Feb. 27, 2025
Effective June 1, 2025, Alacura Medical Transportation Management will manage air and ground medical transportation, prior authorization, recommended clinical review and retrospective claim reviews for Teacher Retirement System participants.
Alacura manages:
- Air (Interfacility transfer for both fixed wing and rotor flights)
- Ground (reviewing level of care from basic life support to advance life support, as well as urgency level for emergency and non-emergency transportation)
- Easy workflows and simple administrative processes to help with locating available ambulances, beds at the receiving hospital and other logistics of your patient’s transport
- Assurance that members are transported by an in-network provider where possible
For information on prior authorization and a full list of codes, refer to prior authorization services for fully insured members. For information on recommended clinical review, refer to options for Administrative Services Only groups.
What do I need to do? Facilities and providers should contact Alacura immediately when a transport decision is made. Ambulance providers should check that Alacura has been engaged for patient facility transports before picking up a patient to ensure transport will be approved. Nurses are available 24/7 at Alacura to respond to provider questions.
How to contact Alacura:
Check eligibility and benefits through Availity® Essentials or your preferred vendor. This may also indicate if a service requires a prior authorization, recommended clinical review or retrospective review.
If you have questions or need more information, please contact your Network Representative.
Continue to watch News and Updates for future program updates and training opportunities.
Checking of eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered.
Alacura Medical Transportation Management, LLC. is an independent company that has contracted with Blue Cross and Blue Shield of Texas to provide utilization management services for members with coverage through BCBSTX.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX.
BCBSTX makes no endorsement, representations or warranties regarding third-party vendors and the products and services they offer.