Blue Cross and Blue Shield of Texas (BCBSTX) encourages utilization management decisions based only on the appropriateness of care and service, and does not compensate those who conduct utilization reviews for denials of coverage or service. The staff of BCBSTX does not receive a financial incentive or anything of value for the quality or type of adverse determinations (denials), reductions or limitations of length-of-stay benefits, service or changes.