Health plans and insurers

Parkland Community Health Plan

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

10 contact routesNo directory research calls placed

provider services

Provider services — STAR Medicaid and CHIP (Dallas service area)

Official page read
Phone888-672-2277Published hours

8 am - 5 pm CST, Monday - Friday (except state holidays)

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

PCHP provider services for authorizations, denials and general questions; also listed as PCHP Provider Relations for claim appeal questions. Same number is the STAR member line. Not affiliated billing for Parkland Hospital patients.

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

fax prior auth

Prior authorization request fax — outpatient medical

Official page read
Phone

No phone listed for this route

Fax

214-266-2085

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Outpatient PA requests (toll-free fax 1-844-303-1382). Status checks via PCHP provider portal.

View source ↗ · Source checked 2026-10-24

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fax prior auth

Inpatient prior authorization request fax

Official page read
Phone

No phone listed for this route

Fax

214-266-2084

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Inpatient PA/notification requests (toll-free fax 1-844-303-2807).

View source ↗ · Source checked 2026-10-24

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fax prior auth

Behavioral health prior authorization request fax

Official page read
Phone

No phone listed for this route

Fax

214-266-2064

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Behavioral health PA requests (toll-free fax 1-844-266-2064).

View source ↗ · Source checked 2026-10-24

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pharmacy prior auth

Pharmacy prior authorization — Navitus for PCHP

Official page read
Phone877-908-6023Fax

855-668-8553

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
Navitus Health Solutions Attn: Prior Authorizations 1025 West Navitus Dr. Appleton, WI 54913

Mailed pharmacy PA forms

PDL, overrides, PA, quantity limits and formulary exceptions. Pharmacy payer info: BIN 610602, PCN MCD, Group PCH.

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 and electronic payer ID

Official page read
Phone

No phone listed for this route

Published email

TTPSSupport@cognizant.com

TriZetto (preferred EDI source) support

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
Parkland Community Health Plan Attn: Claims P.O. Box 560327 Dallas, TX 75356

Paper claims

Electronic claims: Payer ID 66917 (X12 837 5010); TriZetto Provider Solutions preferred EDI source.

View source ↗ · Source checked 2026-10-24

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appeals grievances

Claim appeals and provider complaints mailing address

Official page read
Phone888-672-2277Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address
PCHP Claims Appeals & Complaints P.O. Box 560347 Dallas, TX 75356-9005

Claim appeals and complaints

Claim appeals and provider complaints may also be submitted through the provider portal. Phone is PCHP Provider Relations.

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

Credentialing application status

Official page read
Phone

No phone listed for this route

Published email

PCHP.Credentialing@phhs.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Credentialing status. Demographic/info updates: email Provider Action Form to PCHPProviderInfoUpdate@phhs.org.

View source ↗ · Source checked 2026-10-24

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edi clearinghouse support

ECHO Health payments (EFT/ERA and virtual card)

Official page read
Phone888-927-6260Published email

EDI@ECHOHealthInc.com

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

PCHP provider payments through ECHO Health; enrollment team 440-835-3511.

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.

member services

Member services — CHIP / CHIP Perinate

Official page read
Phone888-814-2352Published hours

8 am - 5 pm CST, Monday - Friday

Product, plan and location

chip
Texas

Mailing address

Not researched for this route

Member line for CHIP and CHIP Perinate. STAR members: 1-888-672-2277.

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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