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(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.
If the provider or member does not get prior authorization for out-of-network services, the claim may be denied or will be subject to a post-service medical necessity review. Emergency services are an exception. Reminder: Submit your prior authorization requests with the appropriate documentation and level of urgency.
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.
About Blue Cross and Blue Shield of Texas 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 countrys largest customer-owned health insurer and fourth largest health insurer overall.
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