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Blue Cross and Blue Shield of Texas 4444 Corona, Suite 148 Corpus Christi, TX 78411-4375 1-361-878-1623 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 1-915-496-6600, press 2 Fax: 915 ... Blue Cross and Blue Shield of Texas. P.O. Box 660044. Dallas, Texas 75266-0044. To report waste, abuse or fraud, gather as much information as possible. You can report waste, abuse or fraud to BCBSTX's Special Investigations Hotline 24 hours a day, seven days a week toll-free at 1-800-543-0867. The hotline is confidential and anonymous.Compare and apply for health insurance plans in Texas, including individual and family, Medicare, short term and HSA compatible plans. Find a doctor, learn about benefits and …If you no longer qualify for Medicaid, we can help you find the right health coverage. Anthem Individual and Family plans can be an affordable option for you and your family. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 am to 8 p.m. ET, 8 a.m. to 7 p.m. CT, 7 a.m. to 6 p.m. MT, 7 a.m. to 5 p.m. PT.The BlueCard Program* helps Blue Cross and Blue Shield of Texas (BCBSTX) members: Get needed health care when you travel or live outside your Blue Plan service area. Get the same benefits as your BCBSTX plan when you travel or are away from home for an extended amount of time. Find a doctor or hospital throughout the United States — More …

These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and morePPO plans let you choose where you go for care, without needing a referral from a primary care provider (PCP) or relying only on providers in your plan's network. They typically have higher monthly premiums and out-of-pocket costs like copays, coinsurance and deductibles. With Blue Cross and Blue Shield of Texas you have different levels of a ...

If you no longer qualify for Medicaid, we can help you find the right health coverage. Anthem Individual and Family plans can be an affordable option for you and your family. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 am to 8 p.m. ET, 8 a.m. to 7 p.m. CT, 7 a.m. to 6 p.m. MT, 7 a.m. to 5 p.m. PT.Claims and Eligibility. This section presents an introduction to doing business with Blue Cross and Blue Shield of TX (BCBSTX), along with an overview of options and resources that may help you maximize administrative efficiencies in your office. The pages in this section are designed to follow the claim cycle — from the moment a BCBSTX ...

Blue Cross and Blue Shield of Texas. P.O. Box 660044. Dallas, Texas 75266-0044. To report waste, abuse or fraud, gather as much information as possible. You can report waste, abuse or fraud to BCBSTX's Special Investigations Hotline 24 hours a day, seven days a week toll-free at 1-800-543-0867. The hotline is confidential and anonymous.You can choose or change your PCP by calling a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY: 711) or by logging in to Blue Access for Members SM: Log in to Blue Access for Members. Click on the "Find Care" tab. On the Find Care page, see your current PCP on the right-hand side for each covered family member, if you already ...The Medical Record Status Viewer is an online application that allows providers to confirm receipt (up to four) of the most recent medical records submitted by mail or fax to Blue Cross and Blue Shield of Texas (BCBSTX) for claim processing and prior authorization requests.. Steps to confirm medical record receipt status online: Log into Availity EssentialsProcedure Code Lists. Prior Authorization Procedure Codes List for Fully Insured Plans and Certain ASO Groups Effective 01/01/2024 (Includes changes effective 07/01/2024) Prior Authorization Procedure Codes List for Fully Insured Plans and Certain ASO Groups Effective 01/01/2023 -12/31/2023 (Includes changes effective 10/01/2023)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. North Texas Dallas, Fort Worth, East Texas (Excludes McLennan and Wichita counties) Blue Cross and Blue Shield of Texas. 1001 E. Lookout Drive.

Tell us what you’d like to do. Find a Doctor, Lab, or Hospital. Choose a Primary Care Provider (PCP) Find Benefit Details. Schedule a Virtual Visit. Earn Rewards with …

Here are some plan highlights. Get a Quote & Apply. Blue Cross Medicare Advantage (HMO) SM. Blue Cross Medicare Advantage (PPO) SM. Typically have lower or $0 monthly premiums. Your care is handled by one primary care provider (PCP) who knows your health history. Your costs will be as low as possible when you see a provider in the …

