Texas Providers
Welcome to Bravo Health's Texas Provider Homepage!
Our goal is to partner with you to deliver better outcomes for our members–and your patients–so that they can "Live life well." Please refer to this site often for special notices and provider reference materials. We have recently posted our new 2011 Provider Manuals, please click here.
If you have any questions or provider related issues, please contact:
Provider Services Department
1-800-291-0396
Press option #2 for provider related services.
Important Provider Updates:
IMPORTANT-TIME SENSITIVE INFORMATION
Dear Valued Provider:
Bravo Health’s Prior Authorization and Health Services Department fax numbers have changed for the following Bravo Health markets:
| |
|
Effective Date |
| San Antonio |
|
May 1, 2011 |
| Dallas-Fort Worth |
|
May 1, 2011 |
| El Paso |
|
June 1, 2011 |
Please make a note of the new numbers:
| Department
|
Fax Number |
| Prior Authorization – Outpatient Services, Home Health, and DME
|
1-877-376-7184 |
| Initial Inpatient Notification
|
1-877-376-7184 |
| Concurrent Inpatient Review
|
1-888-834-8321 |
| SNF
|
1-888-834-3928 |
Some important tips:
- This fax number is for Medicare Advantage (MAPD) only. This number is not to be used for STAR+PLUS prior authorization or notice of STAR+PLUS inpatient admissions.
- To avoid any delay in the approval of your prior authorization requests, please make sure your fax number is transitioned.
If you have any questions, call Provider Services at 1-800-291-0396.
Timely Filing Period for Paper and Electronic Claims
Claims must be submitted with all required information within 365 days (or the time period specified in your Provider Agreement) of the date on which the service was rendered. For institutional claims that include span dates of service, the "Through" date on the claim will be used to determine the date of service for timely filing. For professional claims submitted by physicians and other suppliers that include span dates of service (such as supplies and rental items), the line item "From" will be used to determine the date of service for timely filing. If a line item "From" date is not timely, but the "To" date is timely, Bravo Health will split the line item and deny untimely services as not timely filed.
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