Contact Us

Contact Name	Address/Phone/Email/URL
Blue Cross and Blue Shield of Texas	1001 E. Lookout Drive Richardson, TX 75082 800-451-0287 TDD: 800-735-2989 (for hearing impaired) BCBSTX provider website *Note: When accessing our Interactive Voice Response System you must have full member's information. For example, member's ID, patient’s date of birth, or DCN (claim number), etc.
BCBSTX Provider Customer Service Numbers
BlueCard^® BlueCard is our out-of-area program that allows members from other Blue Cross and Blue Shield Plans to receive health care benefits when travelling or residing in another Blue Plan's service area.	Eligibility and benefits (out-of-state subscribers) 800-676-BLUE (2583) Claim status inquiries (out-of-state subscribers) contact Availity^® or other electronic connectivity vendor. Claim adjustments call 800-451-0287*
Blue Choice PPO^SM and indemnity plans	Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 800-451-0287* Claim status inquiries contact Availity or other electronic connectivity. Claim adjustments call 800-451-0287*
Blue Cross and Blue Shield of Texas Medicaid	Refer to BCBSTX Medicaid website and Contact Us. Medicaid Network Management Email to submit provider inquiries and questions.
Blue Cross Medicare Advantage	Customer Service 877-774-8592
Care Management Programs	855-462-1781
Federal Employee Program® (FEP®) — PPO	FEP website Eligibility and benefits contact Availity or other electronic connectivity vendor or call 800-442-4607* Claim status inquiries contact Availity or other electronic connectivity. Claim adjustments call 800-451-0287* Behavioral health services mental health and substance use disorders prior authorization and referrals call 800-528-7264 Behavioral health services – claims status inquiries contact Availity or other electronic connectivity vendor or call 800-442-4607* Behavioral health services – claim adjustments call 800-442-4607
Blue Essentials	Eligibility and benefits contact Availity or other electronic connectivity vendor or call 877-299-2377* Claim status inquiries contact Availity or other electronic connectivity vendor Claim adjustments call 877-299-2377*
Medical Management Blue Advantage HMO Members	Fax: 866-589-8254 Blue Cross Blue Shield of Texas Medical Care Management PO Box 660712 Dallas, TX 75266-0712
Prior authorization/Recommended Clinical Review for Blue Advantage HMO Members	855-462-1785 Fax: 866-589-8253
University of Texas (UT Select)	Eligibility and benefits contact Availity or other electronic connectivity vendor or call 800-451-0287* Claim status inquiries contact Availity or other electronic connectivity vendor Claim adjustments call 877-299-2377*
Other Important Contacts
Behavioral health services (Mental health and substance use disorders)	For prior authorization, recommended Clinical Review and referrals managed by BCBSTX: Call 800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. Submit completed forms to: BCBSTX Behavioral Health Unit PO Box 660240 Dallas, TX 75266-0240 Fax 877-361-7646 Claims submission address: Blue Cross and Blue Shield of Texas PO Box 660044 Dallas, TX 75266-0044 For prior authorization and referrals managed by Magellan: Magellan Behavioral Health Providers of Texas, Inc. 800-729-2422
Behavioral health services - claims status inquiries	For services managed by BCBSTX: Contact Availity or other electronic connectivity vendor or call 800-451-0287* For services managed by Magellan: Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 800-729-2422
Prime Therapeutics	Pharmacy help desk: 888-229-2812 For PPO questions: 800-521-2227 For HMO questions: 877-299-2377*
Alacura Medical Transportation	866-671-4834 Fax 866-671-4995: Email - Texas.UM@alacura.com Online: https://alacura.my.site.com/preauth/s/
Carelon Medical Benefits Management	800-859-5299 Carelon ProviderPortal
eviCore healthcare	855-252-1117 or online at eviCore
Claim filing address for Commercial products	All claims should be filed electronically. If a provider must file a paper claim, mail claim to Blue Cross and Blue Shield of Texas PO Box 660044 Dallas, TX 75266-0044
Claim review submission address	Blue Cross and Blue Shield of Texas PO Box 660044 Dallas, TX 75266-0044 Request for claim review form and instructions
Availity^®Essentials — Authorizations & Referrals submissions — Electronic claims filing system	File electronic claims using Payer ID #84980 Submit prior authorization and referrals for BCBSTX managed services via Authorizations & Referrals Availity client services 800-AVAILITY (282-4548) Availity website
Recommended Clinical Review	Submit RCR requests: Online: Use Availity Attachments application Mail RCR form to: Blue Cross and Blue Shield of Texas Attn: Recommended Clinical Reviews P.O. Box 660044 Dallas, TX 75266-0044 For status call: 800-451-0287* (Blue Choice PPO) 877-299-2377* (Blue Essentials and Blue Advantage HMO) 877-774-8592 (Blue Cross Medicare Advantage PPO & HMO) Note: Recommended Clinical Review requests for members with Blue Cross and Blue Shield benefits in another state should be sent to the Plan indicated on the member’s ID card.
Utilization Management/Medical Management/Case Management	Referrals and inpatient prior authorizations 800-441-9188 Fax: 800-252-8815 or 800-462-3272 Case management 800-462-3275 Fax: 800-778-2279 Messages may be left in a confidential voice mailbox after business hours.
Network Management Office Locations
Note: For the requests below, utilize the indicated links: *Contracting or Onboarding Inquiries Professional Providers* – Refer to the Provider Onboarding page. *Request a Fee Schedule* – Use Fee Schedules Tool in Availity® or complete Fee Schedule Request Form *Claim Status* – Check online using Claim Status Tool All other inquiries – submit an email by selecting the office closest to your location and provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. TO AVOID DELAY, DO NOT SUBMIT FORM TO MULTIPLE AREAS/OFFICES. Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management.
