Below you can find our most frequently used provider forms and resources for CHRISTUS Health Plan insurance. For ERA enrollment, please call with questions or to check enrollment status. If you are hard of hearing, call 1-800-735-2989 in Texas or 1-800-659-8331 in New Mexico.
Prospective Provider Form (PDF)
ERA Form (PDF)
Texas Standard Prior Authorization Form (PDF)
Member Acknowledgement Form (PDF)
Private Pay Agreement Form (PDF)
Consent for Disclosure of Confidential Information Form (PDF)
Training Attestation Form – Gen. Compliance and FWA Form (PDF)