Contact Us
| Contact Name | Address/Phone/Email/URL |
|---|---|
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Blue Cross and Blue Shield of Texas (BCBSTX) |
1001 E. Lookout Drive Richardson, TX 75082 800-451-0287 TDD: 800-735-2989 (for hearing impaired) |
BCBSTX Provider Customer Service Numbers |
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BlueCard® |
Eligibility and benefits (out-of-state subscribers) 800-676-BLUE (2583) 7 a.m. to 7 p.m. CT, M-F Claim status inquiries (out-of-state subscribers) Contact Availity® or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) |
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BlueChoice® (PPO/POS) and indemnity plans |
Eligibility and benefits or claim status inquiries Contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) Verification hours are 6 a.m. - 6 p.m. CT M-F and 9 a.m. to noon CT on Saturday and Sunday and legal holidays |
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Federal Employee Program (FEP) - PPO |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 800-442-4607*, 9 a.m. to 5 p.m. CT, M – F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) Verification hours are 6 a.m. - 6 p.m. CT M-F and 9 a.m. to noon CT on Saturday and Sunday and legal holidays |
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HealthSelectSM (POS) |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 6 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) Verification hours are 6 a.m. - 6 p.m. M-F and 9 a.m. to noon on Saturday and Sunday and legal holidays |
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HMO Blue® Texas |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 877-299-2377*, 8 a.m. to 6 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) Verification hours are 6 a.m. - 6 p.m. M-F and 9 a.m. to noon CT on Saturday and Sunday and legal holidays |
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Texas Health Insurance Pool (THIP) |
888-398-3927, 8 a.m. to 5 p.m. CT, M-F |
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TRS-ActiveCare |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) |
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University of Texas (UT Select) |
Eligibility and benefits or claim status inquiries Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) |
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Wal-Mart |
Eligibility and benefits 800-676-BLUE (2583) 7 a.m. to 7 p.m. CT, M-F Claim status inquiries (out-of-state subscribers) Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) 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. |
Other Customer Service Numbers |
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Behavioral health services mental health and chemical dependency |
BlueChoice PPO/POS: Call 800-528-7264 or the phone number listed on the back of the member's ID card. Submit completed forms to: Claims submission address: HMO Blue Texas: Magellan Behavioral Health Providers of Texas, Inc.  800-729-2422, 8 a.m. to 7 p.m. CT |
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Behavioral health services - claims status inquiries |
PPO/POS: Contact Availity or other electronic connectivity vendor or call 800-451-0287*, 8 a.m. to 8 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) HMO: Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 800-729-2422, 8 a.m. to 6 p.m. CT, M-F. |
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Prime Therapeutics |
Pharmacy help desk: 888-229-2812 For PPO/POS questions: 800-521-2227 For HMO questions: 877-299-2377* *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) |
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AIM Specialty Health |
800-859-5299 aimspecialtyhealth.com |
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Davis Vision |
800-501-1459 Davis Vision |
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Quest Diagnostics, Inc. (Quest) |
888-277-8772 Quest Diagnostics, Inc. |
| 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, TX 75266-0044 |
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Claim review submission address |
Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-0044 Request for claim review form and instructions |
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Availity health information network - electronic claims filing system |
File electronic claims using Payer ID #84980 Availity client services 800-AVAILITY (282-4548) Hours: 9 a.m. to 7 p.m. CT M-F 8 a.m. to 5 p.m. ET M-F Availity Health Information Network EDI Guide |
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Benefit disclosure information (form available online) |
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 Please do not send patient-specific predetermination information to this address or fax number. |
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Predetermination requests (form available online) |
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: 800-451-0287* (PPO/POS) 8 a.m. to 8 p.m. CT, M-F 877-299-2377* (HMO) 8 a.m. to 6 p.m. CT, M-F *interactive voice response (IVR) system - to access, you must have full member/subscriber's information (for example, member/subscriber's ID, patient’s date of birth, etc.) For urgent requests only: Fax to: 888-579-7935 Predetermination form and Instructions for submitting requests for predetermination Note: Predetermination 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. |