Abilene, Midland San Angelo	Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions
Austin and Central TX (Bastrop, Bell, Bosque, Burleson, Burnett, Caldwell, Falls, Fayette, Hays, Hill, Lee, Leon, Limestone, Madison, Milam, McLennan, Robertson, Travis, Williamson counties)	Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759-7228 800-336-5696 512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions
Amarillo	Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 1-361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions
Corpus Christi and The Valley	Blue Cross and Blue Shield of Texas 4444 Corona, Suite 148 Corpus Christi, TX 78411-4375 361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions
Dallas and East Texas	See "North Texas"
El Paso	Blue Cross and Blue Shield of Texas 114 Mesa Park Dr. Suite #300 El Paso, TX 79912 -6156 915-496-6600, press 2 Fax: 915-496-6614 Email to submit provider inquiries and questions
Fort Worth	See "North Texas"
Golden Triangle (Beaumont, Orange, Port Arthur)	Blue Cross and Blue Shield of Texas 2615 Calder St, Suite 700 Beaumont, TX 77702-1954 800-637-0171, press 3 or 713-663-1149 Fax: 713-663-1227 Email to submit provider inquiries and questions
Houston	Blue Cross and Blue Shield of Texas 1800 West Loop South, Suite 600 Houston, TX 77027-3279 800-637-0171, press 3 713-663-1149 Fax: 713-663-1227 Email to submit provider inquiries and questions
Laredo	See "San Antonio and Laredo"
Lubbock	Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions
McLennan County	See "Austin and Central Texas"
North Texas Dallas, Fort Worth, East Texas (Excludes Bastrop, Bell, Bosque, Burleson, Burnett, Caldwell, Falls, Fayette, Hays, Hill, Lee, Leon, Limestone, Madison, Milam, McLennan, Robertson, Travis, Wichita and Williamson counties)	Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, TX 75082-4144 800-749-0966 972-766-8900 Fax: 972-766-2231 Email to submit provider inquiries and questions
San Angelo	See "Abilene, Midland and San Angelo"
San Antonio and Laredo	Blue Cross and Blue Shield of Texas 17806 IH 10 West, Bldg II, Suite 200 San Antonio, TX 78257-8222 361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions
The Valley	See "Corpus Christi and The Valley"
Wichita County	See "Austin and Central Texas"
Ancillary Network Management
Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Ancillary Network Management.
Ambulance	Fax: 713-663-1227 Email to submit provider inquiries
Ambulatory Surgery Centers (ASC) – Independent, Non-Hospital owned	Fax: 713-663-1227 Email to submit provider inquiries
Behavioral Health Facilities Only Inpatient Psychiatric & Detox Facilities Residential Treatment Centers –Psych & Substance Abuse Partial Hospital Programs & Intensive Outpatient facility programs (PHP/IOPs) (Note: For behavioral health professional providers, refer to the Network Management Office Locations listed above).	Fax: 713-663-1227 Email to submit provider inquiries
Birthing Centers	Fax: 713-663-1227 Email to submit provider inquiries
Catheterization Center	Phone: 713-354-7033 Fax: 713-663-1227 Email to submit provider inquiries
Diabetic Management	Fax: 210-340-1401 Email to submit provider inquiries
Disease Management	Fax: 210-340-1401 Email to submit provider inquiries
Durable Medical Equipment	Fax: 210-340-1401 Email to submit provider inquiries
Freestanding Emergency Rooms	Fax: 713-663-1227 Email to submit provider inquiries
Hearing Aid Supplier	Fax: 210-340-1401 Email to submit provider inquiries
Home Health	Fax: 210-340-1401 Email to submit provider inquiries
Home Health Dialysis	Fax: 210-340-1401 Email to submit provider inquiries
Home Infusion Therapy	Fax: 210-340-1401 Email to submit provider inquiries
Hospice	Fax: 210-340-1401 Email to submit provider inquiries
Imaging	Fax: 713-663-1227 Email to submit provider inquiries
Independent Clinical / Specialty Labs	Fax: 713-663-1227 Email to submit provider inquiries
Independent Diagnostic Testing Facility (IDTF) Note: If provider’s primary specialty is Imaging, Lab or Sleep Lab, please refer to that specialty in this contact list	Fax: 210-340-1401 Email to submit provider inquiries
Long term Acute Care Hospital (LTAC)	Fax:713-663-1227 Email to submit provider inquiries
Physical Rehab Facilities -Inpatient	Fax: 713-663-1227 Email to submit provider inquiries
Post-Acute Brain Injury Facilities	Fax: 210-340-1401 Email to submit provider inquiries
Prosthetics/Orthotics	Fax:210-340-1401 Email to submit provider inquiries
Radiation Therapy Center	Fax: 713-663-1227 Email to submit provider inquiries
Renal Dialysis	Fax: 210-340-1401 Email to submit provider inquiries
Skilled Nursing Facility (SNF)	Fax: 210-340-1401 Email to submit provider inquiries
Sleep Studies Centers	Fax: 210-340-1401 Email to submit provider inquiries
Blue Cross Medicare Advantage Network Management	1001 E. Lookout Drive Richardson, TX 75082 Phone: 972-766-7100 Email Us

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX.

Alacura Medical Transportation Management, LLC. is an independent company that has contracted with Blue Cross and Blue Shield of Texas to provide utilization management services for members with coverage through BCBSTX.

Carelon Medical Benefits Management is an independent company that has contracted with BCBSTX to provide utilization management services for members with coverage through BCBSTX.

BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.

Contact Us

BCBSTX Provider Customer Service Numbers

Other Important Contacts

Network Management Office Locations

Ancillary Network Management

Blue Cross Medicare Advantage Network Management

Blue Cross Medicare Advantage
Network Management