March 15, 2022
Claims for out-of-area Federal Employee Program® (FEP) members should be filed with the local (Host) Plan where services are rendered.
Currently, some out-of-area FEP claims that are mistakenly submitted to the member’s Home Plan are manually forwarded to the appropriate local Plan where services were rendered.
- If Blue Cross and Blue Shield of Texas (BCBSTX) is the Home Plan, we’ve manually forwarded the claims to the appropriate Host Plan where services were rendered.
- Similarly, if you treated an out-of-area FEP member and submitted your claim to the member’s Home Plan rather than BCBSTX, the member’s Home Plan may have manually forwarded the misdirected claim back to us.
What’s Changing:
Effective June 15, 2022, BCBSTX will no longer forward misdirected claims we receive for FEP members to the Host Plan for processing. Instead, we’ll deny these claims and instruct providers to resubmit the claims to the appropriate local Plan where the service was rendered.
Other Blue Cross and Blue Shield Plans are making this change, too. If you treat out-of-area FEP members of Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of New Mexico or Blue Cross and Blue Shield of Montana, be sure to submit your claims to BCBSTX.