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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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To download the BlueCard Worldwide international Claim form, visit www.bcbs.com. 3c.
How can I claim a refund on a prescription charge? Ask the pharmacist, hospital or doctor for the refund form (FP57) when you pay for your prescription. You cannot get one later. You must apply for a refund within 3 months of paying the prescription charge.
What is a claim? A medical claim is an invoice a doctor, or medical facility, sends to a health insurance company after a patient receives care. It provides details on the services the patient has received and the associated charges set by the doctor, or facility.
This information must reflect timely filing and the Plan health care provider must submit the claim to BCBSTX within 180 days from the date a response is received from the other insurance carrier.
Claims filed within 30 days of the prescription being filled can be directly reimbursed through the pharmacy where the prescription was filled/purchased. The plan member will need to present their carrier ID card and a receipt showing the amount they originally paid.
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People also ask

If your health plan includes Blue Cross and Blue Shield of Texas (BCBSTX) prescription drug benefits, these are administered by Prime Therapeutics, the pharmacy benefit manager (PBM).
Mail Order Program Express Scripts® Pharmacy, the mail order pharmacy for members with BCBSTX prescription drug coverage, provides safe, fast and cost-effective pharmacy services that can save you time and money.
When a pharmacist prepares a prescription, it is intended for a particular person to treat a specific issue and can't just be given to anyone. This begs the question then, can you return a prescription medication? The answer is simple on the one hand: yes, if the pharmacy policy allows it.
Related Definitions Prescription Drug Claim means a Member Submitted Claim, Subrogation Claim, or claim for payment submitted by a Participating Pharmacy as a result of dispensing a Covered Drug to a Member.
Any claim that can be submitted on paper can be submitted electronically. If you need more information on how to submit claims electronically call 1-800-AVAILITY (282-4548) or log on to Availity .

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