Mailing addressSendero Health Plans, ATTN: Medical Management Dept., PO Box 17097, Austin, TX 78760
Medical adverse-determination appeals; not original claims.
The guide places this route in its adverse-determination appeals section, with a 180-calendar-day filing window from the written notice. Provider administrative routing from the Quick Reference Guide revised July 13, 2026. Confirm the member’s Sendero product and contract; no statewide or county eligibility is asserted.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
appeals grievances
Level 1 claim reconsiderations
Official page read
Phone
No phone listed for this route
Published hours
Not published in this record
Product, plan and location
Confirm the exact product or service Texas
Mailing addressSendero Health Plans, ATTN: Reconsiderations, PO Box 17247, Austin, TX 78760
Initial claim reconsideration.
The guide states 120 days from the explanation of payment; verify the applicable notice and contract. Provider administrative routing from the Quick Reference Guide revised July 13, 2026. Confirm the member’s Sendero product and contract; no statewide or county eligibility is asserted.
Mailing addressSendero Health Plans, ATTN: Appeals II, PO Box 17247, Austin, TX 78760
Subsequent Level 2 claim appeal.
Only after an earlier reconsideration was submitted and denied. The guide states 30 calendar days from the reconsideration decision. Provider administrative routing from the Quick Reference Guide revised July 13, 2026. Confirm the member’s Sendero product and contract; no statewide or county eligibility is asserted.
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