Single Edit Request Form

NOTICE: Effective Jan. 1, 2014 Blue Cross and Blue Shield of Texas (BCBSTX) will no longer utilize the Single Edit Request Form or the Medical Policy and Coding Procedure Disclosure Request Form for bundling, for Medical Policy, or for similar requests. Instead, please follow the links below:

For Bundling information (use Clear Claim ConnectionTM)

For Medical Policy information

For other questions, contact BCBSTX Provider Customer Service at 800-451-0287 or contact your Provider Relations office.