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| Contact Us |
Blue Cross and Blue Shield of Texas
901 S. Central Expressway
Richardson, Texas 75080
1-800-451-0287
TDD: 1-800-735-2989 (for hearing impaired)
BCBSTX Provider Portal
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| BCBSTX Provider Customer Service Numbers |
| BlueCard® |
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Eligibility and Benefits (Out-of-State Subscribers)
1-800-676-BLUE (2583) 7 a.m. to 7 p.m. CST, Monday-Friday
Claim Status (Out-of State Subscribers)
1-800-451-0287 8 a.m. to 8 p.m. CST, Monday-Friday
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| BlueChoice® (PPO/POS) & Indemnity Plans |
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1-800-451-0287 8 a.m. to 8 p.m. CST, Monday-Friday
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Verification* hours are 6 a.m. - 6 p.m. Monday-Friday and 9 a. m. to 12 noon on Saturday-Sunday and Legal Holidays
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| Federal Employee Program (PPO) |
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1-800-442-4607 9 a.m. to 5 p.m. CST, Monday-Friday
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| HealthSelectSM (POS) |
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1-800-451-0287 7 a.m. to 7 p.m. CST, Monday-Friday
9:30 a.m. to 1:30 p.m. CST, Saturday
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| HMO Blue® Texas |
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1-877-299-2377 8 a.m. to 6 p.m. CST, Monday-Friday
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Verification* hours are 6 a.m. - 6 p.m. Monday-Friday and 9 a. m. to 12 noon on Saturday-Sunday and Legal-Holidays
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| Texas Health Insurance Risk Pool (THIRP) |
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1-888-398-3927 8 a.m. to 5 p.m. CST, Monday-Friday
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| TRS-ActiveCare |
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1-800-451-0287 8 a.m. to 8 p.m. CST, Monday-Friday
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| University of Texas (UT Select) |
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PPO 1-866-882-2034 (Group 71778) 8 a.m. to 5 p.m. CST, Monday-Friday
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| Wal-Mart (Benefits/Eligibility/Claims Status) - BCBS Illinois |
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1-800-972-8088. 7:30 a.m. to 5:30 p.m. CST, Monday-Friday
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*Verification is not applicable for all enrollees or providers. Routine eligibility and benefit information may still be obtained, during regular Customer Service hours, when verification is not applicable.
Top of Page
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| Other Customer Service Numbers |
Behavioral Health Services -
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Inpatient Certification and Referrals, including Chemical Dependency |
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PPO/POS |
Magellan Behavioral Health, Inc.
1-800-528-7264 8 a.m. to 5 p.m. CST
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HMO: |
Magellan Behavioral Health Providers of Texas, Inc.
1-800-729-2422 8 a.m. to 7 p.m. CST
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| Behavioral Health Services - Claims Status |
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PPO/POS: |
1-800-451-0287 8 a.m. to 8 p.m. CST, Monday-Friday |
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HMO: |
1-800-729-2422 8 a.m. to 6 p.m. CST, Monday-Friday
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| Prime Therapeutics |
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Pharmacy Help Desk: |
1-888-229-2812 |
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For PPO/POS Questions: |
1-800-521-2227 |
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For HMO Questions: |
1-877-299-2377
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| American Imaging Management (AIM) |
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1-800-859-5299 American Imaging Management (AIM)
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| Davis Vision |
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1-800-501-1459 Davis Vision
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| Laboratory Corporation of America (LabCorp) |
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1-888-LABCORP (1-888-522-2677) Laboratory Corporation of America (LabCorp)
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| Claim Filing/Appeals/Availity Health information Network |
| Claim Filing Address |
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All claims should be filed electronically if a provider must file a paper claim, mail claim to:
Blue Cross and Blue Shield of Texas
P.O. Box 660044
Dallas, Texas 75266-0044
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| Claim Appeal / Reconsideration Review Filing Address (Form & Instructions Available Online - see below link) |
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Blue Cross and Blue Shield of Texas
P.O. Box 660044
Dallas, Texas 75266-0044
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Use this link for Claim Appeal or Reconsideration Review Request for Claim Appeal/Reconsideration Review Form & Instructions
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| Availity Health Information Network - Electronic Claims Filing System |
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File electronic claims using Payor ID #84980
Availity Client Services 1-800-AVAILITY (282-4548)
Hours: 8 a.m. to 6 p.m. Monday - Thursday EST
8 a.m. to 5 p.m. Friday EST
Availity Health Information Network
EDI Guide
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| Disclosure Information (Form Available Online) |
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Send Requests to:
Blue Cross and Blue Shield of Texas
Pre-Service Allowed Benefit Disclosure Request
P.O. Box 650489
Dallas, TX 75265-0489
Fax: 972-766-0371
NOTE: Please do not send patient-specific predetermination information to this address or Fax number.
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| Predetermination Requests (Form & Instructions Available Online - see link below) |
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Mail: (HMO/PPO/POS)
Blue Cross and Blue Shield of Texas
Attn: Predetermination Dept.
