Contact Us

Availity^® Essentials self-service portal

Register with Availity at no cost to conduct secure online transactions, such as checking eligibility and benefits, submitting prior authorization requests handled by Blue Cross and Blue Shield of Illinois, obtaining claim status, viewing provider claim summaries and more. 

Availity Essentials – See the payer space for Blue Cross and Blue Shield of Texas

If you aren’t yet registered for Availity Essentials, sign up at no cost.
Payer ID: 84980

To learn more about Availity tools, refer to our Provider Tools page. 

Behavioral health

For prior authorization, recommended clinical review and referrals managed by BCBSTX:

Call 800-528-7264 or the phone number listed on the member ID card.

Learn more about our behavioral health program. 

BlueCard Eligibility^® Line

Call for out-of-state Blue Cross and Blue Shield member eligibility and benefits.

800-676-2583

Learn more on our BlueCard page.

Blue Cross and Blue Shield of Texas 

1001 E. Lookout Drive 
Richardson, TX 75082 
800-451-0287

Care management programs

855-462-1781

Administrative services only, fully insured or regulated small group: 800-462-3275

Individual and Family: 888-697-0683

Federal Employee Program: 866-412-8795

Carelon Medical Benefits Management

Carelon Provider Portal (available 24x7)

Carelon Contact Center: 800-859-5299

Claims and payment – Medicaid

Electronic medical claim submission

Eligibility, benefit information, claims status or verification

Paper medical claim submission

Medical appeals and complaints

BCBSTX Electronic Payer ID: 66002

Availity Essentials or a web vendor of your choice 
877-560-8055 – STAR/CHIP 
877-784-6802 – STAR Kids

Blue Cross and Blue Shield of Texas
PO Box 650712 
Dallas, TX 75265-0712

Mailing address (appeals):
Blue Cross and Blue Shield of Texas Attn: Complaints and Appeals Department 
P.O. Box 660717 
Dallas, TX 75266-0717

Fax (appeals): 855-235-1055 
Email  
Appeal form: Provider Appeal Request Form

Federal Employee Program^®

Verify eligibility and benefits and/or check claim status for FEP^® members

EHB: 800-442-4607

PSHB: 877-707-2786

FEP^® behavioral health services: 800-528-7264

FEP website 

Fee schedule requests (professional)

View fee schedule forms and instructions.

For details on self-service options, refer to the Fee Schedule via Availity page.  

Fraud reporting

Report concerns of potential fraud 24x7, online or by phone. All inquiries to our Special Investigations Department are confidential, and you may remain anonymous.

Online: File a report 

Fraud Hotline: 800-543-0867

U.S. Mail: 
Blue Cross and Blue Shield of Texas 
Special Investigations Department
300 E. Randolph St., 35th floor
Chicago, IL 60601

Medicaid

Refer to BCBSTX Medicaid website and Contact Us page.

Medicaid Network Management: Email to submit provider inquiries and questions

Medicare Advantage

Provider customer service: 877-774-8592

Network management: 
1001 E. Lookout Drive 
Richardson, TX 75082

972-766-7100 
Email us

Provider customer service – commercial

800-972-8088 (Monday through Friday, 8 a.m. to 11:30 p.m. CT; and Saturday, 6 a.m. to 3:30 p.m. CT)

Provider customer service – Medicaid

877-560-8055 – STAR/CHIP

877-784-6802 – STAR Kids

Provider directory – Medicaid

Online Provider Finder^® or provider status (To verify a provider’s status, access the online provider directory)

Online provider directory: 
Provider Finder