Contact Us
| Contact Name | Address/Phone/Email/URL |
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Blue Cross and Blue Shield of Texas (BCBSTX) |
1001 E. Lookout Drive Richardson, TX 75082 800-451-0287 TDD: 800-735-2989 (for hearing impaired) |
BCBSTX Provider Customer Service Numbers |
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BlueCard® |
Eligibility and benefits (out-of-state subscribers) 800-676-BLUE (2583) 7 a.m. to 7 p.m. CT, M–F Claim status inquiries (out-of-state subscribers) Contact Availity® or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M–F *interactive voice response (IVR) system — to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) |
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BlueChoice® (PPO/POS) and indemnity plans |
Eligibility and benefits or claim status inquiries Contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M–F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) Verification hours are 6 a.m. – 6 p.m. CT M–F and 9 a.m. to noon CT on Saturday and Sunday and legal holidays |
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Federal Employee Program (FEP) — PPO |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 800-442-4607*, 9 a.m. to 5 p.m. CT, M – F Behavioral health services mental health and chemical dependency preauthorization and referrals (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services) call 800-528-7264 Behavioral health services – claims status inquiries contact Availity or other electronic connectivity vendor or call 800-442-4607*, 9 a.m. to 5 p.m. CT, M – F Verification hours are 6 a.m. — 6 p.m. CT M–F and 9 a.m. to noon CT on Saturday and Sunday and legal holidays *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth) |
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HMO Blue® Texas |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 877-299-2377*, 8 a.m. to 6 p.m. CT, M–F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) Verification hours are 6 a.m. — 6 p.m. M–F and 9 a.m. to noon CT on Saturday and Sunday and legal holidays |
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Texas Health Insurance Pool (THIP) |
888-398-3927, 8 a.m. to 5 p.m. CT, M–F |
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TRS-ActiveCare |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M–F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) |
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University of Texas (UT Select) |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M–F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) |
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Wal-Mart |
Eligibility and benefits 800-676-BLUE (2583) 7 a.m. to 7 p.m. CT, M–F Claim status inquiries (out-of-state subscribers) Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M–F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) Verification is not applicable for all enrollees or providers. Routine eligibility and benefit information may still be obtained, during regular customer service hours, when verification is not applicable. |
Other Customer Service Numbers |
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Behavioral health services mental health and chemical dependency |
BlueChoice PPO/POS (includes FEP): Call 800-528-7264 or the phone number listed on the back of the member's ID card. Submit completed forms to: Claims submission address: HMO Blue Texas: Magellan Behavioral Health Providers of Texas, Inc.  800-729-2422, 8 a.m. to 7 p.m. CT |
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Behavioral health services - claims status inquiries |
PPO/POS: Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M–F *interactive voice response (IVR) system — to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) HMO: Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 800-729-2422, 8 a.m. to 6 p.m. CT, M–F. |
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Prime Therapeutics |
Pharmacy help desk: 888-229-2812 For PPO/POS questions: 800-521-2227 For HMO questions: 877-299-2377* *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) |
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AIM Specialty Health |
800-859-5299 aimspecialtyhealth.com |
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Davis Vision |
800-501-1459 Davis Vision |
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Quest Diagnostics, Inc. (Quest) |
888-277-8772 Quest Diagnostics, Inc. |
| All claims should be filed electronically. If a provider must file a paper claim, mail claim to: Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-0044 |
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Claim review submission address |
Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-0044 Request for claim review form and instructions |
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Availity health information network — electronic claims filing system |
File electronic claims using Payer ID #84980 Availity client services 800-AVAILITY (282-4548) Hours: 9 a.m. to 7 p.m. CT M–F 8 a.m. to 5 p.m. ET M–F Availity Health Information Network EDI Guide |
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Benefit disclosure information (form available online) |
Send requests to: Blue Cross and Blue Shield of Texas Pre-Service Allowed Benefit Disclosure Request P.O. Box 650489 Dallas, TX 75265-0489 Fax: 972-766-0371 Please do not send patient-specific predetermination information to this address or fax number. |
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Predetermination requests (form available online) |
Mail: (HMO/PPO/POS) Blue Cross and Blue Shield of Texas Attn: Predetermination Dept. P.O. Box 660044 Dallas, TX 75266-0044 For status call: 800-451-0287* (PPO/POS) 8 a.m. to 8 p.m. CT, M–F 877-299-2377* (HMO) 8 a.m. to 6 p.m. CT, M–F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) For urgent requests only: Fax to: 888-579-7935 Predetermination form and Instructions for submitting requests for predetermination Note: Predetermination requests for members with Blue Cross and Blue Shield benefits in another state should be sent to the Plan indicated on the member’s ID card. |
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iEXCHANGE (for Inpatient and Select Outpatient Pre-certifications & Referral Authorizations) |
iEXCHANGE support desk |
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Utilization management |
Referrals and inpatient pre-certifications 800-441-9188 Fax: 800-252-8815 or 800-462-3272 Case management 800-462-3275 Fax: 800-778-2279 6 a.m. to 6 p.m., CT, M–F and non-legal holidays and 9 a.m. to noon CT, Saturdays, Sundays and legal holidays. Messages may be left in a confidential voice mailbox after business hours. Wellness and clinical practice guidelines |
Provider Relations and Provider Contracting Office Locations |
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Austin |
Provider Relations |
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Corpus Christi |
Provider Relations
Provider Contracting |
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Dallas |
Provider Relations
Provider Contracting |
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El Paso |
Provider Relations
Provider Contracting |
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Golden Triangle (Beaumont, Orange, Port Arthur) |
Provider Relations
Provider Contracting |
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Houston |
Provider Relations
Provider Contracting |
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Lubbock and Amarillo |
Provider Relations
Provider Contracting |
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Midland, Abilene and San Angelo |
Provider Relations Provider Contracting — Midland and San Angelo
Provider Contracting — Abilene |
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San Antonio |
Provider Relations
Provider Contracting |
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Tyler |
Provider Relations
Provider Contracting |
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Medical Director Listing |
Medical Director Listing  |
