Healthcare Highways
Guidelines & Support for Providers
Member ID Cards
HCH Sync (TX)
For members within Texas
PHCS / Multiplan
For members outside of TX
Prior Authorizations for Medical & Pharmacy
Call (833) 200-9579 for eligibility confirmation, or 1 (800) 432-8421 to confirm if a service requires prior authorization.
Medical Prior Authorizations
You can also request a prior authorization by logging into our online Provider Portal or contacting (833) 200-9579.
Pharmacy Prior Authorizations
Submit via phone at (877) 659-6101 or online through CoverMyMeds.
Provider Directory
Check our extensive list of providers, hospitals, facilities, and service providers.
Shield PBM
Pharmacy Benefit Manager
Claims Submission & Payment
Claims Submission
Payor ID: 31441
Mail to: Reflect Health, PO Box 40825, Cincinnati, OH 45240
Claims Submission & Payment Status
Access claims submission history, total payment and member payment information by logging on to your Provider Portal (coming soon).
To check on the status of your claims, call (833) 200-9579
Member Eligibility & Benefits
Verify Member Details, Current Coverage Details, Accumulators, and Plan Benefits
- •Login to the Provider Portal (coming soon)
- •Or submit an EDI 270 to Clearinghouse
If you need assistance requesting a provider portal account, you can call and speak to an Oxbridge Health Advisor at (833) 200-9579
Register for Provider Portal
Register for provider portal access here (coming soon).
User will receive an email in 3-5 business days with login credentials and instructions.
Provider Reconsiderations & Appeals
Medical Claims
- •Complete: Provider Dispute Form
- •Mail to: Reflect Health, PO Box 40825, Cincinnati, OH 45240
- •Fax to: (513) 772-9174
Network Pricing Disputes:
Call (888) 806-3400
Pharmacy Claims
- •Complete: Provider Dispute Form
- •Fax to number provided on denial letter