Please fill out the form below and a Blue Cross and Blue Shield of Texas authorized agent will contact you within 1 to 2 business days. They will schedule an appointment at a time and location that is convenient for you. There is no cost or obligation for this service. Please select the product you are interested in You can choose or change your PCP by calling a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY: 711) or by logging in to Blue Access for Members SM: Log in to Blue Access for Members. Click on the "Find Care" tab. On the Find Care page, see your current PCP on the right-hand side for each covered family member, if you already ...Download the BCBSTX mobile app to conveniently access your member information. With the mobile app you can: Find care. Access your Medicare coverage information. Access your temporary digital member ID card, and more. Available for iPhone and Android users. To download the app, text* BCBSTXAPP to 33633 or search for BCBSTX in the Apple …Blue Cross and Blue Shield of Texas knows health care coverage in Texas — we invented it. We're Texas born and bred, and this is the only place we do business. We have been around for more than 90 years, and the cross and shield have come to represent the most experienced health care coverage organization in the state … Check your benefits booklet for details. 5 Blue365 is only available to Blue Cross and Blue Shield of Texas (BCBSTX) members with active health plan coverage. Members who do not have an active health plan with BCBSTX will not be able to register on the Blue365 website. The relationship between Blue365, its vendors and BCBSTX is that of ...

Prior Authorization Requests for Medical Care and Medications. Some medical services and medications may need a prior authorization (PA), sometimes called a “pre-authorization,” before care or medication can be covered as a benefit. Ask your provider to go to Prior Authorization Requests to get forms and information on services that may ...HealthSelect SM Secondary. For retirees and their eligible dependents enrolled in Medicare, visit HealthSelect MedicareRx for information about the HealthSelect Medicare Prescription Drug Program. For questions related to your prescription drug benefits, including diabetic supplies, call (866) 264-4676 (TTY: 711), 24 hours a day, seven days a week.Procedure Code Lists. Prior Authorization Procedure Codes List for Fully Insured Plans and Certain ASO Groups Effective 01/01/2024 (Includes changes effective 07/01/2024) Prior Authorization Procedure Codes List for Fully Insured Plans and Certain ASO Groups Effective 01/01/2023 -12/31/2023 (Includes changes effective 10/01/2023)An HCA is an employer-funded spending account that engages and empowers employees – they decide how their health care dollars are spent. Charges for covered medical care services are first paid from this account. Money spent from the HCA is also applied toward the annual deductible. Unspent funds roll over from year to year.BCBSTX Provider Manuals are reference tools for providers. These manuals set forth the detailed policies, procedures and requirements necessary for participation in the BCBSTX contracting provider networks. Note: In the event of a conflict between the manual and the provider's contract, the contract will govern.The Medical Record Status Viewer is an online application that allows providers to confirm receipt (up to four) of the most recent medical records submitted by mail or fax to Blue Cross and Blue Shield of Texas (BCBSTX) for claim processing and prior authorization requests.. Steps to confirm medical record receipt status online: Log into Availity Essentials Forms and Helpful Resources. If you are already a member of the Blue Cross and Blue Shield of Texas (BCBSTX) family, discover all the ways you can take advantage of the special features that come with your health insurance plan. Register today for Blue Access for Members.

Blue Access for Members SM is a powerful tool for managing your Blue Cross and Blue Shield of Texas health plan benefits. You can opt in to receive your mail digitally, find a doctor and review your coverage.

Blue Distinction® Specialty Care. Blue Distinction Centers. Bariatric Surgery; Cardiac Care; Cellular Immunotherapy; Fertility Care; Gene Therapy; Knee and Hip Replacement; ... Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue ...The Blue Premier network includes more than 94 hospitals and 7,600 providers. By choosing Blue Premier Access, clients choose more than just a health plan. They're choosing health coverage provided by Blue Cross Blue Shield of Texas, one of the most widely recognized health insurance companies in the state.April 23, 2024. Blue Cross and Blue Shield of Texas has updated with minor revisions as part of its annual review, the CPCP005 Home Health Care/Private Duty …Jun 14, 2021 · Our customer satisfaction ratings are consistently above 96 percent. Focus on the member's needs, not just the question, and consider it their job to answer the "unasked" questions that may ultimately provide better assistance for the member. Have a solid track record of achieving first call resolution of members' needs more than 90 percent of ... BCBSTX Mobile App. Features: Find a doctor, hospital or urgent care facility. Access your claims, coverage and deductible information. Ability to view and email your ID. Available …Magellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. Contact Magellan Health Services or call 1-800-788-4005. For prior authorization, benefits, eligibility, or claims status or questions contact Magellan at 1-800-327-7390.Your doctor can order a COVID-19 diagnostic test and coordinate your testing at an in-network lab or pharmacy. If you don’t have a primary care doctor, we can help you find one. Call us at the Customer Service number on your BCBSTX member ID card. You can also find an in-network doctor by logging in to Blue Access for Members SM or ...

