Please submit all claims via Email or Online Claim Submission:

Email: claims@mchd-tx.org

Online Claim Submission Link: https://lf.mchd-tx.org/Forms/wU7tT

 New Vendor Forms for Claims Submission 

1. PROVIDER INFORMATION FORM

2. W-9 FORM

For prior authorizations, contact PrimeDx at

(800) 477-4625

Payment Options:

1. Paper checks via mail

2. Direct deposit

For quicker reimbursement, we are providing you with the option for your payments to be deposited into your bank account.

Complete the ACH Form and return it to the e-mail address (ach@mchd-tx.org) at the top of the form.

Bill Pay FAQs