• Need an Explanation of Your Explanation of Benefits?

    Need an Explanation of Your Explanation of Benefits?

    You’ve been to the doctor and paid your copay. How are you going to know when your claim is filed and finalized? Simple — you'll get your Explanation of Benefits (EOB). Your EOB will break down the services you received, the cost of the services and what…
  • Get Ready for Open Enrollment

    Get Ready for Open Enrollment

    If you want to buy a new individual and family health plan or choose a different one, get the details you need before open enrollment starts on Nov. 1. Break the task into easy-to-handle steps. Keep the Deadlines in Mind Open enrollment ends Jan.…

  • RE: Angiogram - Imaging Center Recommendation

    We can certainly help with that! If you'll send us a private message with your member ID and contact information, we can help you find an in-network center that meets your needs. --Cassie

  • What is BCBStx EIN/address/phone for 1095-B form???

    I did not receive a 1095-B form in the mail and need it to complete my tax return. I was only a member of BCBStx for Jan, 2017. I have no idea what the EIN, address, city, state, zip, and phone number are for BCBStx to complete the form on my own.

  • I am a former employee that was terminated in 2018. Will I ever be eligible for re-hire?

    I worked as a Group Member Customer advocate from 2017-2018. Since then I have gone to college and obtained my Associate's Degree in Medical Billing and Coding. I have tried reapplying to BCBSTX as a Claims Technician because that is where my passion…
  • MyPrime.com – 24/7 Prescription Drug Access

    MyPrime.com – 24/7 Prescription Drug Access

    If you have prescription drug coverage through Blue Cross and Blue Shield of Texas, Prime Therapeutics ® is your pharmacy benefit manager. You can visit MyPrime.com (your PBM’s member website) on any mobile devices, like smart phones, tablets and laptops…

  • Customer Advocate

    As a provider, how am I able to connect to a Customer Advocate when calling 1-800-521-2227? The auto attended specifically stated if I needed information specific to a CPT code, to contact Customer Advocate. But would not give me an option to connect…

  • Why is BCBS denying Carelon Authorizations?

    I am in charge of Authorizations for my facility and have recently had an influx of denials for Authorizations being absent. When I call BCBS to inquire about this denial reason, after waiting almost an hour and most likely getting hung up on before I…

  • Must maintain health coverage while out on FMLA due to the PANDEMIC. WHERE DO I SEND PAYMENT?$$$$

    While patiently waiting to be realeased back to work I am not recieving any of my paid time off wages to cover the insurance premiums which are coming due. I am prepaired, this classifies as an EMERGENCY thats what we have savings for. BCBSTX, please…

  • How to know if you need a referral and how to get one

    Q. Do I need a referral? How do I get one? We know referrals can seem confusing, so we’ve put together a guide to help you understand how they work. If you’ve been seeing your primary care provider (PCP) for a while, chances are you have a bond based…

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