Harris health system gold card Application Forms

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Commonly Asked Questions about Harris health system gold card Application Forms

In 2021, Texas passed a law that requires all health plans to review past prior authorization (PA) requests from providers to determine if they qualify for Gold Card status. Gold Card status means a provider must have 5 or more requests for a specific service (like those with specified CPT codes) within a six-month
Heres how it works Send harris health gold card application online via email, link, or fax. You can also download it, export it or print it out. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Send harris health gold card application online via email, link, or fax.
This means that self-pay patients are expected to pay, not the actual charge amount, but rather the amount Medicare would have paid based on their fee schedules. If the service is not a benefit of Medicare but is a benefit of Medicaid, a Medicaid fee schedule will be utilized. Shoppable Service.
How do I apply? If you have questions regarding eligibility and how to apply, renew or obtain the status of your application, call the Eligibility Call Center at 713-566-6509. There is not a fee to apply for the Harris Health Financial Assistance Program. APPEALS PROCESS.