Bcbstx Provider Portal

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Updated: April 25, 2022

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Bcbstx.com

FAQs

1

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.
2

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.
3

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

Provider Tools

https://www.bcbsil.com/provider/education/provider_tools.html

Attachments is an online tool in the Availity Provider Portal that allows you to submit electronic predetermination of benefits requests handled by Blue ...

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