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iEXCHANGE (for Inpatient Pre-certifications & Referral Authorizations) |
iEXCHANGE Web application iEXCHANGE - interactive voice response (IVR) system available 24 hours a day, seven days a week 800-413-0869 iEXCHANGE support desk 800-441-9188 8 a.m. to 5 p.m. CT, M-F |
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Utilization management |
Referrals and inpatient pre-certifications 800-441-9188 Fax: 800-252-8815 or 800-462-3272 Case management 800-462-3275 Fax: 800-778-2279 6 a.m. to 6 p.m., CT, M-F and non-legal holidays and 9 a.m. to noon CT, Saturdays, Sundays and legal holidays. Messages may be left in a confidential voice mailbox after business hours. Wellness and clinical practice guidelines |
Professional and Facility Provider Network Offices |
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Austin |
Professional provider network |
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Corpus Christi |
Professional provider network Blue Cross and Blue Shield of Texas 4444 Corona, Suite 120 Corpus Christi, TX 78411 800-872-1518, press 6 361-878-1623 Fax: 361-852-0624 Email to submit a signed contract Facility provider network Blue Cross and Blue Shield of Texas 4444 Corona, Suite 120 Corpus Christi, TX 78411 800-442-1685, press 3 361-878-1654 Fax: 361-878-1646 |
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Dallas |
Professional provider network Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, TX 75082 800-749-0966 972-766-8900 Fax: 972-766-2231 Facility provider network Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, TX 75082 800-749-0966 972-766-8900 Fax: 972-766-0345 |
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El Paso |
Professional provider network Blue Cross and Blue Shield of Texas 118 Mesa Park Dr. El Paso, TX 79912 915-496-6600, press 2 Fax: 915-496-6614 Email to submit a signed contract Facility provider network Blue Cross and Blue Shield of Texas 8200 IH 10 West, Suite 400 San Antonio, TX 78230 800-872-1518, press 7 210-357-5340, press 7 Fax: 210-357-5273 |
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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 800-637-0171, press 3 713-663-1149 Fax: 713-663-1227 Email to submit a signed contract Facility provider network Blue Cross and Blue Shield of Texas 2425 West Loop South, Suite 1000 Houston, TX 77027-4208 800-637-0171, press 5 713-663-1115 Fax: 713-663-1250 |
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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 800-637-0171, press 3 713-663-1149 Fax: 713-663-1227 Email to submit a signed contract Facility provider network Blue Cross and Blue Shield of Texas 2425 West Loop South, Suite 1000 Houston, TX 77027-4208 800-637-0171, press 5 713-663-1115 Fax: 713-663-1250 |
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Lubbock and Amarillo |
Professional provider network Blue Cross and Blue Shield of Texas 5225 South Loop 289, Suite 207 Lubbock, TX 79424 806-783-4610 Fax: 806-783-4666 Email to submit a signed contract Facility provider network Blue Cross and Blue Shield of Texas 901 S Central Expressway, N Bldg C Richardson, TX 75080 Hospital: 800-749-0966 Ancillary: 806-798-6343 Fax: 806-798-6308 |
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Midland, Abilene and 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 Fax: 432-620-1431 Facility provider network - Midland and San Angelo Blue Cross and Blue Shield of Texas 8200 IH 10 West, Suite 400 San Antonio, TX 78230 800-442-1685, press 3 210-357-5340, press 7 Fax: 210-357-5273 Facility provider network - Abilene Blue Cross and Blue Shield of Texas 901 S Central Expressway, N Bldg C Richardson, TX 75080 Hospital: 800-749-0966 Ancillary: 806-798-6343 Fax: 806-798-6308 |
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San Antonio |
Professional provider network Blue Cross and Blue Shield of Texas 17806 IH 10 West, Bldg II, Suite 200 San Antonio, TX 78257 800-872-1518, press 6 361-878-1623 Fax: 361-852-0624 Email to submit a signed contract Facility provider network Blue Cross and Blue Shield of Texas 17806 IH 10 West, Bldg II, Suite 200 San Antonio, TX 78257 800-872-1518, press 7 210-558-5100, press 7 Fax: 210-558-5176 |
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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 Fax: 903-535-0397 Facility provider network Blue Cross and Blue Shield of Texas 901 S Central Expy, N Bldg C Richardson, TX 75080 800-749-0966 972-766-8900 Fax: 972-766-1103 |
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Medical Director Listing |
Medical Director Listing  |
Additional Website Resources
- Availity Website
- Harris County Medical Society
- Workgroup for Electronic
Interchange - Tarrant County Medical Society
- Texas Department of Insurance
- Travis County Medical Society
- Texas Medical Association
- HIPAA Website
- Bexar County Medical Society
- Medicare Related HIPAA
- Dallas County Medical Society
Availity is a registered trademark of Availity, L.L.C.
