Register Forgot Password?


   Texas Prior Authorization Request Form

For authorization requests subject to Texas utilization review laws, providers may but are not required to submit an authorization request to CareCentrix utilizing this form.
If you elect to use this form, please fax the completed form to [800-700-2085].





   
© Copyright 2007-2020 CareCentrix
Best Viewed on Internet Explorer 8 resolution 1280 x 800


Build Version - 2.20.11

 

Web Chat page
Select Inquiry Type Close Window
 
 
What would you like to chat about? What Can We Help You With?
   
 
 
Back Arrow Button Warning X
 
 
Selecting the Back Arrow Button in your browser may result in lost data and disruption of chat session. Would you still like to proceed?
 
 
 
Chat