Blue Cross and Blue Shield of Texas is the only statewide, customer-owned health insurer in Texas and it's the largest provider of health benefits in the state, …Texas: 800-451-0287 877-774-8592 (Blue Cross Medicare Advantage Plans) 877-299-2377 (Blue Essential Plans) 800-676-2583 (Blue Card - Eligibility) ... 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376: CMS 1500 blocks instructions in Medical Billing; BCBS Federal Phone Number ;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 …We are committed to maintaining an environment of Equal Opportunity and Affirmative Action. If you need accommodation to access the information provided on this web site, please call us at 1-866-977-7378. Please be aware of persons posing as Blue Cross and Blue Shield of Texas employees.Welcome Blue Cross and Blue Shield of Texas members. Blue365 offers premier health and wellness discounts and is free to join. Join Blue 365. This Week’s Featured Offers . Nutrition. Health&Tea Save 20% on Health-Boosting Tea Products Plus Free Shipping Details 3.0k FavoritesBlue Cross and Blue Shield of Texas Attn: Enterprise Credentialing P.O. Box 65067 Dallas, TX 75265-0267; Hospital Privileges Requirements. The requirements for hospital/clinical admitting privileges are determined by the professional provider's specialty/provider type. Medicaid is a state-run program that helps those in need get health insurance. It is meant for people with a low income or a disability. The state determines who qualifies for Medicaid based on federal guidelines. Once you qualify, you can pick a health plan. BCBSTX's Medicaid plans can help meet your health care needs. Request Contract/Agreement/Network Participation. We welcome all providers to apply for participation in the Blue Cross and Blue Shield (BCBSTX) networks. BCBSTX contracts with physicians, and other health care professional providers to form our provider networks which are essential for delivering quality, accessible and cost-effective health ...At Blue Cross and Blue Shield of Texas (BCBSTX), we are committed to providing support to physician practices. We've designed useful tools for health care providers. Whether doing research or streamlining billing, these tools can help you evaluate costs, save time, improve service and more.Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, Texas 75082. General Information: 972-766-6900 TTD: 735-2989. Make a Payment. Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill. Product and Program Contact InformationAll Blue Cross and Blue Shield of Texas (BCBSTX) fully-funded standard small group Qualified Health Plans (QHP) for 2-50 employees offer features and benefits designed with members’ health and wellbeing in mind. Popular Plans …Get a Quote/Browse and Buy Plans. Premium Tax Credit Estimator. Individual & Family Plans. Medicare Plans. Log in to Blue Access for Members. Register for Blue Access for Members. Pay My Bill.Request Contract/Agreement/Network Participation. We welcome all providers to apply for participation in the Blue Cross and Blue Shield (BCBSTX) networks. BCBSTX contracts with physicians, and other health care professional providers to form our provider networks which are essential for delivering quality, accessible and cost-effective health ... If you are in a crisis situation and need immediate help finding resources for care, call 1-800-252-8039 (TTY: 711) and ask to speak to a mental health clinician. BCBSTX Personal Health Assistants can help with changing appointments, finding a new provider or answering benefit questions. The three-character prefix at the beginning of the member’s identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. Some member’s ID cards may not have an alpha prefix ...Blue Cross Group Medicare Advantage Open Access (PPO)SM Plan. Choose providers that accept Medicare nationwide without network restrictions at the same benefit levels for in and out of network providers. Providers must 1) accept Medicare; 2) agree to see you as a patient; and 3) agree to bill Blue Cross and Blue Shield of Texas (BCBSTX). Get a Quote/Browse and Buy Plans. Premium Tax Credit Estimator. Individual & Family Plans. Medicare Plans. Log in to Blue Access for Members. Register for Blue Access for Members. Pay My Bill. Decatur, TX. Decatur’s Blue Cross and Blue Shield of Texas Fitness Court officially launched in November 2022 at Kenny Renshaw Park. The Fitness Court is the perfect addition to a city committed to providing healthy infrastructure with six active parks equipped with playgrounds, walking trails, a skate park, a disc golf park and many more hiking and …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 …For all TRS-ActiveCare or TRS-Care Standard participants, providers can use the following statewide in-network clinical labs: Clinical Pathology Laboratory (CPL) — Contact 1-800-595-1275 or visit CPL's websit e. Quest Diagnostics, Inc. — Contact 1-888-277-8772 or visit Quest's website. Refer to Provider Finder ® for additional ...General Reimbursement Information. