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MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more. LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. CASE AND CREDENTIALING STATUS CHECKERS Case Status Checker. If you have completed one of the following and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker : Provider Onboarding Form. Demographic Update Form. General Email inquiries. QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
PROVIDER ONBOARDING PROCESS Complete the Provider Onboarding Form .using the group information. Complete the required Provider Roster for providers that need to be affiliated with your group Tax ID and Billing NPI. (For existing groups – please only send new providers and not a full roster) HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options.MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more. LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience. ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. UPDATE TO PRIOR AUTHORIZATIONS What’s New: On Jan. 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) will update its list of Current Procedural Terminology (CPT ) codes requiring prior authorization to comply with changes as a result of new, replaced or removed codes implemented by the American Medical Association (AMA) and BCBSTX Utilization Management updates.More
CASE AND CREDENTIALING STATUS CHECKERS Case Status Checker. If you have completed one of the following and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker : Provider Onboarding Form. Demographic Update Form. General Email inquiries. QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
BLUE ADVANTAGE SILVER HMOSM 205 BLUE ADVANTAGE HMOSM … BENEFIT HIGHLIGHTS A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield AssociationMEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
SHOP PLANS & PRODUCTS Call us at 1-866-292-6745 TTY 711. We’re open between 8 a.m. – 8 p.m., local time, 7 days a week. If you’re calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays. BCBS SETTLEMENT UPDATE BCBS Settlement Update. March 26, 2021. In October 2020, Blue Cross and Blue Shield of Texas was part of a class action settlement in a case brought by Blue Cross Blue Shield subscribers related to licensing agreements within the Blue Cross and Blue Shield System. While we reject claims made by the plaintiffs in the case, we agreedto provide
UPDATE TO PRIOR AUTHORIZATIONS What’s New: On Jan. 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) will update its list of Current Procedural Terminology (CPT ) codes requiring prior authorization to comply with changes as a result of new, replaced or removed codes implemented by the American Medical Association (AMA) and BCBSTX Utilization Management updates.More
EMPLOYEES - ANCILLARY Ancillary Solutions for Employees. Life can get rocky sometimes, but it doesn't have to affect your financial well-being. We offer a broad selection of insurance products and services to help financially protect employees and their families. QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
REFERRALS AND PRIOR AUTHORIZATIONS A referral is a written order from your primary care provider (PCP) for you to see a specialist. For most services, you need to get a referral before you can get medical care from anyone except your PCP. If you don't get a referral before you get services, you will get out-of-network benefits. In most cases, a referral is good for 12months.
IMPORTANT INFORMATION BCBSTX Medical Policies and BCBSTX Clinical Payment and Coding Policies. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research.LGBTQ INCLUSION
BCBSTX Values LGBTQ Inclusion. Blue Cross and Blue Shield of Texas (BCBSTX) stands by our core values of integrity, respect, commitment, caring and excellence. HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options.MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more. LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. CASE AND CREDENTIALING STATUS CHECKERS Case Status Checker. If you have completed one of the following and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker : Provider Onboarding Form. Demographic Update Form. General Email inquiries. QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
PROVIDER ONBOARDING PROCESS Complete the Provider Onboarding Form .using the group information. Complete the required Provider Roster for providers that need to be affiliated with your group Tax ID and Billing NPI. (For existing groups – please only send new providers and not a full roster) HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options.MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more. LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. CASE AND CREDENTIALING STATUS CHECKERS Case Status Checker. If you have completed one of the following and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker : Provider Onboarding Form. Demographic Update Form. General Email inquiries. QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
PROVIDER ONBOARDING PROCESS Complete the Provider Onboarding Form .using the group information. Complete the required Provider Roster for providers that need to be affiliated with your group Tax ID and Billing NPI. (For existing groups – please only send new providers and not a full roster)MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
SHOP PLANS & PRODUCTS Call us at 1-866-292-6745 TTY 711. We’re open between 8 a.m. – 8 p.m., local time, 7 days a week. If you’re calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays. BCBS SETTLEMENT UPDATE BCBS Settlement Update. March 26, 2021. In October 2020, Blue Cross and Blue Shield of Texas was part of a class action settlement in a case brought by Blue Cross Blue Shield subscribers related to licensing agreements within the Blue Cross and Blue Shield System. While we reject claims made by the plaintiffs in the case, we agreedto provide
UPDATE TO PRIOR AUTHORIZATIONS What’s New: On Jan. 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) will update its list of Current Procedural Terminology (CPT ) codes requiring prior authorization to comply with changes as a result of new, replaced or removed codes implemented by the American Medical Association (AMA) and BCBSTX Utilization Management updates.More
EMPLOYEES - ANCILLARY Ancillary Solutions for Employees. Life can get rocky sometimes, but it doesn't have to affect your financial well-being. We offer a broad selection of insurance products and services to help financially protect employees and their families. QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
REFERRALS AND PRIOR AUTHORIZATIONS A referral is a written order from your primary care provider (PCP) for you to see a specialist. For most services, you need to get a referral before you can get medical care from anyone except your PCP. If you don't get a referral before you get services, you will get out-of-network benefits. In most cases, a referral is good for 12months.
