) WEBEl Paso Health Medicare Advantage Dual (HMO D-SNP) This is a brief summary of benefits and services covered by El Paso Health Medicare Advantage Dual (HMO D …

https://ephmedicare.com/pdf/2024%20Summary%20of%20Benefits%20Eng.pdf

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Forms – El Paso Health Plus

(5 days ago) WEBPrior Authorization Form. Member Medical Claim Reimbursement Form. Use this form to request a medical reimbursement for something you have paid out-of-pocket …

https://ephmedicare.com/plan-materials/forms/

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Forms – El Paso Health Plus

(3 days ago) WEBPrior Authorization List. Prior Authorization Form. If you would to appoint a representative, you and your appointed representative must complete this form and mail …

http://ephmedicare.org/plan-materials/forms/index.htm

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3URYLGHU0DQXDO - El Paso Health Plus

(3 days ago) WEBEl Paso Health Telephone Number/Website 1-833-742-3125 1-844-298-5278 Attn: Health Services P.O. Box 971100 El Paso, TX 79997-1100 1- 833-742-3125 915-298-7872 …

https://ephmedicare.com/pdf/2021%20DSNP%20Provider%20Manual.pdf

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Members – El Paso Health Plus

(2 days ago) WEBCall a licensed El Paso Health Sales Agent 1-833-742-3125 TTY 711 ¡Hablamos Español! 8:00 AM - 8:00 PM Prior authorization requirements and “refill …

https://ephmedicare.com/members/

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Prior Authorization Superior HealthPlan

(3 days ago) WEBPrior Authorization Requirements effective September 1, 2019 and after: Requesting providers must initiate a request for prior authorization for non-urgent health-care …

https://www.superiorhealthplan.com/providers/preauth-check.html

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Forms & Docs - City of El Paso

(8 days ago) WEBHealth & Safety. Fire Department; Police Department; Public Health; epStrong; Be PowerFlu; Be Well EP; Live Active; Homeowner & Authorization Affidavit for Building Permits (Spanish) Notice of …

https://www.elpasotexas.gov/planning-and-inspections/forms-and-docs/

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Providers – El Paso Health

(8 days ago) WEBProviders. You can contact us at 915-532-3778 or toll free at 1-877-532-3778 for STAR or toll free at 1-833-742-3127 for STAR+PLUS. Provider Relations Department …

http://www.elpasohealth.com/providers/

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ELECTRONIC VISIT VERIFICATION – El Paso Health

(2 days ago) WEBEVV El Paso Health Recoupment Policy El Paso Health has an updated Recoupment Policy to comply with the new requirements outlined in Senate Bill 1991. New EVV TAC …

http://www.elpasohealth.com/providers/evv/

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Summary of Benefits - El Paso Health Plus

(4 days ago) WEBEl Paso Health Advantage Dual SNP (HMO D-SNP) This is a brief summary of benefits and services covered by El Paso Health Advantage Dual SNP (HMO D-SNP) from …

https://ephmedicare.com/pdf/2022%20SummaryofBenefits%20Final.pdf

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Prior authorization requirements Wellpoint Texas, Inc.

(2 days ago) WEBOutpatient: 1-844-442-8010. Services billed with the following revenue codes always require prior authorization: 0240–0249. all-inclusive ancillary psychiatric. 0901, 0905–0907, …

https://www.provider.wellpoint.com/texas-provider/resources/prior-authorization-requirements

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MyBlue Health Blue Cross and Blue Shield of Texas

(1 days ago) WEBBexar, Cameron, Collin, Dallas, Denton, El Paso (The Valley), Harris, Hidalgo, and Tarrant MyBlue Health members must select a primary care provider and referrals are …

https://www.bcbstx.com/provider/network/network/myblue-health

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WellMed Texas Prior Authorization Requirements Effective …

(7 days ago) WEBPrior Authorization Requirements Effective January 1, 2023 El Paso Waco H4527-005- AARP Medicare Advantage (HMO) H4527-002W-AARP Medicare …

https://www.wellmedhealthcare.com/wp-content/uploads/2022/12/WellMed-Prior-Auth-List-Effective-1-1-2023.pdf

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List of Services Requiring Prior Authorization – El Paso Health

(5 days ago) WEBEl Paso Health 1145 Westmoreland Drive El Paso, TX 79925-5615 Call us at 915-532-3778 STAR/CHIP Outside El Paso 877-532-3778 STAR/CHIP Call us at 833-742-3127 …

http://www.elpasohealth.com/list-of-services-requiring-prior-authorization/

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Provider Tip Sheet - American Health Plans

(5 days ago) WEBcoverage, prior authorization, claims processing, claims submission, and claims payment. 833-661-1990 Claims processing Electronic claims (preferred) Clearinghouse: Change …

https://mo.amhealthplans.com/docs/current/provider/1/provider-tip-sheet.pdf

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Texas Tech University Health Sciences Center El Paso HIPAA …

(7 days ago) WEBPolicy: HPP 3.4 Misc. Uses of PHI Authorization not required Policy: HPP 3.4 - Authorizations for Use offor the use of PHI Effective Date: July 5, 2016 …

https://elpaso.ttuhsc.edu/compliance/_documents/updated-policies/3.4_Miscellaneous_Uses_of_PHI_Not_Requiring_Authorization_3-11-2024_.pdf

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Peoples Health and UnitedHealthcare provider portal and …

(7 days ago) WEBPeoples Health P.O. Box 981645 El Paso, TX 79998-1645 For Peoples Health Group Medicare Office of Group Benefits: Peoples Health, A UnitedHealthcare Company P.O. …

https://www.peopleshealth.com/wp-content/uploads/2023/09/2024providertransitionfaqs.pdf

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