Contact Us

Contact NameAddress/Phone/Email/URL

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 portal

Electronic Commerce Services

Need Assistance/Have Questions?
Call 800-746-4614

BCBSTX Provider Customer Service Numbers

BlueCard®
BlueCard is our out-of-area program that allows members from other Blue Cross and Blue Shield Plans to receive health care benefits when travelling or residing in another Blue Plan’s service area.

Eligibility and benefits 
(out-of-state subscribers)
800-676-BLUE (2583)

Claim status inquiries 
(out-of-state subscribers)
Contact
Availity® or other electronic connectivity vendor or call
800-451-0287*

 

*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.)

Blue Choice PPOSM 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*

 

*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.)

Blue Cross Medicare Advantage (PPO)SM

Customer Service
877-774-8592

Care Management Programs

855-462-1781

Federal Employee Program (FEP) — PPO

Eligibility and benefits or claim status inquiries
Contact Availity or other electronic connectivity vendor or call
800-442-4607*

Behavioral health services mental health and chemical dependency preauthorization and referrals (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services) call 800-528-7264

Behavioral health services – claims status inquiries contact Availity or other electronic connectivity vendor or call 800-442-4607* 

 

*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)

HMO Blue TexasSM

Eligibility and benefits or claim status inquiries
Contact Availity or other electronic connectivity vendor or call
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.)

Medical Management Correspondence for Marketplace Members

Fax: 866-589-8254

Blue Cross Blue Shield of Texas
Medical Care Management
P. O. Box 660027
Dallas, TX 75266-0027

Preauthorization of Medical Services for Marketplace Members

855-462-1785

Fax: 866-589-8253

Texas Health Insurance Pool (THIP)

888-398-3927

TRS-ActiveCare

Eligibility and benefits or claim status inquiries
Contact Availity or other electronic connectivity vendor or call
800-451-0287*

 

*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.)

University of Texas (UT Select)

Eligibility and benefits or claim status inquiries
Contact Availity or other electronic connectivity vendor or call
800-451-0287*

 

*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.)

Wal-Mart

Eligibility and benefits
800-676-BLUE (2583)

Claim status inquiries 
(out-of-state subscribers)
Contact Availity or
other electronic connectivity vendor or call
800-451-0287*

 

*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

Behavioral health services mental health and chemical dependency

Preauthorization and referrals (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services)

Call 800-528-7264 or the phone number listed on the back of the member's ID card.

Submit completed forms to:
BCBSTX Behavioral Health Unit
PO Box 660241
Dallas, TX 75266-0241
Fax 877-361-7646

Claims submission address:
Blue Cross and Blue Shield of Texas
P O Box 660044
Dallas, TX 75266-0044


HMO Blue Texas:
Magellan Behavioral Health Providers of Texas, Inc. 
800-729-2422

Behavioral health services - claims status inquiries

PPO:
Contact Availity or other electronic connectivity vendor or call
800-451-0287*


*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

Prime Therapeutics

Pharmacy help desk: 888-229-2812

For PPO 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.)

AIM Specialty Health

800-859-5299
aimspecialtyhealth.com 

Davis Vision

800-501-1459
Davis Vision 

Quest Diagnostics, Inc. (Quest)

888-277-8772
Quest Diagnostics, Inc. 

Claim filing address

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

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

Availity health information network — electronic claims filing system

File electronic claims using Payer ID #84980
Availity client services 800-AVAILITY (282-4548)
Availity Health Information Network 
EDI Guide 

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.

Predetermination requests (form available online)

Mail: (HMO/PPO)
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)

877-299-2377* (HMO)

 

*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.

iEXCHANGE (for Inpatient and Select Outpatient Pre-certifications & Referral Authorizations)

iEXCHANGE Web application

iEXCHANGE support desk
800-441-9188

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
Messages may be left in a confidential voice mailbox after business hours.
Wellness and clinical practice guidelines

Provider Relations and Provider Contracting Office Locations

Austin

Provider Relations (Physician & Professional Provider)
Blue Cross and Blue Shield of Texas
Arboretum Plaza II
9442 Capital of Texas Hwy N, Suite 500
Austin, TX 78759
800-336-5696
512-349-4847
Fax: 512-349-4853
Email to submit a signed contract

Provider Contracting (Ancillary & Hospital Providers)
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

Corpus Christi

Provider Relations (Physician & Professional Provider)
Blue Cross and Blue Shield of Texas
4444 Corona, Suite 120
Corpus Christi, TX 78411
361-878-1623
Fax: 361-852-0624
Email to submit a signed contract

Provider Contracting (Ancillary & Hospital Providers)
Blue Cross and Blue Shield of Texas
1800 West Loop South, Suite 600
Houston, TX 77027
713-354-7000, Option 5
Fax: 713-354-7471

Dallas

Provider Relations (Physician & Professional Provider)
Blue Cross and Blue Shield of Texas
1001 E. Lookout Drive
Richardson, TX 75082
800-749-0966
972-766-8900
Fax: 972-766-2231

Provider Contracting (Ancillary & Hospital Providers)
Blue Cross and Blue Shield of Texas
1001 E. Lookout Drive
Richardson, TX 75082
800-749-0966
972-766-8900
Fax: 972-766-1103

El Paso

Provider Relations (Physician & Professional Provider)
Blue Cross and Blue Shield of Texas
118 Mesa Park Dr.
El Paso, TX 79912
915-496-6600, press 2
Fax: 915-496-6611
Email to submit a signed contract

Provider Contracting (Ancillary & Hospital Providers)
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

Golden Triangle (Beaumont, Orange, Port Arthur)

Provider Relations (Physician & Professional Provider)
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

Provider Contracting (Ancillary & Hospital Providers)
Blue Cross and Blue Shield of Texas
1800 West Loop South, Suite 600
Houston, TX 77027-3279
800-637-0171, press 5
713-663-1115
Fax: 713-663-1250

Houston

Provider Relations (Physician & Professional Provider)
Blue Cross and Blue Shield of Texas
1800 West Loop South, Suite 600
Houston, TX 77027-3279
800-637-0171, press 3
713-663-1149
Fax: 713-663-1227
Email to submit a signed contract

Provider Contracting (Ancillary & Hospital Providers)
Blue Cross and Blue Shield of Texas
1800 West Loop South, Suite 600
Houston, TX 77027-3279
800-637-0171, press 5
713-663-1115
Fax: 713-663-1250

Lubbock and Amarillo

Provider Relations (Physician & Professional Provider)
Blue Cross and Blue Shield of Texas
5225 South Loop 289, Suite 207
Lubbock, TX 79424
806-783-4610
Fax: 806-783-6308
Email to submit a signed contract

Provider Contracting (Ancillary & Hospital Providers)
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

Midland, Abilene and San Angelo

Provider Relations (Physician & Professional Provider)
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

Provider Contracting (Ancillary & Hospital Providers)
 — Midland and San Angelo
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

Provider Contracting (Ancillary & Hospital Providers)
 — 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

San Antonio

Provider Relations (Physician & Professional Provider)
Blue Cross and Blue Shield of Texas
17806 IH 10 West, Bldg II, Suite 200
San Antonio, TX 78257
361-878-1623
Fax: 361-852-0624
Email to submit a signed contract

Provider Contracting (Ancillary & Hospital Providers)
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

Tyler

Provider Relations (Physician & Professional Provider)
Blue Cross and Blue Shield of Texas
3800 Paluxy Dr., Suite 540
Tyler, TX 75703
903-535-0380
Fax: 903-535-0388

Provider Contracting (Ancillary & Hospital Providers)
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