IMPORTANT INFORMATION BCBSTX Medical Policies and BCBSTX Clinical Payment and Coding Policies. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research.LGBTQ INCLUSION
BCBSTX Values LGBTQ Inclusion. Blue Cross and Blue Shield of Texas (BCBSTX) stands by our core values of integrity, respect, commitment, caring and excellence. HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. CASE AND CREDENTIALING STATUS CHECKERS Case Status Checker. If you have completed one of the following and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker : Provider Onboarding Form. Demographic Update Form. General Email inquiries. JAMES G. SPRINGFIELD NAMED PRESIDENT OF BLUE CROSS AND RICHARDSON, Texas — Health Care Service Corporation (HCSC) today announced James G. “Jim” Springfield, FACHE, has been named president of Blue Cross and Blue Shield of Texas (BCBSTX), beginning April 26. Springfield joins BCBSTX from Cancer Treatment Centers of America where he served as national chief operating officer (COO). Springfield will report to Jeff Tikkanen, executive vice QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
SURGERY FOR MORBID OBESITY SUR716.003 POSTED DATE: … SURGERY FOR MORBID OBESITY SUR716.003 POSTED DATE: 6/11/2003 EFFECTIVE DATE: 8/15/2003 _____ Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company* HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. CASE AND CREDENTIALING STATUS CHECKERS Case Status Checker. If you have completed one of the following and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker : Provider Onboarding Form. Demographic Update Form. General Email inquiries. JAMES G. SPRINGFIELD NAMED PRESIDENT OF BLUE CROSS AND RICHARDSON, Texas — Health Care Service Corporation (HCSC) today announced James G. “Jim” Springfield, FACHE, has been named president of Blue Cross and Blue Shield of Texas (BCBSTX), beginning April 26. Springfield joins BCBSTX from Cancer Treatment Centers of America where he served as national chief operating officer (COO). Springfield will report to Jeff Tikkanen, executive vice QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
SURGERY FOR MORBID OBESITY SUR716.003 POSTED DATE: … SURGERY FOR MORBID OBESITY SUR716.003 POSTED DATE: 6/11/2003 EFFECTIVE DATE: 8/15/2003 _____ Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company*MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
BCBS SETTLEMENT UPDATE BCBS Settlement Update. March 26, 2021. In October 2020, Blue Cross and Blue Shield of Texas was part of a class action settlement in a case brought by Blue Cross Blue Shield subscribers related to licensing agreements within the Blue Cross and Blue Shield System. While we reject claims made by the plaintiffs in the case, we agreedto provide
SHOP PLANS & PRODUCTS Call us at 1-866-292-6745 TTY 711. We’re open between 8 a.m. – 8 p.m., local time, 7 days a week. If you’re calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays. PRIOR AUTHORIZATION SERVICES FOR FULLY INSURED AND Prior Authorization Procedure Codes List for ASO Plans Effective 01/01/2021 - 03/31/2021. (Additional codes were added on 12/21/2020 due to AMA code updates) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Crossand Blue
WHERE TO GO FOR COVID-19 TESTING AND VACCINES You know when you aren’t feeling well. Sore throat, achy, sick to your stomach. With the COVID-19 virus spreading quickly, this may be one time you don’t want to “just get through it.” Getting a COVID-19 diagnostic test could UPDATE TO PRIOR AUTHORIZATIONS What’s New: On Jan. 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) will update its list of Current Procedural Terminology (CPT ) codes requiring prior authorization to comply with changes as a result of new, replaced or removed codes implemented by the American Medical Association (AMA) and BCBSTX Utilization Management updates.More
EARN CME/CEU CREDIT AT FREE WEBINAR ON OPIOID USE Join our board-certified psychiatrists and behavioral health medical directors for a one-hour webinar on opioid use disorder. The webinar is on Wednesday, Aug. 18, 2021, at 8 IMPORTANT INFORMATION BCBSTX Medical Policies and BCBSTX Clinical Payment and Coding Policies. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research.LGBTQ INCLUSION
BCBSTX Values LGBTQ Inclusion. Blue Cross and Blue Shield of Texas (BCBSTX) stands by our core values of integrity, respect, commitment, caring and excellence. HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS If your doctor ordered a test or treatment, you may need to get approval from BCBSTX first. This is called “prior authorization” or pre-approval. You can also see a list of services that need prior authorization. Prior Auth List. Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shieldof
LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience. ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. PRIOR AUTHORIZATION SERVICES FOR FULLY INSURED AND Prior Authorization Procedure Codes List for ASO Plans Effective 01/01/2021 - 03/31/2021. (Additional codes were added on 12/21/2020 due to AMA code updates) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Crossand Blue
UPDATE TO PRIOR AUTHORIZATIONS What’s New: On Jan. 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) will update its list of Current Procedural Terminology (CPT ) codes requiring prior authorization to comply with changes as a result of new, replaced or removed codes implemented by the American Medical Association (AMA) and BCBSTX Utilization Management updates.More
CASE AND CREDENTIALING STATUS CHECKERS Case Status Checker. If you have completed one of the following and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker : Provider Onboarding Form. Demographic Update Form. General Email inquiries. QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