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. You can find provider manuals, reimbursement documents and … Sales Questions and Additional Plan Information: 1-888-731-0406. Calls may or may not be answered inside the United States. Monday – Friday: 8 a.m. – 8 p.m. CT The three-character prefix at the beginning of the member’s identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. Some member’s ID cards may not have an alpha prefix ...A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 753690.0720 Please submit refunds to: Blue Cross and Blue Shield of Texas Refund and Recovery Dept. 0695 ... Blue Cross and Blue Shield of Texas Dept. 0695 PO Box 120695 Dallas, TX 75312 …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 …Based on the most recent year of data, Blue Cross Blue Shield Medicare Supplement Insurance plans spend about 79.6% of premiums on member benefits. [6] …If, at any time, you think you or your child is having a mental health emergency, call us at 1-888-657-6061 (TTY: 711). You may call at any time of day or night, and on any day of the week. You will be able to talk to a mental health professional. To learn more about behavioral health services, check the STAR Member Handbook. Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO) Prior Authorizations Lists for Designated Groups; Recommended Clinical Review Option; Prior Authorization Exemptions (Texas House Bill 3459) Claims Filing Tips. Claim Status; Claim Review Process; Interactive Voice Response (IVR) System Request Contract/Agreement/Network Participation. We welcome all providers to apply for participation in the Blue Cross and Blue Shield (BCBSTX) networks. BCBSTX contracts with physicians, and other health care professional providers to form our provider networks which are essential for delivering quality, accessible and cost-effective health ... 24/7 Bilingual Nurseline. Similar to virtual visits, the 24/7 Bilingual Nurseline is a quick and affordable way to get care in English or Spanish. Bilingual nurses are on call to answer your health questions or concerns. Call the 24/7 Bilingual Nurseline at 1-800-581-0368. Sales Questions and Additional Plan Information: 1-888-731-0406. Calls may or may not be answered inside the United States. Monday – Friday: 8 a.m. – 8 p.m. CT Find the phone numbers and mailing addresses for different types of BCBSTX plans and services. Whether you need to enroll, pay a bill, or get customer support, you can reach …Blue Cross Medicare Advantage plans offer all-in-one options that provide medical and prescription drug coverage. Combine what’s covered by Part A and Part B, with added benefits. They Provide: Medicare Part A (hospital insurance) coverage. Medicare Part B (medical insurance) coverage. Limits on your out-of-pocket costs.Individual and family health insurance plans from Blue Cross and Blue Shield of Texas deliver outstanding coverage and service. BCBSTX is the leader in individual and family …BCBSTX vision plans have large provider networks. Based on your location, you may be able to get in-network care at: LensCrafters ®. Pearle Vision. Sears ® Optical. Target Optical ®. Note: If you get coverage through your job, ask your employer’s HR department if vision insurance plans are offered. 1 Coverage Plus Central provides ... BCBSTX Mobile App. Features: Find an in-network doctor, hospital or urgent care facility or search for Spanish-speaking doctors. Access your claims, coverage and deductible information. Access your temporary digital member ID card. Secure login with Face ID (iOS only) and Fingerprint ID. Payments on the Blue Access for Members Mobile App are here. Find the phone numbers and mailing addresses for different types of BCBSTX plans and services. Whether you need to enroll, pay a bill, or get customer support, you can reach …Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, TX 75082-4144. FEP Service 4002 Loop 322 Abilene, TX 79602. www.bcbstx.com . Claims/Customer Service. Blue Cross and Blue Shield of Texas P.O. Box 660044. Dallas, TX 75266-0044. Customer Service. 1-800-442-4607. Precertification.Blue Cross and Blue Shield of Texas’ integrated claim process will automatically deduct the appropriate funds from your FSA and/or HCA and/or pay the claim from the PPO. If your plan covers non-PPO eligible expenses, send the receipt and claim form to the address on the claim form to receive a reimbursement from your FSA and/or HCA. Find the phone numbers, addresses and hours of operation for different products and services offered by BCBSTX. Learn how to make a payment, register as a supplier, or get claims and correspondence information. Blue Advantage HMO SM offers 4 Gold plans. Blue Advantage plans are lower-cost HMO plans available to residents across Texas. These plans include a network of over 370 hospitals and over 100,000 doctors. Blue Advantage Plus SM offers 3 Gold plans. Blue Advantage Plus is offered throughout the state of Texas. We would like to show you a description here but the site won’t allow us.Find a Doctor. