![]() ![]() If a provider must file a paper claim, mail claim to *interactive voice response (IVR) system - to access, you must have full member's information (for example, member's ID, patient's date of birth, etc.)Ĭarelon Medical Benefits Management (Carelon)Ĭlaim filing address for Commercial productsĪll claims should be filed electronically. *interactive voice response (IVR) system - to access, you must have full member's information (for example, member's ID, patient’s date of birth, etc.)Ĭontact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 1-80 Magellan Behavioral Health Providers of Texas, Inc.īehavioral health services - claims status inquiriesĬontact Availity or other electronic connectivity vendor or call 1-80* ![]() Prior authorization of Medical Services for the Health Insurance Marketplace for Blue Advantage HMO Membersīehavioral health services mental health and chemical dependencyįor prior authorization and referrals managed by BCBSTX: (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services)Ĭall 1-80 or the phone number listed on the back of the member's/subscriber's ID card.įor prior authorization and referrals managed by Magellan: Medical Management Correspondence for the Health Insurance Marketplace for Blue Advantage HMO Members Medicaid Network Management Email to submit provider inquiries and questions.Įligibility and benefits contact Availity or other electronic connectivity vendor or call 1-80*īehavioral health services mental health and chemical dependency prior authorization and referrals (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services) call 1-80īehavioral health services – claims status inquiries contact Availity or other electronic connectivity vendor or call 1-80*īehavioral health services – claim adjustments call 1-80Įligibility and benefits contact Availity or other electronic connectivity vendor or call 1-87*Ĭlaim status inquiries contact Availity or other electronic connectivity vendor Refer to BCBSTX Medicaid website and Contact Us. *interactive voice response (IVR) system – to access, you must have document control number (claim number)īlue Cross and Blue Shield of Texas Medicaid *interactive voice response (IVR) system - to access, you must have document control number (claim number)Įligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 1-80*Ĭlaim status inquiries contact Availity or other electronic connectivity. Blue Cross and Blue Shield of Texas (BCBSTX)īlueCard is our out-of-area program that allows members from other Blue Cross and Blue Shield Plans to receive health care benefits when travelling or residing in another Blue Plan's service area.Ĭlaim status inquiries (out-of-state subscribers) contact Availity ® or other electronic connectivity vendor. ![]()
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