New on AvailityTM: Option to Contact BCBSTX

June 13, 2014

We'd like to take this opportunity to thank you for making electronic options your first choice when conducting business with Blue Cross and Blue Shield of Texas (BCBSTX).

We know that sometimes, however, personal assistance is needed. That's why we're pleased to introduce a convenient new service for registered users of the Availity Web Portal when eligibility and benefits inquiries are initiated but cannot be completed online.

Now, if the benefit information you need is not available upon selecting View Details*, you'll see a new option called Speak to an Agent. This option enables priority access to the next available BCBSTX customer advocate, during normal service hours.

Here's how it works:

  • You will see an orange Speak to an Agent button, when this option is available
  • You will be prompted to contact BCBSTX and enter your transaction number
  • Once we identify the patient, you will be routed to the next available customer advocate, bypassing our standard automated phone system

*As a reminder, View Details should be used for every transaction to obtain important information on the benefit requested. This option is available at the top and bottom of the Eligibility and Benefits Summary Results page on the Availity Web Portal.

Verification 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.

Availity is a trademark of Availity, L.L.C., 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 any products or services offered by independent third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.