Contact Wellpoint Texas, Inc.
Medicaid and CHIP
STAR+PLUS MMP (Medicare-Medicaid Plan)
Contact your local Wellpoint health plan and Provider Relations representatives
Bexar service area:
Dallas and Tarrant service areas:
Central, Northeast and West rural service areas:
El Paso service area:
Harris and Jefferson service areas:
Lubbock service area:
Travis service area:
Email a Provider Experience associate
Did you know that most questions and issues can be resolved by using the Wellpoint provider self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with a Wellpoint associate from within the Availity Portal.
For other issues, you can message the Provider Experience team. Your Provider Experience representative will respond – usually within two business days.
- 1-844-756-4600 STAR Kids
- TTY: 711
The nurse helpline is a 24-hour service your Wellpoint patients can call to speak with a registered nurse who can:
- Answer medical questions and help determine what kind of care is needed
- Provide information about after-hours and weekend care when your office is closed, including the location of network urgent care centers or walk-in clinics
We encourage you to tell your Wellpoint patients about this service and share with them the advantages of avoiding the emergency room when it isn’t necessary or the best alternative.
Members can reach the 24-hour Nurse HelpLine by calling the number on their Wellpoint ID card. TTY services are available for members who are deaf or hard of hearing by calling 711. Language translation services are also available.
To find a doctor, group or facility for a patient referral or specialty consultation, use our online provider search tool or the PDF referral directories on the Referrals page of this website.
- TTY: 711
Teladoc physician consultation services are available through the 24-hour Nurse HelpLine 24/7 for our Medicare Advantage members.
Our care managers are licensed nurses and social workers and are available from 8:30 a.m. to 5:30 p.m. local time, Monday to Friday. Confidential voicemail is available 24 hours a day.
Please call 1-888-830-4300 to reach one of our care managers. Your patients can get information about Condition Care/Population Health program services by visiting the Wellpoint member site or calling 1-888-830-4300.
Do you have questions for our Technical Support team? Call us for assistance at 1-833-731-2162.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub
- Learn about Availity
- Precertification Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)