TEXAS INTEGRATED HEALTH PROVIDERS
WELCOME ONTRAK PROVIDERS!
Thank you for being a part of our network. Please use this site as a resource for managing your relationship with us.
BILLING & IMPORTANT FORMS
Treatment Plan & Visit Summary Submission
An initial treatment plan is required (only one per member), and submission must be by member’s third visit. All other visits, both before/after treatment plan submission, require a visit summary submission. Please submit visit summaries within five business days of each service. Here are copies of each form:
Treatment Plan / Visit Summary Form
To ensure faster pay, better coordination, and lower no-show rates, please fax all treatment plan and/or visit summaries, immediately after each service, to the Care Coaches at (888) 972-9589. Or send via secure email: operations_delivery@ontrakhealth.com.
Please note: the date of service in the visit summary/treatment plans must match the date of service submitted on the claim.
Claim Form Submission
Timely Claim
Please submit a complete claim to Ontrak’s TPA, Keenan and Associates. Claims should be submitted electronically.
Electronic:
Payor ID KEE01 (Office Ally)
Payor ID 95279 (All Others)
Billing Support:
Phone: 310-444-4395
ONTRAK NEWSLETTER & IMPORTANT NOTIFICATIONS
Winter 2022 Ontrak Provider Newsletter
In this newsletter, you can find important reminder information regarding timely filing guidelines. Check it out for our latest updates!
If you’d like to subscribe to our newsletter, please email Ontrak Provider Services.
CONTACTS
Mailing Addresses
Texas Integrated Health, Inc. Office: 2200 Paseo Verde Parkway, Suite 280, Henderson, NV 89052
Keenan and Associates: P.O. BOX 2744, Torrance, CA, 90509
Billing / Claims Questions
Phone: 310-444-4395
claimquestions@ontrakhealth.com
Provider Network Management / Contracting Questions
Provider Network Phone: 855-840-3627, Option 3
Provider Network Fax: 833-908-0144
Provider Network Help: network_management@ontrakhealth.com
Care Coach Line
Phone: 866-321-6560
Member Referrals & Eligibility Questions
Phone: 855-840-3627, Option 2
or 888-965-5423
ClaimQuestions@OntrakHealth.com
