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  • Producer Supply Order Form (0311) - Bcbstx.com

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Producer Supply Order Form Enrollment Brochures 50400 Series IV Enrollment Guide 47492 BlueEdge Individual HSA Enrollment Guide 46086 SelecTEMP PPO Enrollment Guide 50592 Combo Enrollment Guide -.

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All claims should be submitted electronically. The Electronic Payor ID for BCBSTX is 84980.

BCBSTX only accepts medical records through the Availity Portal in response to requests for additional medical record documentation used for quality and risk adjustment purposes. Administrator Instructions: Select Availity Enrollment Center > Medical Attachments Setup, then enter required data.

(282-4548) or log on to Availity. The information required to file electronic claims is the same as for paper claims but there are major advantages to submitting electronic claims versus paper claims: You have better control and accuracy.

The Department of State Health Services is committed to providing full access to public information. To request records under the Texas Public Information Act: Submit a request in writing via U.S. Mail, fax or email. Include contact information and a clear description of the records you are requesting.

Helpful Contact Numbers Individual and Family PlansContact InformationBlue 365 Deals(855) 511-BLUEMembership AddressBlue Cross and Blue Shield of Texas Attn: Membership P.O. Box 660819 Dallas, TX 75266-0819Claims AddressBlue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-004412 more rows

Participating physicians, professional providers, ancillary and facility providers are requested to submit claims electronically to Blue Cross and Blue Shield of Texas (BCBSTX) within 95 days of the date of service, or by using the standard CMS-1500 or UB04 claim form.

Fax 888-579-7935. If unable to fax, mail to: BCBSTX, P.O. Box 660044, Dallas, TX 75266-0044.

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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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