Be sure to include your NPI on all claims to ensure accurate and timely claim processing. Please remind your office staff to bill BCBSTX directly for all services rendered to patients with BCBSTX coverage. We will then compensate you based on each specific patient’s (member) benefits. Your Provider Claims Summary will indicate any patient responsibility for payment, and you may bill your patient for that amount. If you are providing care outside of your home office location, please continue to use the address to your permanent location. Use Availity® at www.availity.com to access member’s real-time eligibility & benefits, claims status information and claim submissions.
Your provider reimbursement payments will continue to be processed as claims are submitted. If you are receiving a paper check payment, service should resume in accordance with the United States Postal schedule. If you need a payment prior to that time or have any other payment related inquiries, please call customer service.