Texas

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

Oxbridge Health Prior-Authorization Guidelines

Call (833) 200-9579 for eligibility confirmation, or 1 (800) 432-8421 to confirm if a service requires prior authorization.

Medical Prior Authorizations

Medical Prior-Authorization Form

You can also request a prior authorization by logging into our online Provider Portal or contacting (833) 200-9579.

Pharmacy Prior Authorizations

Pharmacy Prior-Authorization Form

Submit via phone at (877) 659-6101 or online through CoverMyMeds.

Provider Directory

Check our extensive list of providers, hospitals, facilities, and service providers.

Healthcare Highways

HCH Sync (TX)

www.healthcarehighways.com

Or call: (800) 816-5356

PHCS

For members outside of TX

www.multiplan.com

Or call: (800) 678-7427

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

Have questions for Oxbridge Health?

Call (888) 744-7441