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  • Online Bcbs Of Tx Applicationmiscellaneous Change Form For Individual Coverage

Get Online Bcbs Of Tx Applicationmiscellaneous Change Form For Individual Coverage

Application/Miscellaneous Change Form for Individual Coverage Prem: Fee: P.O. Box 3236 Naperville, IL 60566-7236 888-697-0683 For Home Office Use To help us process your application promptly, please.

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BCBSTX is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Montana, Oklahoma and New Mexico), the country's largest customer-owned health insurer and fourth largest health insurer overall.

Contact Customer Service at 1-877-258-3334. Visit bcbsnc.com and log on to Blue Connect (With Blue Connect you can request up to two new ID cards or update your policy's contact information when your address, phone number or e-mail address changes.)

Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists.

To update your contact information, click here and then click on the Network Participation tab and follow the directions under Update Your Contact Information. This process allows you to electronically submit a change to your name, office or payee address, email address, telephone number, tax ID, or other information.

If you had a BCBSTX plan through the Marketplace, the Marketplace sends you a 1095-A form. Log in to your online Marketplace account or call 800-318-2596 (TTY: 855-889-4325) to ask for a copy of the 1095-A.

Other Important Contacts Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card.

You can change your PCP at anytime. Call a Personal Health Guide 24 hours a day/7 days a week at 1-866-355-5999 to get help finding, choosing and changing your PCP. You can also visit .bcbstx.com/trsactivecare to log into Blue Access for MembersSM and change your PCP online.

Availity provides administrative services to BCBSTX....How to access and use Availity's Claim Submission tool: Log in to Availity. Select Claims & Payments from the navigation menu. Select Professional Claim or Facility Claim. Within the tool, select your Organization, Transaction Type and Payer. Complete the required fields.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232