Community Health Choice

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

Medical appeals (adverse determinations) — Medical Affairs

Official page read
Phone

No phone listed for this route

Fax

713-295-7033

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
Community Health Choice Attn: Medical Affairs - Appeals 4888 Loop Central Dr. Suite 600 Houston, TX 77081

Medical appeals

Appeals of medical/prior authorization denials within 60 days of last disposition.

View source ↗ · Source checked 2026-10-24

Report an update

fax appeals

Behavioral health appeals — standard requests

Official page read
Phone

No phone listed for this route

Fax

713-576-0934

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
Community Health Choice Attn: Behavioral Health Appeals P.O. Box 1411 Houston, TX 77230

Behavioral health appeals

Behavioral health appeals; expedited requests fax 713.576.0935.

View source ↗ · Source checked 2026-10-24

Report an update

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

Call preparation · editorial guide

Make the call count.

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

Have ready in your secure workspace

  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice