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Providing Quality Health Insurance Plans

Helping Providers Provide Quality Care

Our number one focus is helping our members receive the very best care possible. We know this is your goal as well. We help make the process easier with streamlined services, so you can focus on what’s really important.

Vision Statement

The vision for Cox HealthPlans Provider Services Department is to meet and exceed the expectations of all our Providers by offering friendly, professional answers to meet their individual needs by a staff engaged in excellent customer service.

Health Insurance Plans We Offer

We offer several types of health insurance plans in the Springfield and southwest Missouri regions including:

  • Cox Health Systems Insurance Company Group PPO Plan
  • Cox Health Systems Insurance Company Individual PPO Plan
  • L.E. Cox Medical Centers Employees Self-Funded Plan

PPO Members

Group and Individual PPO members are not required to select a PCP. For a list of services that require prior authorization, you can download our Provider Manual. When a PPO member utilizes a non-Network Provider, it is the member’s responsibility to obtain prior authorization for services that require authorization. PPO Members are responsible for varying deductibles, co-pays and co-insurance amounts per their plan. See Provider Manual

Provider Directory

If you are referring a patient outside of your care, please access our Provider Directory to insure our member is getting the highest level of benefit for their care by staying with our network.  Start Search

Need Assistance

If you have any questions or concerns, or need additional assistance, please contact our Provider Service Department at (417) 269-2900 or toll free at (800) 205-7665. You can also email us at providers@coxhealthplans.com.

NOTICE: Email is not considered a secure environment in which to transmit Protected Health Information (PHI) by the Health Insurance Portability and Accountability Act (HIPAA). Cox HealthPlans does not guarantee the privacy of any PHI sent via the Internet and will not reply via email. If you choose to send PHI via internet email you do so at your own risk. You may submit PHI thru secure messaging by registering for the member on-line access, provider on-line access or group administrator on-line access. You may contact our Member Services department at 417-269-2900 or 800-205-7665.

PHI Includes: Name Geographic Location Date(s) Phone & Fax Numbers Email Addresses Social Security Numbers Any unique identifying number (Member #), characteristic, or code Beneficiary Information Medical and Billing Records

Prescription Information

Find the best prescription coverage options for your patients with our tiered prescription plan to help meet the needs of all of our members.

Learn More

Resources & Forms

From confidentiality statement to prescription authorization, you can quickly download any form you might need to continue providing care for your patient.