Call Member Services at 713-442-CARE (2273)
or toll-free at 1-866-535-8343 (TTY: 711)
For Health Professionals
Contracted Provider Forms
- PlanLink Access Request Form
- Authorization Request Form
If you are interested in becoming a contracted provider with KelseyCare Advantage please submit a Letter of Interest (LOI).
Please include the following:
Letters can be submitted to:
Email: affiliateproviders@kelsey-seybold.com
Fax: (713) 442-2775
KelseyCare Advantage
Attn: Network Development
11511 Shadow Creek Parkway
Pearland, Texas 77584
Provider selection is based on numerous factors. You will receive notification regarding the Plan's decision to enter into an agreement generally within six (6) weeks of submission of the LOI.