Blue cross blue shield of texas claims mailing address

January 2017

Participating physicians, professional providers 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.

Table of Contents Show

January 2017
Reimagining Healthcare
About Blue Cross Blue Shield Association
Is BCBS the same as BCBS of Texas?
How do I contact Blue Cross Blue Shield of Texas?
What is the payer ID for BCBS of Texas?
Where is Blue Cross Blue Shield headquarters address?

BCBSTX Medicaid STAR, CHIP, CHIP Perinate and STAR Kids Alpha Prefixes

Medicaid (STAR) – ZGT
CHIP – ZGC
CHIP Perinate – ZGE
STAR Kids – WZG

Electronic Claims Submissions

Payor ID – 66001
Alpha prefix + 9 digit Medicaid/CHIP ID (e.g., ZGC12345789)

Paper Claims Submissions

Claims mailing address:
Blue Cross and Blue Shield of Texas
P.O. Box 51422
Amarillo, TX 79159-1422

Appeals
Submit appeals within 120 calendar days from receipt of remittance advice (RA) using one of the following methods.

Mail

Attach the Provider Appeal Request form
Appeals address:
Blue Cross and Blue Shield of Texas
Attn: Complaints and Appeals Department
P.O. Box 27838
Albuquerque, NM 87125-7838

Fax
855-235-1055

Email

Reimagining Healthcare

As a healthcare partner to one-in-three Americans, the Blue Cross and Blue Shield Association is embracing the opportunity to improve lives across the United States, with President and CEO Kim Keck leading the effort.

Read More

COVID-19 Updates

We’re committed to supporting our members, communities and healthcare workers in the wake of the novel coronavirus outbreak

Learn More

BCBS Progress Health

The latest issue analysis, commentary and authoritative insight on health care from the Blue Cross Blue Shield Association

Learn More

The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.

RICHARDSON, Texas -- Blue Cross and Blue Shield of Texas (BCBSTX) today announced new collaborations with 11 key research institutions across the state to advance academic research to address the critical issues created by gaps and fragmentation that lead to a high cost health care system.

The research institutions' projects support the company's objectives of addressing the root causes of unaffordable health care. Some of the projects will focus on a range of health care challenges, including behavioral health, vaccine adherence and leveraging claims and clinical data to evaluate past usage patterns and identify future indicators.

The multifaceted projects are part of the company's Affordability CuresSM endeavor and will support initiatives in both Illinois and Texas that help improve quality and coordination of care delivery, balance inequities and eliminate waste in the system.

"Failure to address access and affordability of health care has real consequences. We need to challenge the status quo by bringing transformative research and ideas to the table," said Dr. Dan McCoy, president, BCBSTX. "By collaborating with a diverse set of institutions and researchers who are embedded in and understand the communities we're serving, we can better identify and develop solutions that tackle high health care costs at its foundation."

The Texas-based universities and research focus areas include:

Baylor College of Medicine: Examine whether programs encouraging more widespread peritoneal dialysis can improve the affordability of care.
The University of Texas Health Science Center at Tyler: Examine the social and economic impact of undertreated mental health conditions of an underserved population in an underserved and rural region of the state.
UT Southwestern Medical Center: Evaluate social and economic impact of using SMART-D (Screening, Measurement and Assessment of Response to Treatment for Depression) - a model for depression screening and treatment in primary care that uses a point-of-care web-based application to facilitate measurement-based care for depression.
McGovern Medical School at UTHealth in Houston: Examine reducing health care costs in older adults by de-prescribing unnecessary, harmful and costly medications.
Rice University: Evaluate the impact of laws and public policies on health cost and outcomes.
Texas Tech University: Examine the perception of healthcare providers, health insurance and the concept of health care and consumers' perception of affordability in Texas. Research will put a specific focus on Latino populations.
University of Texas Dell Medical School: Increasing access to health care for low-access areas.
The University of Texas MD Anderson: Evaluate vertical integration on practice patterns and procedures to reduce unnecessary variation in health care utilization and hasten the delivery of more patient-centered, value-based care. Researchers will also explore the treatment-driven financial burden for a unique group of cancer patients whose long-term use of targeted oral anticancer medications (TOAMs) qualifies them as chronic cancer survivors and the use of telemedicine in lieu of office visits to decrease oncology costs.
Tarleton State University: Examine fraud detection in health claims data.
University of Texas at Tyler: Creation of master's degree and PhD-level Health Administration programs to increase the health insurance knowledge of medical professionals, including a month-long residency rotation for medical residents.
University of Texas at Austin: Study aimed at improving adult vaccine delivery by optimizing clinical and health information technology processes in Austin/Travis counties.

In addition to partnerships with Texas universities, BCBSTX will also collaborate with the RAND Corporation on a study to examine the impacts of provider consolidation and the cost of specialty pharmaceuticals on premiums. Additionally, the company will work with Harvard University to study tiering in health plan benefit design relative to whether patients are paying more or less based on care decisions by their primary care provider.

About Blue Cross and Blue Shield of Texas
Blue Cross and Blue Shield of Texas (BCBSTX) – the only statewide, customer-owned health insurer in Texas – is the largest provider of health benefits in the state, working with nearly 80,000 physicians and healthcare practitioners, and 500 hospitals to serve 5 million members in all 254 counties. 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. Health Care Service Corporation is a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association.
BCBSTX.com | Twitter.com/BCBSTX | Facebook.com/BlueCrossBlueShieldOfTexas | YouTube.com/BCBSTX

About Blue Cross Blue Shield Association

The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans.

The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.

Is BCBS the same as BCBS 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 country's largest customer-owned health insurer and fourth largest health insurer overall.