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The provider panel provides guidance for enhancements to maintain and continually improve El Paso Health’s service to the provider network, and to ensure provider satisfaction with health plan processes.
Welcome to El Paso Health. We are your local, non-profit health plan serving El Paso and Hudspeth counties. Our team of bilingual professionals is dedicated to helping our members and providers.
Providers can submit Pharmacy Prior Authorizations (PA) for Outpatient Drugs to El Paso Health’s Pharmacy Provider Hotline at 1-877-908-6023. Clinical staff is available 24 hours a day, 7 days a week.
If your Medicaid ID card is lost or stolen, you can get a new one by calling us at 915-532-3778 or toll-free at 1-877-532-3778 for STAR and 1-833-742-3127 for STAR+PLUS. You can also reach us by email at member@elpasohealth.com.
A step by step guide to guide you through the process of enrolling as a provider using TMHP’s Provider Enrollment and Management System (PEMS) tool can be found at the following URL: https://www.tmhp.com/topics/provider-enrollment/pems/start-application otherwise, you can contact TMHP directly at 800-925-9126 for assistance (option 3).
The Provider Web Portal has real-time integration to El Paso First’s core system. Through use of the portal providers can view member insurance coverage, view providers payments, view authorization approvals, view claims status, and submit professional claims. This manual provides instructions on how to use the El Paso First Provider Web Portal.
El Paso Health 1145 Westmoreland Drive El Paso, TX 79925-5615 Call us at 915-532-3778 STAR/CHIP Outside El Paso 877-532-3778 STAR/CHIP Call us at 833-742-3127 STAR+PLUS Hours of Operation 8:00 A.M. – 5:00 P.M. MST
El Paso Health helps family members of any age and pregnant women. Members must renew coverage once a year. All members of the Texas Medicaid STAR Program receive the same health benefits that include: Doctor visits and hospitalization. Transportation to appointments. Medically necessary unlimited prescriptions.
At El Paso Health, we look forward to answering your questions. You contact specific departments by dialing 915-532-3778 or toll free 1-877-532-3778 and entering the corresponding extension listed below: Department. Extension. Fax Number. Description. Member Services.
El Paso Health