Third-party Contact Guidance

What Happens Who to Contact
Pharmacy provider receives a rejection from the primary insurance. The primary insurance. Medicaid does not have the ability to assist with the correction of a non-Medicaid rejection.

Pharmacy provider is told the person does not have any other insurance although Medicaid has other insurance on file.

The Texas Pharmacy Third Party Insurance Call Center. The call center will re-verify the other insurance within 72 hours and update the claim processing system as necessary.

Pharmacy provider does not know how to enter a coordination of benefits claim. Your software help desk or corporate office.