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Frequently Asked Questions

How do I file an appeal with bcbstx?

When you file an appeal, BCBSTX will take another look at your case to see if there is something else we can do to solve your problem. You may use the appeal request form or call us at BCBSTX customer service at 1-888-657-6061 (TTY 711). You can mail your appeal request form to:

How do I appeal my Blue Cross and blue shield claim?

Fill out the Claim Review Form. Mail it to Blue Cross and Blue Shield of Texas (BCBSTX) at the address provided. Call Member Services (the phone number is on the back of your ID card) with questions about the appeal process and plan benefits available to you. What if you can’t appeal?

What is a claim review form bcbstx?

Claim Review Form This form is only to be used for review of a previously adjudicated claim. Original Claims should not be attached to a review form. Do not use this form to submit a Corrected Claim or to respond to an Additional Information request from BCBSTX. Submit only one form per patient.

What is acceptable proof of timely filing with bcbstx?

For those claims which are being reviewed for timely filing, BCBSTX will accept the following documentation as acceptable proof of timely filing: Above documentation indicating that the claim was filed with the wrong division of Blue Cross and Blue Shield of Texas


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