prior authorization
Preauthorization requests - in network and out of network (fax and email)
No phone listed for this route
Fax855-287-4028
Preauthorization request forms with clinical documentation
Published emailPreauthorization request forms with clinical documentation
Published hoursNot published in this record
workers comp
Texas
Not researched for this route
Per the provider FAQ, complete the preauthorization request form with clinical documentation and email it or fax it. The address is a utilization-review referral mailbox published on Texas Mutual's page. Preauthorization addresses medical necessity, not compensability, and is not a guarantee of payment. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.
View source ↗ · Source checked 2026-10-25 · Provider page - how to request preauthorization ↗
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