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: Select Blue Cross Blue Shield Global™ or GeoBlue if you have international …COVID-19 PHE Ends. We’re here to keep you informed about how the end of the COVID-19 public health emergency affects your benefit coverage. The Biden Administration ended the COVID-19 public health emergency on May 11, 2023. Some of your COVID-19 benefits have changed with the end of the public health emergency. Vaccines. Tests and Testing Sites.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 …A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 753690.0720 Please submit refunds to: Blue Cross and Blue Shield of Texas Refund and Recovery Dept. 0695 ... Blue Cross and Blue Shield of Texas Dept. 0695 PO Box 120695 Dallas, TX 75312 …Federal Employee Program | Blue Cross and Blue Shield of Texas This page may have documents that can’t be read by screen reader software. For help with these documents, please call 1-800-442-4607.A diverse supply chain is critical to our ability to innovate, maximize our operational effectiveness, and ultimately enhance our ability to serve our members. Our total spend with diverse suppliers increased from 6.66% in 2022 to 7.23% in 2023, representing disbursements of $176.7 million to diverse-owned businesses.*.The remittance viewer offers providers and billing services a convenient way to view and help reconcile claim data provided by BCBSTX in the 835 Electronic Remittance Advice (ERA). To gain access to the remittance viewer, you must be a registered Availity® Essentials user, enrolled to receive the 835 ERA from BCBSTX. Online enrollment for …Advantages of Membership. Learn about all the programs available to you and all the Advantages of Membership included with Blue Cross and Blue Shield of Texas plans. Forms and Helpful Resources. Individual Insurance Plans: Applications and Forms. Medicare Supplement Forms. Employer-Offered Coverage: Coverage Forms. …Find a Pharmacy. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes prescription drug coverage, select from the links below to search for a pharmacy: BCBSTX Prescription Drug Plans *. Medicare Plans *. Medicaid Plan: State of Texas Access Reform, STAR *. Medicaid Plan: Children’s Health Insurance Program, CHIP *.Baylor Scott & White Health (BSWH) is currently negotiating a new contract to cover care for patients with Blue Cross and Blue Shield of Texas (BCBSTX) health insurance. We …Find a Pharmacy. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes prescription drug coverage, select from the links below to search for a pharmacy: BCBSTX Prescription Drug Plans *. Medicare Plans *. Medicaid Plan: State of Texas Access Reform, STAR *. Medicaid Plan: Children’s Health Insurance Program, CHIP *. BCBSTX Mobile App. Features: Find an in-network doctor, hospital or urgent care facility or search for Spanish-speaking doctors. Access your claims, coverage and deductible information. Access your temporary digital member ID card. Secure login with Face ID (iOS only) and Fingerprint ID. Payments on the Blue Access for Members Mobile App are here. Prenatal and Postpartum Care measures the percentage of deliveries in which members: Had a prenatal care visit in the first trimester, on or before the … 24/7 Bilingual Nurseline. Similar to virtual visits, the 24/7 Bilingual Nurseline is a quick and affordable way to get care in English or Spanish. Bilingual nurses are on call to answer your health questions or concerns. Call the 24/7 Bilingual Nurseline at 1-800-581-0368. 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 ...Get links to current claim forms, understand how to submit claims to BCBSTX, read claim responses and use the Claim Review Form to submit adjustment requests. Also refer to the Provider Tools page on the provider website for convenient tools available. Claim Submission Forms. CMS-1500 User Guide & Tutorial. CMS-1500 Claims Filing Address. Compare and apply for Texas health insurance plans online at BCBSTX. Find individual and family, Medicare, short-term and HSA compatible plans and get a free quote. Dental Insurance. Under the Affordable Care Act (ACA), dental coverage is free for children 18 and younger and optional for all adults. These dental plans are offered by the government when you enroll during Open Enrollment or with a qualifying life event. You can also enroll with BCBSTX if you need dental coverage in addition to your current plan. That’s why Blue Cross and Blue Shield of Texas offers BlueCare Dental plans for everyone in the family. Our dental plans provide you with coverage for preventive services like checkups, cleanings and basic X-rays, as well as procedures like fillings, bridges and crowns. With BlueCare Dental, discounts of 30 to 50% can lower your cost of ... Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Find Texas vision and eye care providers near you that are in the Blue Cross and Blue Shield of Texas network.For Clinical Payment and Coding policy effective dates for in-network providers, please refer to the effective date listed on the policy. Disclosure notices subject to Title 28 of the Texas Administrative Code are posted at least 90 days in advance of the effective date of the change. All other disclosures will be provided with as much notice ...Get links to current claim forms, understand how to submit claims to BCBSTX, read claim responses and use the Claim Review Form to submit adjustment requests. Also refer to the Provider Tools page on the provider website for convenient tools available. Claim Submission Forms. CMS-1500 User Guide & Tutorial. CMS-1500 Claims Filing Address.The three-character prefix at the beginning of the member’s identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. Some member’s ID cards may not have an alpha prefix ... 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 more Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, Texas 75082. General Information: 972-766-6900 TTD: 735-2989. Make a Payment. Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill. Product and Program Contact InformationTexas STAR, CHIP — 1-877-560-8055. STAR Kids — 1-877-784-6802. For out-of-state Blue Cross and Blue Shield members, call BlueCard® Eligibility at 1-800-676-BLUE (2583) for eligibility and benefit verifications. Learn more about BlueCard. For Federal Employee Program (FEP) members, eligibility and benefits can be obtained by calling 1-800 ...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 …Sales Questions and Additional Plan Information: 1-888-731-0406. Calls may or may not be answered inside the United States. Monday – Friday: 8 a.m. – 8 p.m. CTGet links to current claim forms, understand how to submit claims to BCBSTX, read claim responses and use the Claim Review Form to submit adjustment requests. Also refer to the Provider Tools page on the provider website for convenient tools available. Claim Submission Forms. CMS-1500 User Guide & Tutorial. CMS-1500 Claims Filing Address.Dental coverage can be purchased as part of your Blue Cross and Blue Shield of Texas family and individual health insurance plan or as a standalone dental plan. As part of the Affordable Care Act, some Individual and Family plans …Your member ID card is the fastest way to find your provider. Just type in the first three characters of your ID number. Then, select "Go." We'll immediately redirect you to your provider, where you can access your BCBS login. Find a BCBS Company by Prefix.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 …Basic Guest Search. Even if you're not a member, you can answer a few questions to find the right network to search for doctors. Search for Doctors as a Guest. In addition to staying in network, you or your doctor may need to get benefit approval or “prior authorization” before you get treatment for certain services for them to be covered.Last Updated: Aug. 25, 2023. Need to find a doctor who is nearby and provides excellent care? Start your search with Provider Finder to make sure your doctor is in network.Blue Cross MedicareRx plans cover a broad range of prescription drugs. The formulary may be different from what you’re used to, and it can change. The most current formulary is always available online. Share the formulary with your doctor and talk about the drugs you take now. You may be able to save money by choosing generic drugs.Whatever the size of your business, Blue Cross and Blue Shield of Texas (BCBSTX) coverage options can help you create a healthier and more productive workplace that …The remittance viewer offers providers and billing services a convenient way to view and help reconcile claim data provided by BCBSTX in the 835 Electronic Remittance Advice (ERA). To gain access to the remittance viewer, you must be a registered Availity® Essentials user, enrolled to receive the 835 ERA from BCBSTX. Online enrollment for …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.