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New Medical and Dental Claims Administrator

HealthChoice, Department of Corrections and Department of Rehabilitation Services has a new medical and dental claims administrator.

Continue to submit claims with dates of service prior to Jan. 1, 2018, electronically with payer ID 22521. Claims sent to the wrong payer ID will be rejected, denied or returned.

HealthChoice members received new ID cards for the 2018 plan year that reflect the updated payer ID, phone numbers and claims addresses for the new claims administrator.

Claim runout responsibilities for prior years for HealthChoice, DOC and DRS have transferred to the new claims administrator effective July 1. Please contact the new medical and dental claims administrator at 800-323-4314 or toll-free 800-545-8279 with any questions. You may also contact EGID Network Management at 405-717-8790 or toll-free 844-804-2642.

  CLAIMS WITH DOS 01/01/18 AND AFTER
PHONE HealthChoice:Toll-free 800-323-4314Department of Corrections:Toll-free 800-323-3710Department of Rehabilitation Services:Toll-free 800-285-6815
TTY 711 or Toll-free 800-545-8279
CLAIMS ADDRESS HealthChoiceP.O. Box 99011Lubbock, TX 79490-9011 Department of CorrectionsP.O. Box 16532Lubbock, TX 79490-6532 Department of Rehabilitation ServicesP.O. Box 16485Lubbock, TX 79490-6485
CORRESPONDENCEADDRESS Same as claims address above
APPEALS AND PROVIDER INQUIRIES HealthChoiceP.O. Box 3897Little Rock, AR 72203-3897 Department of CorrectionsSame as claims address Department of Rehabilitation ServicesSame as claims address
PAYER ID HealthChoice: 71064Department of Corrections: 71065Department of Rehabilitation Services: 71065 For DOS prior to 01/01/18 use Payer ID 22521

 

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