Welcome
Employers
Producers
Providers

Company Information
Contact Us
Language Assistance

Home

Network Participation

Network Participation
Change of Ownership
How to Join Our Networks
Update Your Information

Claims and Eligibility

Claims and Eligibility
BlueCard^®
Claims Filing Tips
Claim Status
Claim Review Process
Electronic Commerce
Eligibility and Benefits
Interactive Voice Response (IVR) System
Medicare Advantage Private Fee-for-Service (PFFS) Disclaimer
Medicare Advantage Private Fee For Service
Utilization Management

Education and Reference Center

Education and Reference

Education and Reference Center
Blue Review
ERS Tools
Fraud and Abuse
Forms
Identification Cards
Manuals
News and Updates
Provider Tools
Provider Training
TRS Tools
UTS -Tools

Clinical Resources

Clinical Resources
Alacura Medical Transportation Management
Behavioral Health Care Management Program
Carelon
Clinical Practice Guidelines
eviCore Prior Authorization Program
Health Equity and Social Determinants of Health (SDoH)
Preventive Care Guidelines/Patient Wellness Guidelines
Opioid Resources
Quality Resources
Special Beginnings - Maternity Program
Telemedicine and Telehealth Services

Pharmacy Program

Pharmacy Program
Dispensing (Quantity vs. Time) Limits
Prescription Drug List and Prescribing Guidelines
Prior Authorization and Step Therapy Programs
Specialty Pharmacy Programs
Split Fill Program

Standards and Requirements

Standards and Requirements
Affordable Care Act (ACA)
Clinical Payment and Coding Policies
Consolidated Appropriations Act and Transparency in Coverage Final Rule
Disclosure Notices
Federal Employee Program (FEP)
General Reimbursement Information
Manuals
Medical Policies
Medical Policy and Prior Authorization: Out-of-area Members
PEAQ - Physician Efficiency, Appropriateness, & Quality Program

Employers

Producers

Providers

Professional Fee Schedule Request Online Form - Houston

* Indicates a required field

National Provider Identifier (NPI) Number(s): *Tax Identification Number: *Provider Name: *Primary Specialty: *Address: *City/State/Zip: *County: *Provider Office Phone Number:

Ex: ###-###-####

*Contact Name: *Contact Phone Number:

Ex: ###-###-####

*Contact Fax:

Ex: ###-###-####

*Contact E-mail:

*Product:

BlueChoice^SM

Facility Non - Facility

Blue Advantage HMO^SM

Facility Non - Facility

Blue Medicare Advantage (PPO)^SM

Facility Non - Facility

Blue Medicare Advantage (HMO)^SM

Facility Non - Facility

Blue Essentials^SM

Facility Non - Facility

Blue Premier^SM Texas

Facility Non - Facility

MyBlue Health^SM

Facility Non - Facility

ParPlan

Facility Non - Facility

Blue High Performance Network^® (BlueHPN)^®

Facility Non - Facility

*Fee Schedule Effective Date:

i.e. September 1, 2021

Legal and Privacy
Non-Discrimination Notice
Careers
Contact Us
Newsroom

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

PDF File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe^® Reader^® which has a built-in reader. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com

External link You are leaving this website/app (“site”). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy.