How do I submit paper claims to HealthChoice?
The claims administrator administers all health, dental and life claims on behalf of HealthChoice. Submit paper claims, correspondence and medical records to:
HealthChoiceP.O. Box 99011Lubbock, TX 79490-9011
Submit appeals and provider inquiries to:
P.O. Box 3897
Little Rock, AR 72203-3897
To ensure timely claims processing, the following information must be included on a CMS-1500, UB-04, or ADA form:
Patient’s namePrimary insured’s namePrimary insured’s ID numberProvider’s name and tax ID numberProvider’s billing addressDate(s) of serviceICD or DSM diagnosis codesCPT/HCPCS, DRG, CDT, or ASA codes with the appropriate modifiers
Itemized charges are required for all outpatient hospital services. Forms must be completed as required by CMS guidelines.