Health plans and insurers

Cook Children's Health Plan

Phone, published email, fax, addresses and the next step for your office.

11 contact routesNo directory research calls placed

provider services

Provider relations / provider services — STAR, STAR Kids, CHIP (Tarrant and surrounding counties)

Official page read
Phone888-243-3312Published email

CCHPProviderRelations@cookchildrens.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Provider relations representatives; claim concerns, training, manuals. Also the number for prior-authorization requirement questions (8:00 a.m.-5:00 p.m. Mon-Fri).

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax prior auth

Medical and behavioral health prior authorization fax — STAR Kids

Official page read
Phone

No phone listed for this route

Fax

682-303-0005

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

For providers pending Secure Provider Portal access; toll-free fax 1-844-843-0005. Portal is the preferred submission route.

View source ↗ · Source checked 2026-10-24

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fax prior auth

Medical and behavioral health prior authorization fax — STAR and CHIP

Official page read
Phone

No phone listed for this route

Fax

682-885-8402

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

For providers pending portal access; also used for STAR NICU infant admission and additional-information requests referencing the referral number. NICU additional days go to ProgenyHealth fax 1-484-229-9749.

View source ↗ · Source checked 2026-10-24

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prior authorization

Peer-to-peer scheduling with medical director

Official page read
Phone682-303-8248Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Schedule a peer-to-peer discussion about an adverse determination.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

Pharmacy prior authorization — Navitus for Cook Children's Health Plan

Official page read
Phone877-908-6023Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Navitus Texas Provider Hotline / prior authorization. Navitus pharmacy provider relations 1-866-333-2757.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

claims

Paper claims mailing address (certified mail)

Official page read
Phone

No phone listed for this route

Published email

CCHPFinance@cookchildrens.org

Late/missing EFT payments or remittances

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
Cook Children's Health Plan P O Box 21271 Eagan MN 55121-0271

Paper claims

Electronic submission through Availity preferred (Availity client services 1-800-282-4548). Paper claims only when electronic is not possible, via certified mail.

View source ↗ · Source checked 2026-10-24

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appeals grievances

Provider claim appeals

Official page read
Phone888-243-3312Fax

682-885-8404

Published email

CCHPClaimAppeals@cookchildrens.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
Cook Children's Health Plan Attention: Appeals P.O. Box 2488 Fort Worth, TX 76113-2488

Claim appeals

Written claim appeals by mail, fax or email (portal upload also available).

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

Provider complaints — Compliance

Official page read
Phone682-885-2866Fax

682-303-0276

Published email

CCHPCompliance@cookchildrens.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
Cook Children's Health Plan Attn: Compliance P.O. Box 2488 Fort Worth, TX 76113-2488

Provider complaints

Written provider complaints (not claim appeals).

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

Member denial and appeal coordinator

Official page read
Phone682-885-2247Published email

CCHPDenialandAppeal@cookchildrens.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
Cook Children's Health Plan Attention: Denial and Appeal Coordinator PO Box 2488 Fort Worth, TX 76101-2488

Member appeals

Member appeals of adverse determinations; toll-free 1-800-964-2247.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

provider enrollment credentialing

Network development / contracting (joining the network)

Official page read
Phone888-243-3312Fax

682-885-8403

Published email

CCHPProviderContracting@cookchildrens.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Letter of Interest questionnaire and contracting; TMHP enrollment must be current (TMHP 800-925-9126).

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

member services

Member services — CHIP and STAR

Official page read
Phone800-964-2247TTY phone844-644-4137Published hours

8:00 a.m. to 5:00 p.m. Monday-Friday

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Member line (local 682-885-2247). STAR Kids members: 1-844-843-0004.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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