Texas Pharmacy Third Party Insurance Call Center
The Texas Pharmacy Third Party Insurance Call Center ensures the accuracy of third-party information used in the claims adjudication processes.
Pharmacy providers may contact the call center to confirm non-Medicare third party insurances for people eligible for fee-for-service Medicaid or report discrepancies found with other payers.
Pharmacy providers should attempt to bill the third-party payer in question before contacting the call center. The call center cannot process a request until the pharmacy has received a rejection from the third-party payer. Once the pharmacy receives the rejection, the call center will verify insurance within 72 hours and provide updates to the HHSC claim system.
Contact the Texas Pharmacy Third Party Insurance Call Center to verify other insurance.