Blue Cross and Blue Shield of Texas
1001 E. Lookout Drive
Richardson, Texas 75082
1-800-451-0287
TDD: 1-800-735-2989 (for hearing impaired)

BCBSTX Provider Portal

Eligibility & Benefits 
(Out-of-State Subscribers)
1-800-676-BLUE (2583)
7 a.m. to 7 p.m. CST, Monday-Friday

Claim Status Inquiries 
(Out-of State Subscribers) -
contact your electronic connectivity vendor,
i.e. Availity^®, RealMed, eCare/NDAS or other electronic connectivity vendor

or call

1-800-451-0287*
8 a.m. to 8 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

Eligibility & Benefits or Claim Status Inquiries -
contact your electronic connectivity
vendor, i.e. Availity, RealMed, eCare/NDAS or other electronic connectivity vendor

or call

1-800-451-0287*
8 a.m. to 8 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

Verification* hours are 6 a.m. - 6 p.m. Monday-Friday and 9 a. m. to 12 noon on Saturday-Sunday and Legal Holidays

Eligibility & Benefits or Claim Status Inquiries -
contact your electronic connectivity
vendor, i.e. Availity, RealMed, eCare/NDAS or other electronic connectivity vendor

or call

1-800-442-4607*
9 a.m. to 5 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

Eligibility & Benefits or Claim Status Inquiries -
contact your electronic connectivity
vendor, i.e. Availity, RealMed, eCare/NDAS or other electronic connectivity vendor

or call

1-800-451-0287*
8 a.m. to 6 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

Eligibility & Benefits or Claim Status Inquiries -
contact your electronic connectivity
vendor, i.e. Availity, RealMed, eCare/NDAS or other electronic connectivity vendor

or call

1-877-299-2377*
8 a.m. to 6 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

Verification* hours are 6 a.m. - 6 p.m. Monday-Friday and 9 a. m. to 12 noon on Saturday-Sunday and Legal-Holidays

Eligibility & Benefits or Claim Status Inquiries -
contact your electronic connectivity
vendor, i.e. Availity, RealMed, eCare/NDAS or other electronic connectivity vendor

or call

1-800-451-0287*
8 a.m. to 8 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

Eligibility & Benefits or Claim Status Inquiries -
contact your electronic connectivity
vendor, i.e. Availity, RealMed, eCare/NDAS or other electronic connectivity vendor

or call

1-800-451-0287*
8 a.m. to 6 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

Eligibility & Benefits
1-800-676-BLUE (2583).
7 a.m. to 7 p.m. CST, Monday-Friday

Claim Status Inquiries 
(Out-of State Subscribers) -
contact your electronic connectivity vendor,
i.e. Availity^®, RealMed, eCare/NDAS or
other electronic connectivity vendor

or call

1-800-451-0287*
8 a.m. to 8 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

*Verification is not applicable for all enrollees or providers. Routine eligibility and benefit information may still be obtained, during regular Customer Service hours, when verification is not applicable.

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Behavioral Health Services -

Contact your electronic Connectivity
vendor, i.e. Availity, RealMed, eCare/NDAS or other electronic connectivity vendor

or call

1-800-451-0287*
8 a.m. to 8 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

Contact your electronic Connectivity
vendor, i.e. Availity, RealMed, eCare/NDAS or
other electronic connectivity vendor

or call

1-800-729-2422
8 a.m. to 6 p.m. CST, Monday-Friday

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

1-888-LABCORP (1-888-522-2677)
Laboratory Corporation of America (LabCorp)

All claims should be filed electronically. If a provider must file a paper claim, mail claim to:
Blue Cross and Blue Shield of Texas
P.O. Box 660044
Dallas, Texas 75266-0044

File electronic claims using Payor ID #84980

Availity Client Services 1-800-AVAILITY (282-4548)
Hours:  9 a.m. to 7 p.m. Monday - Friday CST  
8 a.m. to 5 p.m. Friday EST

Availity Health Information Network 

EDI Guide

Send Requests to:
Blue Cross and Blue Shield of Texas
Pre-Service Allowed Benefit Disclosure Request
P.O. Box 650489
Dallas, TX 75265-0489

Fax: 972-766-0371

NOTE: Please do not send patient-specific predetermination information to this address or Fax number.

Mail: (HMO/PPO/POS)
Blue Cross and Blue Shield of Texas
Attn: Predetermination Dept.
P.O. Box 660044
Dallas, TX 75266-0044

For Status Call:
1-800-451-0287* (PPO/POS) 8 a.m. to 8 p.m. CST, M-F
1-877-299-2377* (HMO) 8 a.m. to 6 p.m. CST, M-F

*Interactive Voice Response (IVR) system.  To access, you must have full member/subscriber’s information, i.e. member/subscriber’s ID, patient’s date of birth, etc.

For Urgent Requests Only:
Fax to: 1-888-579-7935

Use these links for Predetermination:
Predetermination Form
Instructions for Submitting Requests for Predetermination

iEXCHANGE 1-800-413-0869 - Interactive Voice Response (IVR) System, 24 hours a day, 7 days a week
iEXCHANGE Support Desk 1-800-441-9188, select 1 (English), then select 3 (preauthorizations & referrals), then select 2 (for assistance with the iEXCHANGE system)
8 a.m. to 5 p.m. CST, M-F
iEXCHANGE

Referrals/Inpatient Certifications 1-800-441-9188, select 1 (English), then select 3 (preauthorizations & referrals), then select 3 (preauthorizations & referrals) again, then select 2 (Medical/Surgical)
Referrals/Inpatient Certifications Fax: 1-800-252-8815
Case Management 1-800-462-3275
Case Management Fax: 1-800-778-2279
6 a.m. to 6 p.m., CST, M-F and non-legal holidays and 9 a.m. to 12 noon CST, Saturday, Sunday and legal holidays. Messages may be left in a confidential voice mailbox after business hours.

Wellness and Clinical Practice Guidelines

Professional & Facility Provider Network Offices:

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