P.O. Box 660044
Dallas, TX 75266-0044
For Status Call:
1-800-451-0287 (PPO/POS) 8 a.m. to 8 p.m. CST, M-F
1-877-299-2377 (HMO) 8 a.m. to 6 p.m. CST, M-F
For Urgent Requests Only:
Fax to: 1-888-579-7935
Use these links for Predetermination: Predetermination Form
Instructions for Submitting Requests for Predetermination
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| Utilization Management |
| iEXCHANGE |
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iEXCHANGE 1-800-413-0869 - Interactive Voice Response (IVR) System, 24 hours a day, 7 days a week
iEXCHANGE Support Desk 1-800-441-9188, select 1, then select 4 8 a.m. to 5 p.m. CST, M-F iEXCHANGE
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| Utilization Management |
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Referrals/Inpatient Certifications 1-800-441-9188, select 1, then select 3
Referrals/Inpatient Certifications Fax: 1-800-252-8815
Case Management 1-800-462-3275
Case Management Fax: 1-800-778-2279 6 a.m. to 6 p.m., CST, M-F and non-legal holidays and 9 a.m. to 12 noon CST, Saturday, Sunday and legal holidays. Messages may be left in a confidential voice mailbox after business hours.
Wellness and Clinical Practice Guidelines
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Professional & Facility Provider Network Offices:
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| Austin |
Professional Provider Network
Blue Cross and Blue Shield of Texas
Arboretum Plaza II
9442 Capital of Texas Hwy N, Suite 500
Austin, TX 78759
1-800-336-5696, press 4(512) 349-4847 (512) 349-4851 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
8200 IH 10 West, Suite 400
San Antonio, TX 78230
(210) 357-5340, press 7
(210) 357-5273 Fax
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| Corpus Christi |
Professional Provider Network
Blue Cross and Blue Shield of Texas
4444 Corona, Suite 120
Corpus Christi, TX 78411
1-800-872-1518, press 6
(361) 878-1630 (361) 878-1646 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
4444 Corona, Suite 120
Corpus Christi, TX 78411
1-800-442-1685, press 3 (361) 878-1654 (361) 878-1646 Fax
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| Dallas |
Professional Provider Network
Blue Cross and Blue Shield of Texas
901 S Central Expressway, N Bldg C
Richardson, TX 75080
1-800-749-0966 (972) 766-8900 (972) 766-0345 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
901 S Central Expressway, N Bldg C
Richardson, TX 75080
1-800-749-0966
(972) 766-8900 (972) 766-1103 Fax
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| El Paso |
Professional Provider Network
Blue Cross and Blue Shield of Texas
118 Mesa Park Dr.
El Paso, TX 79912
1-800-682-6789, press 3
(915) 496-6600, press 2 (915) 496-6611 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
8200 IH 10 West, Suite 400
San Antonio, TX 78230 1-800-872-1518, press 7
(210) 357-5340, press 7 (210) 357-5273 Fax
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| Golden Triangle (Beaumont, Orange, Port Arthur) |
Professional Provider Network
Blue Cross and Blue Shield of Texas
2615 Calder, Suite 700
Beaumont, TX 77702
1-800-637-0171, press 3
(713) 663-1149 (713) 663-1227 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
2425 West Loop South, Suite 1000
Houston, TX 77027-4208 1-800-637-0171, press 5 (713) 663-1115 (713) 663-1250 Fax
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| Houston |
Professional Provider Network
Blue Cross and Blue Shield of Texas
2425 West Loop South, Suite 1000
Houston, TX 77027-4208
1-800-637-0171, press 3
(713) 663-1149 (713) 663-1227 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
2425 West Loop South, Suite 1000
Houston, TX 77027-4208 1-800-637-0171, press 5
(713) 663-1115 (713) 663-1250 Fax
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| Lubbock/Amarillo |
Professional Provider Network
Blue Cross and Blue Shield of Texas
5225 South Loop 289, Suite 207
Lubbock, TX 79424 (806) 783-4610 (806) 798-6308 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
901 S Central Expressway, N Bldg C
Richardson, TX 75080
(972) 766-2437 Hospital
(806) 798-6343 Ancillary
(806) 798-6308 Fax
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| Midland/Abilene/San Angelo |
Professional Provider Network
Blue Cross and Blue Shield of Texas
3300 North A St., Bldg B, Suite 120
Midland, TX 79705 (432) 620-1406 (432) 620-1431 Fax
Facility Provider Network - Midland/San Angelo
Blue Cross and Blue Shield of Texas
8200 IH 10 West, Suite 400
San Antonio, TX 78230 1-800-442-1685, press 3
(210) 357-5340, press 7
(210) 357-5273 Fax
Facility Provider Network - Abilene
Blue Cross and Blue Shield of Texas
901 S Central Expressway, N Bldg C
Richardson, TX 75080 (972) 766-2437 Hospital
(806) 798-6343 Ancillary
(806) 798-6308 Fax
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| San Antonio |
Professional Provider Network
Blue Cross and Blue Shield of Texas
8200 IH 10 West, Suite 400
San Antonio, TX 78230
1-800-872-1518, press 6
(210) 344-9100, press 6
(361) 878-1646 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
8200 IH 10 West, Suite 400
San Antonio, TX 78230
1-800-872-1518, press 7
(210) 357-5340, press 7 (210) 357-5273 Fax
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| Tyler |
Professional Provider Network
Blue Cross and Blue Shield of Texas
3800 Paluxy Dr., Suite 540
Tyler, TX 75703
(903) 535-0380 (903) 535-0397 Fax
Facility Provider Network
Blue Cross and Blue Shield of Texas
901 S Central Expressway, N Bldg C
Richardson, TX 75080
1-800-749-0966
(972) 766-8900 (972) 766-1103 Fax
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Updated 5/2009
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