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Medical Provider Contacts
BCBSTX Provider Customer Service
Other Customer Service Numbers
Claims Filing/Appeals/THIN
Predetermination Requests (HMO/PPO/POS)
BlueLink Interactive Voice Response System
Utilization Management
Wellness Guidelines/Clinical Practice Guidelines
Web site Resources
Local Network Offices
Medical Provider Contacts
Blue Cross and Blue Shield of Texas
901 S. Central Expressway
Richardson, Texas 75080
1-800-451-0287
TDD: 1-800-735-2989 (for hearing impaired)
www.bcbstx.com/provider
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BCBSTX Provider Customer Service
BlueCard® (out-of-state) Eligibility & Benefits Information:
1-800-676-BLUE
BlueCard (out-of-state) Claim Status:
1-800-451-0287
BlueChoice® (PPO/POS) & Indemnity Plans:
1-800-451-0287
Federal Employee Programs
1-800-442-4607
HealthSelectSM (POS)
1-800-252-8039
HMO Blue® Texas Plan
1-877-299-2377
Texas Health Insurance Risk Pool (THIRP)
1-888-398-3927
TRS-Active Care
1-800-451-0287
University of Texas (UT)
PPO: 1-866-882-2034
HMO: 1-888-322-2379
Wal-Mart (Benefits/Eligibility/Claim Status) BCBS Illinois
1-800-972-8088
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Other Customer Service Numbers
Behavioral Health Services Preauthorization and Referrals
PPO/POS - Inroads Behavioral Health Services: 1-800-528-7264
HMO - Magellan Behavioral Health Services: 1-800-729-2422
www.magellanhealth.com
Behavioral Health Claims Status
PPO/POS: 1-800-451-0287
HMO: 1-800-729-2422
www.magellanhealth.com
Prime Therapeutics
PPO/POS: 1-800-521-2227
HMO: 1-877-299-2377
American Imaging Management (AIM)
1-800-859-5299
www.americanimaging.net
Davis Vision
1-800-501-1459
www.davisvision.com
Laboratory Corporation of America (LabCorp)
1-888-LABCORP
1-888-522-2677
www.labcorp.com
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Claims Filing/Appeals/THIN
Claims Filing Address
All claims should be submitted electronically. If a provider must file a paper claim, mail claim to:
Blue Cross and Blue Shield of Texas
P.O. Box 660044
Dallas, Texas 75266-0044
Claim Appeal or Reconsideration Review Filing Address (Form available on-line)
Blue Cross and Blue Shield of Texas
P.O. Box 660044
Dallas, Texas 75266-0044
THIN Helpline
1-877-334-8446
File electronic claims using Receiver Type G and Payer ID number 84980
THIN Web site
www.thinedi.com
THIN Representative Listing
www.thinedi.com/contactus.htm
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Predetermination Requests (HMO/PPO/POS)
Blue Cross and Blue Shield of Texas
Attn: Predetermination Dept.
P.O. Box 660044
Dallas, Texas 75266-0044
For status call:
PPO/POS: 1-800-451-0287
HMO: 1-877-299-2377
Fax (HMO only): 1-800-252-8815
Disclosure Information (Form available on-line)
Blue Cross and Blue Shield of Texas
Pre-Service Allowed Benefit Disclosure Benefit Request
P.O. Box 650489
Dallas, Texas 75265-0489
Fax: 972-766-0371
Please do not send patient-specific information to this address or fax number.
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BlueLINK Interactive Voice Response System
BlueLINK
1-800-413-0869
BlueLINK Help Desk
1-800-441-9188
BlueLINK Online
www.bcbstx.com/provider
under UM/QI/Medical Management, click on BLUELINK (password required)
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Utilization Management
Preauthorization/Referrals
1-800-441-9188
Fax: 1-800-252-8815
Case Management
1-800-462-3275
Fax: 1-800-778-2279
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Wellness Guidelines/Clinical Practice Guidelines
www.bcbstx.com/provider
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Web site Resources
Blue Cross Blue Shield of Texas
www.bcbstx.com/provider
THIN Web site
www.thinedi.com
Workgroup for Electronic Interchange
www.wedi.org
Texas Department of Insurance
www.tdi.state.tx.us
Texas Medical Association
www.texmed.org
Bexar County Medical Society
www.bcms.org
Dallas County Medical Society
www.dallas-cms.org
Harris County Medical Society
www.hmcs.org
Tarrant County Medical Society
www.tcms.org
Travis County Medical Society
www.tcms.com
HIPAA Web site
www.thinedi.com/hipaa/hipaa.htm
Medicare Related HIPAA
www.cms.hhs.gov/HIPAAGenInfo/
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Local Network Offices
Austin
Professional Provider Network
512-349-4847
1-800-336-5696, press 4
Fax: 512-349-4851
Facility Provider Network
210-357-5340, press 6
Fax: 210-357-5273
Corpus Christi
Professional Provider Network
361-878-1630
1-800-872-1518, press 7
Fax: 361-878-1646
Facility Provider Network
361-878-1654
1-800-442-1685, press 3
Fax: 361-878-1646
Dallas
Professional Provider Network
972-766-8900
1-800-749-0966
Fax: 972-766-0345
Facility Provider Network
972-766-8900
1-800-749-0966
Fax: 972-766-1103
El Paso
Professional Provider Network
915-496-6600, press 2
1-800-682-6789
Fax: 915-496-6611
Facility Provider Network
915-496-6600, press 2
1-800-682-6789
Fax: 915-496-6611
Golden Triangle (Beaumont, Orange & Port Arthur)
Professional Provider Network
409-896-0140
1-800-637-0171, press 3
Fax: 409-896-0111
Facility Provider Network
713-663-1115
1-800-637-0171, press 5
Fax: 713-663-1250
Houston
Professional Provider Network
713-663-1149
1-800-637-0171, press 3
Fax: 713-663-1250
Facility Provider Network
713-663-1115
1-800-637-0171, press 5
Fax: 713-663-1250
Lubbock/Amarillo
Professional Provider Network
806-783-4610
Fax: 806-798-6308
Facility Provider Network
Hospital: 806-798-6315
Ancillary: 806-798-6343
Fax: 806-798-6308
Midland/Abilene/San Angelo
Professional Provider Network
432-620-1406
Fax: 432-620-1431
Facility Provider Network
Midland/San Angelo
1-800-442-1685, press 3
210-357-5340, press 6
Fax: 210-357-5273
Abilene
Hospital: 806-798-6315
Ancillary: 806-798-6343
Fax: 806-798-6308
San Antonio
Professional Provider Network
210-344-9100, press 7
1-800-872-1518, press 7
Fax: 361-878-1646
Facility Provider Network
210-357-5340, press 6
1-800-872-1518, press 6
Fax: 210-357-5273
Tyler/East Texas
Professional Provider Network
903-535-0380
Fax: 903-535-0397
Facility Provider Network
972-766-8900
1-800-749-0966
Fax: 972-766-1103
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