Hooray for Providers
We’re Here for You!
Quickly access the important tools and information you need to effectively service Hooray Health Members or contact us to become a trusted Hooray Health Provider.
At Hooray Health, we don’t think that health benefits should be complicated. Our innovative coverage solutions are designed to provide our members with convenient access to quality healthcare when they’re sick or injured. Providers like you are the backbone of this mission!
Provider Quick Reference Links
How Hooray Health Plans Work
Highlights
- The Hooray Health Network consists of a nationwide network of Retail Clinic and Urgent Care Centers.
- Members can locate Hooray Health Network providers right from the Hooray Health Mobile App.
- If a Hooray Health Member visits a Retail Clinic or Urgent Care Center in the Hooray Health Network, they pay only a $25 Copay. Provider receives payment based on the schedule of benefits.
- For an injury or illness that requires additional services, members can visit a provider in the First Health Network or out of Network.
- Members also have access to $0 Telemedicine and Medical Concierge consults directing the member to the appropriate provider.
- Hooray Health is contracted with various lab providers.
Watch to learn how Hooray Health Members utilize their plan.
Claims Process
Claims Submission
Following service from a Hooray Health Network Provider or First Health Provider, members should not need to submit any claims to the Third-Party Administrator (TPA). All claims should be submitted by the provider on behalf of the member directly to the TPA showing on the member’s card. Should a member need to submit a claim, they can do so by submitting a claim reimbursement form that can be found on their Hooray Health Member Portal.
Hooray Health In-Network Claims
If a member visits a Hooray Health In-Network Retail Clinic or Urgent Care Center, they are required to show their Hooray Health Member ID Card. The provider will submit claims for processing to the TPA. An Explanation of Benefits (EOB) is then issued to member and provider with applicable payment for services provided. The member should not receive a balance bill for covered services.
Out-of-Network Claims
If a member visits an out-of-network Retail Clinic or Urgent Care Center, or a First Health Network Provider, they are required to show their Hooray Health Member ID Card. The provider will submit claims for processing to the TPA. An Explanation of Benefits (EOB) is then issued to member and provider with applicable payment for services provided. The member’s EOB may reflect a balance bill for services/portion of benefits not covered by the plan.
Contact Hooray Health
If you have questions, need assistance, or would like to work with Hooray Health, don’t hesitate to reach out. The Hooray Health team is always here to help!
Hooray Health Support
(866) 746-6729
Available 24/7/365
providers@hoorayhealthcare.com
Hooray Health 14755 Preston Rd #130, Dallas, TX 75254
Copyright 2021.
Hooray Health-Innovative, affordable and accessible benefit plans.