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
Medical Prior Authorizations
For Prior Authorization, please call (833) 200-9579 to confirm eligibility and benefits before being transferred for Prior Authorization. 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 Prior Authorization request and medical records through the online service, CoverMyMeds.
Provider Directory
Check our extensive list of providers, hospitals, facilities, and service providers.
Shield PBM powered by Rx Valet
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.
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
If you need assistance requesting a provider portal account, you can call and speak to an Oxbridge Health Advisor at (833) 200-9579
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:
Mail To: 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.