Provider Forms and Resources
Below you can find our most frequently used provider forms and resources for CHRISTUS Health Plan and US Family Health Plan.
If you are in need of assistance due to impaired hearing, please call 711.
Health Insurance Exchange: 1-877-650-4643
Medicare Advantage: 1-888-437-1981
US Family Health Plan: 1-833-947-0714
Hours
Health Insurance Exchange: 8 a.m. to 5 p.m., local time, Mon. – Fri.
Medicare Advantage: 8 a.m. to 8 p.m., local time, 7 days a week, Oct. 1 – Mar. 31; and 8 a.m. to 8 p.m., local time, Mon. – Fri.
USFHP: 8 a.m. to 5 p.m., Mon. – Fri.
Forms
- Application for Network Participation (Link)
- Texas Standard Prior Authorization Form (PDF)
- Member Acknowledgement Form (PDF)
- Private Pay Agreement Form (PDF)
- Consent for Disclosure of Confidential Information Form (PDF)
- Training Attestation Form – Gen. Compliance and FWA Form (PDF)
- Background Release Form (PDF)
Medicare Advantage Resources
- Provider Letter - Change to Medicare ID Card (PDF)
- QMB Provider Notification Letter (PDF)
- Notice to Physicians and Providers (PDF)