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| Contact Us |
Blue Cross and Blue Shield of Texas
901 S. Central Expressway
Richardson, Texas 75080
1-800-451-0287
TDD: 1-800-735-2989 (for hearing impaired)
BCBSTX Provider Portal
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| BCBSTX Provider Customer Service Numbers |
| BlueCard® |
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Eligibility and Benefits (Out-of-State Subscribers)
1-800-676-BLUE (2583)
7 a.m. to 7 p.m. CST, Monday-Friday
Claim Status (Out-of State Subscribers)
1-800-451-0287
8 a.m. to 8 p.m. CST, Monday-Friday
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| BlueChoice® (PPO/POS) & Indemnity Plans |
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1-800-451-0287
8 a.m. to 8 p.m. CST, Monday-Friday
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Verification* hours are 6 a.m. - 6 p.m. Monday-Friday and 9 a. m. to 12 noon on Saturday-Sunday and Legal Holidays
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| Federal Employee Program (PPO) |
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1-800-442-4607
9 a.m. to 5 p.m. CST, Monday-Friday
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| HealthSelectSM (POS) |
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1-800-451-0287
7 a.m. to 7 p.m. CST, Monday-Friday
9:30 a.m. to 1:30 p.m. CST, Saturday
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| HMO Blue® Texas |
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1-877-299-2377
8 a.m. to 6 p.m. CST, Monday-Friday
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Verification* hours are 6 a.m. - 6 p.m. Monday-Friday and 9 a. m. to 12 noon on Saturday-Sunday and Legal-Holidays
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| Texas Health Insurance Risk Pool (THIRP) |
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1-888-398-3927
8 a.m. to 5 p.m. CST, Monday-Friday
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| TRS-ActiveCare |
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1-800-451-0287
8 a.m. to 8 p.m. CST, Monday-Friday
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| University of Texas (UT Select) |
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PPO 1-866-882-2034 (Group 71778)
8 a.m. to 5 p.m. CST, Monday-Friday
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| Wal-Mart (Benefits/Eligibility/Claims Status) - BCBS Illinois |
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1-800-972-8088.
7:30 a.m. to 5:30 p.m. CST, Monday-Friday
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*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.
Top of Page
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| Other Customer Service Numbers |
Behavioral Health Services -
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Inpatient Certification and Referrals, including Chemical Dependency |
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PPO/POS |
INROADS™ Behavioral Health Services
1-800-528-7264
8 a.m. to 5 p.m. CST
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HMO: |
Magellan Health Services
1-800-729-2422
8 a.m. to 7 p.m. CST
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| Behavioral Health Services - Claims Status |
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PPO/POS: |
1-800-451-0287
8 a.m. to 8 p.m. CST, Monday-Friday |
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HMO: |
1-800-729-2422
8 a.m. to 6 p.m. CST, Monday-Friday
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| Prime Therapeutics |
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Pharmacy Help Desk: |
1-888-229-2812 |
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For PPO/POS Questions: |
1-800-521-2227 |
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For HMO Questions: |
1-877-299-2377
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| American Imaging Management (AIM) |
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1-800-859-5299
American Imaging Management (AIM)
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| Davis Vision |
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1-800-501-1459
Davis Vision
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| Laboratory Corporation of America (LabCorp) |
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1-888-LABCORP (1-888-522-2677)
Laboratory Corporation of America (LabCorp)
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| Claim Filing/Appeals/Availity Health information Network |
| Claim Filing Address |
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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
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| Claim Appeal / Reconsideration Review Filing Address (Form & Instructions Available Online - see below link) |
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Blue Cross and Blue Shiled of Texas
P.O. Box 660044
Dallas, Texas 75266-0044
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Use this link for Claim Appeal or Reconsideration Review
Request for Claim Appeal/Reconsideration Review Form & Instructions
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| Availity Health Information Network - Electronic Claims Filing System |
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File electronic claims using Payor ID #84980
Availity Client Services 1-800-AVAILITY (282-4548)
Hours: 8 a.m. to 6 p.m. Monday - Thursday EST
8 a.m. to 5 p.m. Friday EST
Availity Health Information Network
EDI Guide
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| Disclosure Information (Form Available Online) |
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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.
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| Predetermination Requests (Form & Instructions Available Online - see link below) |
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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
For Urgent Requests Only:
Fax to: 1-888-579-7935
Use these links for Predetermination:
Predetermination Form
Instructions for Submitting Requests for Predetermination
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| Utilization Management |
| iEXCHANGE |
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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, then select 4
8 a.m. to 5 p.m. CST, M-F
iEXCHANGE
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| Utilization Management |
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Referrals/Inpatient Certifications 1-800-441-9188, select 1, then select 3
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
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Professional & Facility Provider Network Offices:
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| Austin |
Professional Provider Network
1-800-336-5696, press 4 (512) 349-4847 (512) 349-4851 Fax
Facility Provider Network (210) 357-5340, press 6
(210) 357-5273 Fax
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| Corpus Christi |
Professional Provider Network 1-800-872-1518, press 7
(361) 878-1630 (361) 878-1646 Fax
Facility Provider Network
1-800-442-1685, press 3 (361) 878-1654 (361) 878-1646 Fax
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| Dallas |
Professional Provider Network 1-800-749-0966 (972) 766-8900 (972) 766-0345 Fax
Facility Provider Network 1-800-749-0966
(972) 766-8900 (972) 766-1103 Fax
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| El Paso |
Professional Provider Network 1-800-682-6789, press 3
(915) 496-6600, press 2 (915) 496-6611 Fax
Facility Provider Network
1-800-872-1518, press 6
(210) 357-5276 (210) 357-5273 Fax
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| Golden Triangle (Beaumont, Orange, Port Arthur) |
Professional Provider Network 1-800-637-0171, press 3
(409) 896-0141 (409) 896-0111 Fax
Facility Provider Network
1-800-637-0171, press 5
(713) 663-1115 (713) 663-1250 Fax
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| Houston |
Professional Provider Network 1-800-637-0171, press 3
(713) 663-1149 (713) 663-1250 Fax
Facility Provider Network
1-800-637-0171, press 5
(713) 663-1115 (713) 663-1250 Fax
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| Lubbock/Amarillo |
Professional Provider Network
(806) 783-4610 (806) 798-6308 Fax
Facility Provider Network (806) 798-6315 Hospital
(806) 798-6343 Ancillary
(806) 798-6308 Fax
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| Midland/Abilene/San Angelo |
Professional Provider Network
(432) 620-1406 (432) 620-1431 Fax
Facility Provider Network - Midland/San Angelo
1-800-442-1685, press 3
(210) 357-5340, press 6
(210) 357-5273 Fax
Facility Provider Network - Abilene
(806) 798-6315 Hospital
(806) 798-6343 Ancillary
(806) 798-6308 Fax
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| San Antonio |
Professional Provider Network 1-800-872-1518, press 7
(210) 344-9100, press 7
(361) 878-1646 Fax
Facility Provider Network 1-800-872-1518, press 6
(210) 357-5276 (210) 357-5273 Fax
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| Tyler |
Professional Provider Network (903) 535-0380 (903) 535-0397 Fax
Facility Provider Network 1-800-749-0966
(972) 766-8900 (972) 766-1103 Fax
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Updated 1/2008
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