Professional Fee Schedule Request

Please click in the appropriate county section below to access correct Professional Fee Schedule form. If unsure of a county location, rest the cursor on a county for a pop-up box to verify its name.

***Applicable to BCBSTX Contracted Physicians and Providers Only***

Important Note: Physicians/professional providers contracted/affiliated with a capitated IPA/Medical Group must contact IPA/Medical Group for instructions regarding reimbursement related questions. Additionally, physicians/professional providers not part of a capitated IPA/Medical Group but who provide services to a member whose PCP is a member of a capitated IPA/Medical Group must also contact the applicable IPA/Medical Group for instructions.