Welcome, Providers Company Information
BlueCross BlueShield of Texas
   
 
         
     
 
What's New
Attention Professional Electronic Submitters
Evidence Based Reimbursement
Clotting Factor Product Initiative
Coordination of Benefits and Patient Share
Maternity Program: A Healthy Start for Mothers and Babies
Downtime Alert - RediLink Production System
Guaranteed Coverage to all Affected UniCare Members
Untimed Billing Procedure CPT Codes
Walmart Behavioral Health Benefit Announcement
Provider Claim Summaries on all Adjustments - Coming Soon!
Special Coverage for H1N1 Vaccine
EDI Update
PCS to EPS: 30-Day Transition Reminder
eCards for Health
Important - New Process for Use of Out-of-Network Providers - Effective December 1, 2009
Clear Claim Connection 4.0
New Availity Claims Research Tool can improve your claims accuracy, office efficiency
Proper Speech Therapy Billing
FDA New Warnings/Proposed Changes to Acetaminophen Products
Medicare Corrected Claims
Corneal Transplant Predeterminatiion Process
Are You Billing for Compound Drugs?
Availity Participating Provider Training Webinars - November 2009


Internal Appeal & External Review Processes

Internal Appeal Process:
  • Claim Appeal/Reconsideration Review Process
    		•
    External Review Process:
  • Billing Dispute External Review Process (BDERP)

    • posted 11/2008
    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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