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BlueCross BlueShield of Texas
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HMO Blue® Texas and BlueChoice® Provider Manuals

You now have access to the latest version of the HMO Blue Texas and BlueChoice Provider Manuals. From the table of contents below, you can view and print content by section. These files are in a .pdf format and require Adobe Reader to open and view them.

The HMO Blue Texas and BlueChoice Provider Manuals will be updated, as needed, and these updates will be posted to this site. When revisions are made, the files listed in the table of contents below will be updated and a special message will be added to this site to inform you of the sections and pages that have been revised. This offers you the option of printing only the updated pages rather than re-printing the entire section or the entire manual.

In future issues of the Blue Review quarterly newsletter, we'll include special articles highlighting the most recent changes to the manual so you'll always be on top of the latest information.

If you have trouble opening the files or accessing the information, please contact your Professional Provider Representative for additional options in receiving the latest version of the Provider Manuals.

HMO Download Section
File Size (PDF Format)
Table of Contents
122 KB
A. HMO Blue Texas Support Services
30 KB
B. Provider Roles & Responsibilities
105 KB
C. BlueLINK
39 KB
D. Referral Authorization
24 MB
E. Preauthorization
61 KB
F. Filing Claims
686 KB
G. Quality Improvement Program
3.8 MB
H. Disease Management Programs
1.7 MB
I. Behavioral Health Services
30 KB
J. Other Information
48 KB


BlueChoice Download Section
File Size (PDF Format)
Table of Contents
154 KB
A. PPO Support Services
183 KB
B. Provider Roles & Responsibilities
850 KB
C. BlueLINK
190 KB
D. Referral Authorization
161 KB
E. Preauthorization
199 KB
F. Filing Claims
273 KB
G. Claims Reports
143 KB
H. FedSelect
155 KB
I. HealthSelect
249 KB
J. Behavioral Health Services
169 KB
K. Quality Improvement Program
1.4 MB
L. Disease Management Programs
2.3 MB
M. Privacy of Health Information
141 KB

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