Submitting Claims

If you have received services from a non-network provider and you wish to obtain reimbursement, mail the forms provided to you by your mental health provider along with evidence of the payment made. The forms will most likely be the CMS (formerly HCFA) 1500 form for outpatient services and the 1450/UB 92 form for inpatient billing. If these forms are not provided to you, you may submit a super bill containing the same information as would be provided on those forms. Be sure to include the total charge, diagnosis, date and location of service, provider's name and license, and the CPT or Revenue Code. Corphealth's claims mailing address for all, except State of Arkansas, is:

Corphealth
1300 Summit Ave., Suite 811
Fort Worth, TX 76102-4420

Arkansas Claims - Send to:
Corphealth
Star EAP
1701 Centerview Dr, Suite 101
Little Rock, AR 72211

Claims services will assist you with any questions or concerns you may have regarding claims payment activity. You may contact claims services by email at claimscs@corphealth.com. If you wish to talk with someone by phone you may call the number listed on your insurance card or call 800 777-6330.

Claims Appeal

Corphealth offers you the right to appeal any claims decision. Claims Appeals should be made no later than sixty days from the date you receive your claim decision. A request for appeal can be made verbally by calling 1-800 777-6330, through email at claimscs@corphealth.com, or by sending a written request attached to any mitigating information to support your appeal of the original claims determination to:

Corphealth
1300 Summit Avenue, Suite 811
Fort Worth, TX, 76102-4420
Attn: Claims Appeal