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Provider Customer Service Numbers Printable format for BCBSTX Medicaid Contact List for Provider
Eligibility, Benefits, Provider Network Referral, Claim Status	STAR, CHIP: 1-877-560-8055 STAR Kids: 1-877-784-6802 8:00 a.m. to 5:00 p.m. CST, M–F www.availity.com Registration Required *Interactive voice response (IVR) system — the IVR accepts either your National Provider Identifier (NPI) or your Federal Tax Identification (TIN) for provider identification.
Appeals and Complaints	STAR, CHIP: 1-877-560-8055 STAR Kids: 1-877-784-6802 8:00 a.m. to 5:00 p.m. CST, M–F Email: GPDTXMedicaidAG@bcbsnm.com Fax: 1-877-886-2593 State Email: HPM_Complaints@hhsc.state.tx.us Blue Cross and Blue Shield of Texas Complaints and Appeals P.O. Box 660717 Dallas, TX 75226-0717
Utilization Management	Prior Authorization STAR/CHIP Phone: 1-877-560-8055 Fax: 1-855-653-8129 STAR Kids Phone: 1-877-784-6802 Fax: 1-866-644-5456 Concurrent Review STAR/CHIP Phone: 1-877-560-8055 Fax: 1-855-653-8129 STAR Kids Phone: 1-877-784-6802 Fax: 1-866-644-5456 Case Management STAR/CHIP Phone: 1-877-560-8055 Fax: 1-855-653-8129 STAR Kids Phone: 1-877-784-6802 Fax: 1-866-644-5456
Service Coordination	Service Coordination Referrals STAR/CHIP Phone: 1-877-214-5630 TX_Medicaid_HC@bcbstx.com Service Coordination Referrals STAR Kids Phone: 1-877-301-4394 Fax: 1-866-644-5456 TX_Medicaid_HC@bcbstx.com
24 Hour Nurse Hotline	STAR/CHIP: 1-844-971-8906 STAR Kids: 1-855-802-4614 24 Hour Nurse Hotline
Behavioral Health Services	Blue Cross and Blue Shield TX Provider Hotline: 1-800-327-7390
Vision	1-800-77-DAVIS (1-800-773-2847) Davis Vision
Pharmacy	Prime Therapeutics Pharmacy Help Desk 24 hours/7 days a week STAR (Pharmacy HD): 1-855-457-0405 STAR Kids (Pharmacy HD) – Travis Service Area: 1-855-457-0757 STAR Kids (Pharmacy HD) – MRSA Central Area: 1-855-457-0758 Pharmacy PA Voice 24 hours/7 days a week STAR and CHIP (PA): 1-855-457-0407 Pharmacy PA Fax: 1-855-457-6930
Interpreter Services	Texas Relay: 1-800-735-2988 TTY: 711
Language Interpreters	STAR/CHIP: 1-800-657-6061 STAR Kids: 1-877-688-1811
Provider Network Office
Austin	Provider Network Management Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759 Phone: 1-855-212-1615 Fax: 1-512-349-4860

Provider Relations Team Directory
Amy Mizell Manager, Provider Relations	Amy_D_Mizell@bcbstx.com
Esteban Mojica Behavioral Health Manager Provider Relations	Esteban_Mojica@bcbstx.com
Alexander Clemens Senior Provider Network Representative	Alexander_Clemens@bcbstx.com
Brian Rickman Senior Provider Network Representative	Brian_E_Rickman@bcbstx.com
Ebony Maxell Senior Provider Network Representative	Ebony_Maxwell@bcbstx.com
Tammy Rascon Senior Provider Network Representative	Tammy_Rascon@bcbstx.com