MEDICAL POLICIES
BCBSTX MEDICAL POLICIES AND BCBSTX CLINICAL PAYMENT AND CODING POLICIES. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. They are often used as guidelines for coverage determinations in HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Home | Blue Cross and Blue Shield of Texas HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS If your doctor ordered a test or treatment, you may need to get approval from BCBSTX first. This is called “prior authorization” or pre-approval. You can also see a list of services that need prior authorization. Prior Auth List. Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shieldof
LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience. ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. PRIOR AUTHORIZATION SERVICES FOR FULLY INSURED AND Prior Authorization Procedure Codes List for ASO Plans Effective 01/01/2021 - 03/31/2021. (Additional codes were added on 12/21/2020 due to AMA code updates) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Crossand Blue
UPDATE TO PRIOR AUTHORIZATIONS What’s New: On Jan. 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) will update its list of Current Procedural Terminology (CPT ) codes requiring prior authorization to comply with changes as a result of new, replaced or removed codes implemented by the American Medical Association (AMA) and BCBSTX Utilization Management updates.More
CASE AND CREDENTIALING STATUS CHECKERS Case Status Checker. If you have completed one of the following and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker : Provider Onboarding Form. Demographic Update Form. General Email inquiries. QUALITY IMPROVEMENT HEDIS® TIP SHEETS Quality Improvement HEDIS® Tip Sheets. We created quality improvement tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures from the National Committee for Quality Assurance (NCQA) help ensure our members receiveappropriate care.
MEDICAL POLICIES
BCBSTX MEDICAL POLICIES AND BCBSTX CLINICAL PAYMENT AND CODING POLICIES. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. They are often used as guidelines for coverage determinations in HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Home | Blue Cross and Blue Shield of Texas PRIOR AUTHORIZATION SERVICES FOR FULLY INSURED AND Prior Authorization Procedure Codes List for ASO Plans Effective 01/01/2021 - 03/31/2021. (Additional codes were added on 12/21/2020 due to AMA code updates) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Crossand Blue
PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
SHOP PLANS AND PRODUCTS Individual and family health insurance plans from Blue Cross and Blue Shield of Texas (BCBSTX) deliver outstanding coverage and service. BCBSTX is a leader in individual and family health insurance plans in PROFESSIONAL PROVIDER FEE SCHEDULE VIA AVAILITY® The Fee Schedule tool will be available as of May 27, 2021 via Availity. Be sure to attend a training session listed below June 1-4th. Fee schedules are a key component of your contractual relationship with Blue Cross and Blue Shield of Texas (BCBSTX). BLUE ESSENTIALS AND BLUE ESSENTIALS ACCESS Blue Cross and Blue Shield of Texas (BCBSTX) invites you to participate as a provider in Blue Essentials and Blue Essentials Access which provides affordable cost-effective health care coverage to the people of Texas. The Blue Essentials benefit plan features an HMO product design and benefits, requires selection of a Primary CareProvider (PCP
PRIOR AUTHORIZATIONS LISTS FOR BLUE CROSS MEDICARE Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) SM and Blue Cross Medicare Advantage (HMO) SM The procedures or services on the below lists may require prior authorization or prenotification by BCBSTX Medical Management, eviCore Healthcare ® or Magellan Healthcare ®.. These lists are not exhaustive. JAMES G. SPRINGFIELD NAMED PRESIDENT OF BLUE CROSS AND RICHARDSON, Texas — Health Care Service Corporation (HCSC) today announced James G. “Jim” Springfield, FACHE, has been named president of Blue Cross and Blue Shield of Texas (BCBSTX), beginning April 26. Springfield joins BCBSTX from Cancer Treatment Centers of America where he served as national chief operating officer (COO). Springfield will report to Jeff Tikkanen, executive vice IMPORTANT INFORMATION BCBSTX Medical Policies and BCBSTX Clinical Payment and Coding Policies. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. BLUE CROSS BLUE SHIELD OF TEXAS Blue Cross Blue Shield of Texas - Blue Access for Employers. Blue Access for Employers provides the control you need, when you need it. Blue Access for Employers helps you to manage your company's benefit plan and to complete your tasks, quickly and accurately. Register today if you are a health plan administrator and do not have access toBlue
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Insurance products issued by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148. HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. BLUE CROSS BLUE SHIELD OF TEXAS Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for Texas health insurance plans including individual and family health insurance, Medicare supplement, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.FIND A DOCTOR
Guest Search. Even if you’re not a member, you can search for doctors, hospitals and other providers. If you need help, we’ve created these helpful guides: Step-by-Step PDF. Search as Guest. Video Player is loading. Play Video. Play. Mute. ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
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Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. GROUP HEALTH INSURANCE The Affordable Care Act has changed the rules for employers. Learn more about health insurance for employees so you can empower them forbetter health.
