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BlueCross BlueShield of Texas
   
         
     
 
What's New
Change to claims run-out period for U.S. Virgin Islands
Easier Access to Pre-Certification/Pre-Authorization Information for Out-of-Area Blue Members
Availity Participating Provider Training Webinars - March 2010
Duplicate 1099 Request
Secondary Claims - Electronic Filing Guidelines
Change to HMO Blue Texas Oupatient Clinical Reference Lab Services Effective June 1, 2010
Electronic Refund Management (eRM) - March Webinars
New Be Smart. Be Well.® Topic Launches with Redesigned Site
2010 BlueCard® Program - Seeking Your Feedback
Physician Assistant and Advanced Practice Nurse Copayments
Blue Cross Member ID Cards Include Behavioral Health Pre-Cert Contact Information
Resolved: Missing Information on 835 Transaction - January 2010
Walmart 2010 Changes & Instructions
Electronic Transactions - 2010 Holiday Schedule Reminder
Pharmacy Compounding
Eligibility and Benefits Fax Back
Extended release Niacin vs. Ezetimibe: Results of the ARBITER 6-HALTS Trial
New Wellness Initiatives for Federal Employees eff January 1, 2010
Newly Designed Public Web Site Launches
System Upgrade For Medicare Crossover Claims
Untimed Billing Procedure CPT Codes - Update


Internal Appeal & External Review Processes
Internal Appeal Process:
External Review Process:

posted 11/2008

Health Care Service Corporation (HCSC) Adverse Denial Rate –
Calendar Year 2009
Health Care Service Corporation has received 6,140 appeals for Adverse Determinations that have been sent for external review. Of that total, 21.6% have been overturned.

posted 01/28/2010


A Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
© Copyright 2009. Health Care Service Corporation. All Rights Reserved.

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