HIPP Fax Cover Page at a glance
What it is: The HIPP Fax Cover Page is the cover page for faxing things to the Health Insurance Premium Payment program (HIPP).
Where and when to file: Fax toll-free to HIPP: 1-866-409-1188. When faxing things to the Health Insurance Premium Payment program (HIPP), allow two workdays for HHSC to review the fax.
A filled-in HIPP Fax Cover Page example: a fax of a rate sheet and an insurance card
How to fill out HIPP Fax Cover Page, box by box
Total pages, Medicaid Identification number, your name, phone and e-mail
Enter the Total pages in fax (include cover page).
Enter the Medicaid Identification number.
Enter Your name, Phone and E-mail.
Check what you are faxing to HIPP
Check what you are faxing to HIPP: Proof of premium payment for the month of, Rate sheet, Summary of benefits, Explanation of benefits (EOB), Copy of insurance card or Other.
Common questions about HIPP Fax Cover Page
Where do I file it?
Fax toll-free to HIPP: 1-866-409-1188.
Sources
[1] HIPP Fax Cover Page, Texas Health and Human Services Commission (the Official source link on this page).