An authorized Blue Cross and Blue Shield of Texas agent will contact you. No thanks, I'm still looking. Gold Plans . Print. Overview; ... Blue Cross Blue Shield Premier 2: On the Exchange: On the Exchange: BCBS Premier 1, a Multi-State Plan - Base Plan - …

Blue Cross and Blue Shield of Texas (BCBSTX) offers Individual health plans for yourself and your family, Medicare plans and Medicaid plans for those who qualify. Individual & Family Plans. Need 2021 coverage? You can apply for …

Find the phone numbers, addresses and online resources for various products and services offered by Blue Cross and Blue Shield of Texas. Whether you are a member, a …The BlueCard Program* helps Blue Cross and Blue Shield of Texas (BCBSTX) members: Get needed health care when you travel or live outside your Blue Plan service area. Get the same benefits as your BCBSTX plan when you travel or are away from home for an extended amount of time. Find a doctor or hospital throughout the United States — More …While Medicare Parts A and B cover a lot of health care cost, they don’t cover all cost. A Medicare Supplement Insurance Plan offered by a private health insurance company like Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, covers the cost that Original Medicare doesn’t, like: Coinsurance Copayments ...Find health insurance plans for individuals, families, Medicare and Medicaid in Texas. Compare plans, prices, doctors and get a quote online or request a brochure or agent.Access Your Benefits. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Your local company can help you to: Change your coverage. Estimate the cost of a medical procedure. File or check on claim. Replace your member ID card. Review your balance. View your plan details.972-468-3980. 972-468-3982. 972-468-3983. 972-468-3984. Obstetrical Billing & Multiple Birth Guidelines. Outpatient Surgery Codes with Increased Reimbursement When Performed at an Ambulatory Surgery Center. Pass-Through Billing. Preventive and Follow Up Colonoscopies. Proper Speech Therapy Billing.The BlueCard Program* helps Blue Cross and Blue Shield of Texas (BCBSTX) members: Get needed health care when you travel or live outside your Blue Plan service area. Get the same benefits as your BCBSTX plan when you travel or are away from home for an extended amount of time. Find a doctor or hospital throughout the United States — More …The following plans are available to you as a State of Texas agency or institution employee or non-Medicare-eligible retiree. Throughout this exercise, we will ask you simple questions to help guide you to make the best decision for your health care benefits. ... a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue ...PPO stands for Participating Provider Option. It's a type of health plan that lets you choose where you go for care, without a referral from a primary care physician or having to only use providers in your plan's provider network. It typically has higher monthly premiums and out-of-pocket costs like copays, coinsurance and deductibles.At Blue Cross and Blue Shield of Texas, we have health plan options to meet the needs of you and your family. When you’re looking for a new plan, you may come across different options like Individual and Family, Group, Dental and Vision, Medicare and Medicaid. If you’d like additional coverage, like dental or vision coverage, check out the ...

Follow the prompts to join the Fitness Program. Or you can call the Fitness Program toll-free at (888) 762-BLUE (2583), Monday through Friday, 7 a.m. – 7 p.m. CT. Membership can be cancelled at any time by calling the Fitness Program toll-free at (888) 762-BLUE (2583). Earn 2,500 Blue Points for joining the Fitness Program and up to 300 ... A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas members. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. These prescription drug lists have different levels of coverage, which are called "tiers." Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield AssociationInstagram:https://instagram. flights to las vegas from laxflights from san jose ca to los angelespdf text to speechkushals jewellery Texas Department of Insurance 1601 Congress Avenue, Austin, TX 78701 | PO Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677 Accessibility Compact with TexansMagellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. Contact Magellan Health Services or call 1-800-788-4005. For prior authorization, benefits, eligibility, or claims status or questions contact Magellan at 1-800-327-7390. busgerhewel osco 07/31/2023 Future Blue Cross Blue Shield Association Provider Performance Program. 07/31/2023 Pharmacy Program Quarterly Update, Part 1, Changes Effective October 1, 2023. 07/28/2023 Reporting On-Demand via Availity ® Essentials is Now Named Provider Claim SummaryIf you're age 26 and losing coverage under a parent's plan, compare BCBSTX plans and find the right one for you. 1 Up to age 26 unless medically disabled. When you turn 26, it's considered a qualifying event. You must buy your own insurance now. Educate yourself on what you need in a health care plan and more at BCBSTX. plaud View claim status, print explanation of benefits (EOBs) and access health resources in Blue Access for Members.Search for doctors, hospitals, pharmacies, urgent care and more in your plan network. Log in as a member to get personalized results, reviews, ratings and cost estimates, or …Download the BCBSTX mobile app to conveniently access your member information. With the mobile app you can: Find care. Access your Medicare coverage information. Access your temporary digital member ID card, and more. Available for iPhone and Android users. To download the app, text* BCBSTXAPP to 33633 or search for BCBSTX in the Apple …