MEDICAL POLICIES
BCBSTX MEDICAL POLICIES AND BCBSTX CLINICAL PAYMENT AND CODING POLICIES. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. They are often used as guidelines for coverage determinations in HEALTHSELECT OF TEXAS The HealthSelect 24-hour crisis line is open for individuals impacted by natural disasters and public emergencies. If you need help with things like changing appointments or finding a new provider, or you need a consultation with a mental health clinician, we’re here for you. Call 1-800-252-8039 to access free, confidential consultation HOME | BLUE CROSS AND BLUE SHIELD OF TEXAS Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. BLUE CROSS BLUE SHIELD OF TEXAS Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for Texas health insurance plans including individual and family health insurance, Medicare supplement, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. LOG IN | BLUE CROSS AND BLUE SHIELD OF TEXAS Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.FIND A DOCTOR
Guest Search. Even if you’re not a member, you can search for doctors, hospitals and other providers. If you need help, we’ve created these helpful guides: Step-by-Step PDF. Search as Guest. Video Player is loading. Play Video. Play. Mute. ANCILLARY | BLUE CROSS AND BLUE SHIELD OF TEXAS Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner.PAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Texas (BCBSTX). There are several ways to make your health insurancepayment.
EMPLOYERS LOG IN
Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com. GROUP HEALTH INSURANCE The Affordable Care Act has changed the rules for employers. Learn more about health insurance for employees so you can empower them forbetter health.
MEDICAL POLICIES
BCBSTX MEDICAL POLICIES AND BCBSTX CLINICAL PAYMENT AND CODING POLICIES. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. They are often used as guidelines for coverage determinations in HEALTHSELECT OF TEXAS The HealthSelect 24-hour crisis line is open for individuals impacted by natural disasters and public emergencies. If you need help with things like changing appointments or finding a new provider, or you need a consultation with a mental health clinician, we’re here for you. Call 1-800-252-8039 to access free, confidential consultation BLUE CROSS BLUE SHIELD OF TEXAS Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for Texas health insurance plans including individual and family health insurance, Medicare supplement, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com.MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSTX health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSTXhealth
SIGN IN - BLUE CROSS AND BLUE SHIELD OF TEXAS - BCBSTX Sign in. Sign in now with your Blue Cross and Blue Shield of Texas user name. Sign in name Password Remember meMEDICAL POLICIES
BCBSTX MEDICAL POLICIES AND BCBSTX CLINICAL PAYMENT AND CODING POLICIES. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. They are often used as guidelines for coverage determinations in health care benefit programs. View Medical Policies. TELEMEDICINE AND TELEHEALTH SERVICES Check general coverage by submitting an electronic 270 transaction through Availity ® or your preferred vendor. For Commercial plans, connect with a Customer Advocate to check eligibility and telehealth benefits by calling our Provider Customer Service Center at 1-800-451-0287. For Medicare Advantage plans, call Blue Cross MedicareAdvantage
IMPORTANT INFORMATION BCBSTX Medical Policies and BCBSTX Clinical Payment and Coding Policies. Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. BLUE CROSS BLUE SHIELD OF TEXAS Blue Cross Blue Shield of Texas - Blue Access for Employers. Blue Access for Employers provides the control you need, when you need it. Blue Access for Employers helps you to manage your company's benefit plan and to complete your tasks, quickly and accurately. Register today if you are a health plan administrator and do not have access toBlue
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