Want The Information Faxed? Use The Phone, Get It Back!

September 12, 2013

We recommend utilizing an online vendor portal such as Availity®’ to obtain eligibility, benefit and claim status information. However, some practices may have limited Internet access, or may feel a phone call is more convenient at times.

At Blue Cross and Blue Shield of Texas (BCBSTX), we continuously look for ways to better support our growing health care provider community, regardless of your preferred method of contacting us. Our Interactive Voice Response (IVR) phone system supports inquiry resolution through touch tone and voice activated functionality.

The IVR delivers:

  • Real-time eligibility, benefit and claim status information
  • Confirmation numbers for each automated quote
  • A fax back option, with no need to wait on the phone to speak with a Customer Advocate

Why use the fax back option?

Faxed documentation is sent within one hour after a completed call. In addition to the benefit or claim information that was relayed in the call, the fax will also include the confirmation number assigned to the inquiry by the IVR for your records. When you use this fax back option, there’s no need to wait on the phone to speak to a Customer Advocate. The faxed information provides you with a tangible record of the information you obtained through the automated system. This eliminates the need for you to obtain a person’s name to validate your call.

Availity is a registered trademark of Availity, LLC. Availity is a partially owned subsidiary of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an independent licensee of the Blue Cross and Blue Shield Association. Availity operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX, a Division of HCSC. Availity is solely responsible for the products and services it provides.

Confirmation 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.