Bcbs Producer Portal

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Updated: May 17, 2022

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Bcbstx.com

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Blue Cross and Blue Shield of Texas:..

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FAQs

1

What is a producer portal?

The Producer's Portal is for our producers and production companies to submit proposals, access production guidelines, upload contracted deliverables, and locate other information that is needed in order to successfully complete and deliver your project.
2

Who bought BCBS?

WellPoint Health Networks acquires RightCHOICE, the parent company of Blue Cross and Blue Shield of Missouri and HealthLink. WellPoint Health Networks acquires MethodistCare, an HMO in Texas.
3

What is Blue Edge HSA?

BlueEdge HSASM combines a high-deductible health plan (HDHP) with a tax-advantaged health savings account (HSA). Funds from the account can be used to help pay for out-of-pocket expenses, such as copayments and deductibles, or left to grow as a health care savings vehicle.
4

Who owns Bcbsnc?

Blue Cross NC was founded as a nonprofit Medical and Hospital Services Corporation. Although we are structured as a nonprofit (no shareholders) corporation, the company is fully taxed and in 2019 incurred $431.0 million in federal, state and local taxes.
5

What does BCBSTX cover?

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 birth through 20 years of age.
6

What is BCBSTX PPO?

PPO stands for Participating Provider Organization. It's a type of health plan that lets you choose where you go for care, without a referral from a primary care physician (PCP) or having to only use providers in your plan's provider network.
7

Where do I send my BCBS claim in Texas?

Mail
  1. Attach the Provider Appeal Request Form.
  2. Appeals address: Blue Cross and Blue Shield of Texas. Attn: Complaints and Appeals Department. PO Box 660717. Dallas, TX 75266-0717.
2. Bcbsil.com

Retail Producer Portal

https://www.bcbsil.com/producer/online-tools/producer-tools/retail-pro...

The Retail Producer Portal is a comprehensive quoting, sales, enrollment and client service tool. The portal enables you to design and deliver quotes, ...

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