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BlueCross BlueShield of Texas
   
         
     
 
What's New
Downtime Alert - RediLink Production System
Guaranteed Coverage to all Affected UniCare Members
Untimed Billing Procedure CPT Codes
Walmart Behavioral Health Benefit Announcement
Provider Claim Summaries on all Adjustments - Coming Soon!
Special Coverage for H1N1 Vaccine
EDI Update
PCS to EPS: 30-Day Transition Reminder
eCards for Health
Important - New Process for Use of Out-of-Network Providers - Effective December 1, 2009
Clear Claim Connection 4.0
New Availity Claims Research Tool can improve your claims accuracy, office efficiency
Proper Speech Therapy Billing
Availity Professional Claim Edit - August 2009
FDA New Warnings/Proposed Changes to Acetaminophen Products
Medicare Corrected Claims
Corneal Transplant Predeterminatiion Process
ERA + EPS = A Winning Combination
In the Know - ERA/EPS Helpful Hints
Avoid Claim Delays
Notice to Blue Medicare PPO Physicians
Are You Billing for Compound Drugs?
Availity Participating Provider Training Webinars - November 2009


Fee Schedule Update

The ParPlan, BlueChoice® and HMO Blue® Texas (Independent Provider Network only) maximum allowable fees for practitioners will be updated to reflect 2009 relative values effective August 15, 2009.  Geographic Practice Cost Indices (GPCIs) will not be applied to the relative values so the relative values will not differ by Medicare locality.  HMO Blue Texas, BlueChoice and ParPlan relative values will consider the site of service where the service is performed (facility or non-facility).  The Drug/Injectable Fee Schedule will be updated on the following dates:  6/1/2009, 9/1/2009, 12/1/2009, 3/1/2010 and 6/1/2010. 

Blue Cross and Blue Shield of Texas provides general reimbursement information policies, request forms for allowable fees and fee schedule information at www.bcbstx.com/provider.  To view this information, visit the General Reimbursement Information section on this Web site.  If you would like to request a sample of maximum allowable fees or if you have any other questions, please contact your local Professional Provider Network office.      

Reimbursement changes will be posted under "Reimbursement Changes and Updates" in the Professional Reimbursement Schedules section on the Web site.  The changes will not become effective until at least 90 days from the posting date. The specific effective date will be noted for each change that is posted.


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a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
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