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MaintenX Employees Find Primary Care

PPO Plan Care at Z-2-H™ Texas ClinicsUploaded Image

Understanding where your health plan can be used may make it easier to find care when you or a family member feels unwell. Z-2-H™ Family Med & Urgent Care Clinic provides compassionate primary care, family medicine, and urgent care at eligible Texas clinic locations.

MaintenX employees may be enrolled in the PPO Plan administered by CornerStone Preferred Resources. The available plan information lists a $25 primary care copay and a $50 specialist copay. Verify your benefits and the clinic’s network participation before receiving care.

What Does the MaintenX PPO Plan Include?

The available MaintenX PPO Plan information lists:

  • Primary care visit: $25 copay

  • Specialist visit: $50 copay

These amounts may not apply to every service received during an appointment. Laboratory testing, imaging, medications, injections, procedures, medical supplies, and additional services may be processed separately.

An insurance card does not guarantee coverage or payment. Current eligibility, medical necessity, network participation, prior authorization, and the services provided may affect your final responsibility.

For scheduling assistance, call Z-2-H at (469) 283-0076.

Can MaintenX Employees Visit Z-2-H?

Eligible MaintenX employees and their covered family members may visit Z-2-H for primary care, urgent care, preventive services, and many everyday medical concerns.

The medical team can evaluate and treat concerns such as:

  • Cold and flu symptoms

  • Cough, congestion, or sore throat

  • Fever and body aches

  • Ear pain or ear infections

  • Headaches and migraines

  • Nausea, vomiting, or diarrhea

  • Urinary symptoms

  • Minor infections

  • Mild allergic reactions

  • Rashes and skin concerns

  • Minor injuries

  • Routine primary care concerns

  • Chronic condition follow-ups

  • Preventive care and physical examinations

Coverage depends on the member’s plan, current eligibility, medical needs, provider-network participation, clinic location, and the services provided.

Call 911 or visit the nearest emergency room for chest pain, severe breathing difficulty, signs of a stroke, fainting, confusion, uncontrolled bleeding, major trauma, or another life-threatening emergency.

Who Administers the MaintenX Plan?

CornerStone Preferred Resources, also known as CPR, is the third-party administrator listed for the MaintenX PPO Plan.

CornerStone Preferred Resources can assist members and providers with:

  • Eligibility verification

  • Medical benefit questions

  • Copay and cost-sharing information

  • Provider-network participation

  • Prior-authorization requirements

  • Claim-status questions

For plan and benefit questions:

Have the member identification number from your MaintenX insurance card available when requesting assistance.

How Do I Verify My Benefits?

Before scheduling an appointment, call (800) 278-0703 and ask:

  • Does Z-2-H participate with my MaintenX PPO Plan?

  • Is my preferred clinic location in network?

  • Will the $25 primary care copay apply to my appointment?

  • Is the requested medical service covered?

  • Are laboratory tests, imaging, medications, or procedures billed separately?

  • Is prior authorization required?

  • Is a specialist referral required?

  • Will I have a time-of-service responsibility?

Write down the representative’s name, the date of the call, and the reference number provided. Final coverage is determined when the plan administrator processes the claim.

Z-2-H can collect your insurance information before the appointment, but the plan administrator provides the official explanation of your benefits.

Is Prior Authorization Required?

Prior authorization depends on the medical service being requested.

For prior-authorization assistance:

Members and providers should confirm whether approval is required before receiving the requested service.

Prior authorization does not guarantee claim payment. Current eligibility, medical necessity, network participation, plan exclusions, and other plan requirements may affect how the claim is processed.

What Network Does the Plan Use?

The MaintenX PPO Plan uses the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have elected to participate.

Not every Baylor Scott & White Quality Alliance provider participates in the EHN Preferred Network. Members should confirm that their preferred Z-2-H location and treating medical professional participate with the MaintenX PPO Plan.

To locate or verify an in-network provider:

Provide the employer name, PPO Plan name, member identification number, preferred clinic location, and requested service when confirming participation.

Are Specialist Referrals Required?

The available MaintenX plan information does not list a general specialist-referral requirement.

Certain specialist visits, tests, treatments, or procedures may still require prior authorization. Contact the plan administrator before beginning specialty care to confirm the current referral and authorization requirements.

What Should I Bring to My Appointment?

Please bring or prepare:

  • Your MaintenX insurance card

  • A photo identification card

  • A current medication list

  • Known medication or food allergies

  • Relevant medical records

  • Recent laboratory or imaging results

  • Any referral or authorization documents

  • A description of your symptoms

  • The date your symptoms began

  • Your preferred pharmacy information

  • Your benefit-verification reference number

Providing complete and accurate information may help prevent delays with eligibility verification and claim processing.

Claims Information for Providers

MaintenX PPO Plan claims are submitted through Employers Health Network and SmartCare.

Electronic claims: Payor ID IHS07

Mailed claims:

Employers Health Network/SmartCare
P.O. Box 507
Arnold, MD 21012

Providers should verify the member’s eligibility, network participation, prior-authorization requirements, and current claim-submission instructions before providing care or submitting a claim.

Compassionate Care at a Texas Clinic

Z-2-H works to make primary and urgent care easier to access and understand. Whether you need help with a sudden illness, minor injury, preventive visit, or ongoing health concern, the medical team will listen and help you understand the appropriate next step.

When you are ready, Book an Appointment or call (469) 283-0076. Please have your MaintenX insurance card available so your eligibility, benefits, and network participation can be reviewed before the visit.