- Call us at:915-532-3778
- Outside El Paso1-877-532-3778
- Hours of Operation
7:00 A.M. – 5:00 P.M.
Mountain Time - En Español
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Provider Forms
Download our Provider Forms Below
- DME Supplies Form
- Demographic Form
- W9 Form – Request for Taxpayer Identification Number and Certification
- Credentialing Checklist for Organization/Facility
- Credentialing Application for Organization
- Secondary Locations for Organization
- Credentialing & Re-Credentialing Checklist for Physician
- Texas Standardized Credentialing Application
General Info
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El Paso Health - Claims
P.O. Box 971370
El Paso, TX 79997-1370
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P.O. Box 971100
El Paso, TX 79997-1100
©Copyright 2014 – El Paso Health
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You can request the materials in other formats by calling Member Services at 1-877-532-3778.
You can request the materials in other formats by calling Member Services at 1-877-532-3778.