For Providers

Important update regarding Ascension prior authorizations

As a Dell Children’s Health Plan provider, we value your role in providing quality healthcare to your patients, our members. Our role as a health plan is to provide you with the tools and resources you need to be successful.

If you cannot find what you need here on our website, please get in touch. You can contact our Provider Engagement department by email at shpproviderservices@seton.org.

As a provider, you may also access our provider portal to submit or check status of authorizations, submit or check status of claims and check eligibility for our members by going to https://secure.healthx.com/Provider_2022

Important phone numbers

  • Behavioral health care (Magellan): 1-800-424-1764
  • Service Coordination: 1-844-564-5212
  • Member Services: 1-855-921-6284 (TTY 7-1-1)
  • Navitus (pharmacy benefit manager): 1-877-908-6023
  • Provider Services (claims status, eligibility and benefits): 1-844-781-2343
    Monday through Friday from 7 a.m. to 7 p.m. Central time
  • Provider Relations: 512-324-3125, option 4
  • Superior Vision of Texas: 1-877-235-5317 (provider services), 1-888-273-2121 (UM)
  • Utilization Management (UM): 1-855-962-4453, clinical support 512-324-2325
  • Access2Care (Transportation): 1-844-867-2742
  • Network Contracting: 512-324-3125, option 5
  • Demographic information update: SHPProviderServices@seton.org
  • Community Outreach: 512-324-DCHP (3247)

 

Join our network!

If you would like to join the Dell Children’s Health Plan provider network, please email the contracting inbox at shpnetworkdevelopment@seton.org or call 512-324-3125, option 5.


Important Links

 

Prior authorizations

 

Pharmacy

Updating provider information with Dell Children's Health Plan

Please contact Provider Relations at SHPProviderServices@seton.org to make any changes to a provider’s address, phone number, group affiliation or other updates.


To providers: Please update your enrollment and demographic information with TMHP (Texas Medicaid Healthcare Partnership). TMHP is HHSC’s provider enrollment administrator and serves as the authoritative source for HHSC Providers’ enrollment and demographic information. Once you update your enrollment and demographic information with TMHP, your data will be reconciled with the demographic information on file with the MCOs. To make updates to your current enrollment (e.g., new practice locations or change of ownership updates), please access the web page titled “Provider Enrollment on the Portal – A Step-by-Step Guide”.

For instructions on how to make other demographic updates to your current enrollment, please access the document titled “Provider Information Management System (PIMS) User Guide”.

Otherwise, you can contact TMHP directly at 1-800-925-9126 for assistance.

After hours locations

You can also view a list of urgent care and after hours locations here.

Urgent care centers

You can also view a list of urgent care and after hours locations here.