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 …Member Services. We want you to get the most from your plan. In this section, you’ll find resources to help you get started, maximize your benefits, use online tools, learn about claims and more. Choose your plan below to learn more. Blue Cross Medicare Advantage. Blue Cross MedicareRx (PDP) Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO) Prior Authorizations Lists for Designated Groups; Recommended Clinical Review Option; Prior Authorization Exemptions (Texas House Bill 3459) Claims Filing Tips. Claim Status; Claim Review Process; Interactive Voice Response (IVR) System Blue Cross and Blue Shield of Texas’ integrated claim process will automatically deduct the appropriate funds from your FSA and/or HCA and/or pay the claim from the PPO. If your plan covers non-PPO eligible expenses, send the receipt and claim form to the address on the claim form to receive a reimbursement from your FSA and/or HCA.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 moreIf available for your account, you can also visit Member Services for the following: Search for a doctor, hospital, pharmacy, urgent care, and more. Locate a form. View prescription drug lists. If you regularly pay your premium through BCBSXX, you also have the option to pay through Member Services.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 ...Contact Us. Blue Cross and Blue Shield of Texas. 1001 E. Lookout Drive. Richardson, Texas 75082. General Information: 972-766-6900. TTD: 735-2989.
Decatur, TX. Decatur’s Blue Cross and Blue Shield of Texas Fitness Court officially launched in November 2022 at Kenny Renshaw Park. The Fitness Court is the perfect addition to a city committed to providing healthy infrastructure with six active parks equipped with playgrounds, walking trails, a skate park, a disc golf park and many more hiking and …. San jose ca to los angeles ca
General Reimbursement Information. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. You can find provider manuals, reimbursement documents and …Blue Cross and Blue Shield of Texas (BCBSTX) gives health care benefits and access to care to help your child stay well. BCBSTX covers all medically necessary care that Medicaid covers. This includes: Visits to PCPs, specialists (with an OK ahead of time for out-of-network providers), or other providers. Routine physicals for children from ...Medicaid is a state-run program that helps those in need get health insurance. It is meant for people with a low income or a disability. The state determines who qualifies for Medicaid based on federal guidelines. Once you qualify, you can pick a health plan. BCBSTX's Medicaid plans can help meet your health care needs.Based on the most recent year of data, Blue Cross Blue Shield Medicare Supplement Insurance plans spend about 79.6% of premiums on member benefits. [6] …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 AssociationBlue Cross and Blue Shield of Texas is pleased to offer health plans for individuals who qualify for the State STAR and CHIP programs. Your health and well-being is our priority. We offer quality-health service, access to our many network providers, and excellent customer service. Learn more about our plan benefits.Medicaid is a state-run program that helps those in need get health insurance. It is meant for people with a low income or a disability. The state determines who qualifies for Medicaid based on federal guidelines. Once you qualify, you can pick a health plan. BCBSTX's Medicaid plans can help meet your health care needs. Blue Cross Medicare Advantage SM — 1-877-774-8592. Texas STAR, CHIP — 1-877-560-8055. STAR Kids — 1-877-784-6802. For out-of-state Blue Cross and Blue Shield members, call BlueCard® Eligibility at 1-800-676-BLUE (2583) for eligibility and benefit verifications. Learn more about BlueCard. Blue Cross and Blue Shield of Texas plans give you and your employees more access to care with in-network Telehealth visits at the same cost as an in-office visit. Health Savings Account (HSA) Plans. Select an HSA plan for you and your employees that features $0 copay for some preventive drugs. HSA plans help employees stick to their treatment ...Request Contract/Agreement/Network Participation. We welcome all providers to apply for participation in the Blue Cross and Blue Shield (BCBSTX) networks. BCBSTX contracts with physicians, and other health care professional providers to form our provider networks which are essential for delivering quality, accessible and cost-effective health ...Blue Cross Group Medicare Advantage Open Access (PPO)SM Plan. Choose providers that accept Medicare nationwide without network restrictions at the same benefit levels for in and out of network providers. Providers must 1) accept Medicare; 2) agree to see you as a patient; and 3) agree to bill Blue Cross and Blue Shield of Texas (BCBSTX).CDHP stands for Consumer Directed Health Plan. It's a type of health plan that gives you more control of your health care expenses. A CDHP most often pairs a Health Savings Account (HSA), or some other tax-advantaged account. An HSA is a savings account that lets you use pre-tax dollars to pay for a wide range of qualified health care ….