Member ID Cards

• HCH Sync (TX)
• PHCS / Multiplan (Outside of TX)

Prior-Authorizations for Medical & Pharmacy

Oxbridge Health Prior Authorization Guidelines

Medical Prior-Authorizations

Complete the form: Medical Prior Authorization Form
And fax to: (469) 334-4168

You can also request a prior authorization by logging into our online Provider Portal or contacting (888) 744-7441.

Pharmacy Prior Authorizations

Complete the form: Pharmacy Prior Authorization Form
And fax to: (508) 986-7248
Or mail to: ATTN Consumer Services, RxAdvance

136 Turnpike Road, Southborough, MA 01772

Provider Directory

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

Healthcare Highways

HCH Sync (TX)
Visit: www.healthcarehighways.com
Or call: (800) 816-5356

PHCS

For members outside of TX
Visit: www.multiplan.com
Or call: (800) 678-7427

RxAdvance (Pharmacy Benefit Manager)

Pharmacy Locator (coming soon)
Pharmacy Cost Estimator (coming soon)
Pharmacy Member Portal (coming soon)
Formulary Lookup

Claims Submission & Payment

Claims Submission

Payor ID: RP 133
Mail to: PO Box 20247, Tampa, FL 33622

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 (888) 744-7441

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 (888) 744-7441

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 the form: Provider Dispute Form
Fax to: (469) 228-4289
Or mail to: PO Box 1414, Westborough, MA 01581

Pharmacy Claims

Complete the form: Provider Dispute Form
Fax to: (469) 253-6137
Or mail to: PO Box 1433, Westborough, MA 01581

Provider Forms Library

Prior Authorization Form (Pharmacy)
Prior Authorization Form (Medical)
Provider Appeals and Reconsideration Form (Pharmacy) (coming soon)
Provider Appeals and Reconsideration Form (Medical)
(coming soon)
Colonoscopy Coding Provider Guidelines