Member ID Cards

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

Prior-Authorizations for Medical & Pharmacy

Medical Prior-Authorizations

For Prior Authorization, please call (833) 200-9579 to confirm eligibility and benefits before being transferred for PA.

To confirm if a service requires prior authorization, you may call 1 (800) 432-8421.

Pharmacy Prior Authorizations

To submit a Prior Authorization request, you may call (877) 659-6101.

Additionally, providers may submit a PA request and medical records through the online service, CoverMyMeds.

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

Shield Pharmacy Benefit Manager, powered by Rx Valet

Pharmacy Website: https://www.myrxvalet.com/

Member Portal: www.shieldpbm.com/

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)

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

Network Pricing Disputes: Call HCH Customer Experience Team at (888) 806–3400; Mail To: Reflect Health, PO Box 40825, Cincinnati, OH 45240 / Fax to: (513) 772-9174

Provider Disputes: Reflect Health, PO Box 40825, Cincinnati, OH 45240 / Fax to: (513) 772-9174

Pharmacy Claims

To submit an appeal, fax your appeal with supporting documentation to the fax number listed on your denial letter.

Provider Forms Library

Preventive Care Services
Colonoscopy Coding Provider Guidelines