HCAP Bill Payment

The Health Care Assistance Program (HCAP) office will be closed Wednesday June 3rd. For assistance please contact us via phone at (936) 523-5100 and leave a detailed voice message. HCAP will resume normal office hours Thursday June 4th.

https://lf.mchd-tx.org/Forms/SDpha

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

Online New Vendor Enrollment Link: https://lf.mchd-tx.org/Forms/SDpha

 

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.

Contact Information

HCAP Bill Pay Team

(936) 523-5111

HCAPBillpay@mchd-tx.org

Liz Bedair
Accounts Payable Specialist

(936) 523-1102

HCAPclaims@mchd-tx.org