Texas claims

Texas claims

The purpose of the Texas Health Care Network (HCN) is to create a system of medical providers and facilities specializing in the treatment of occupational injuries designed to shorten disability duration, contain medical costs, and provide injured workers with access to the best medical care possible. The HCN offers employers direction of medical control which in turn lowers claim costs. Only employers who choose to opt-in to the Texas HCN have access to the HCN’s specialized network of providers. Employers can choose to utilize the HCN by completing the HCN Participation Election Form within the first 30 days of the policy effective date.

Everest also offers an Outcomes-based Network (OBN) of medical providers and facilities. The OBN consists of top performing medical providers for occupational injuries. To identify an OBN participating provider or facility look for a multicolored circle next to their name.

Finding a medical provider
For employers participating in the Texas HCN, utilize this link to find a medical provider near you:

Health Care Network (Texas only)

If you need assistance locating a provider or selecting the correct network, please contact the Everest Medical Access Assistant at (800) 608-9822.

 

Key contact

For general claims assistance, call:

Meet our talented claims colleagues

Our people have decades of experience solving some of the industry’s biggest challenges.

Elise Dornfeld
Managed Care Specialist
Juan Alcala
Director, Claims

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Claims and Support

Our professionals put customer needs first, while handling claims with speed and efficiency.
claims

Claims

Our professionals are dedicated to reducing your cost of risk while handling claims quickly and efficiently.

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