Claim Forms, Submissions, Responses and Adjustments

Get links to current claim forms, understand how to submit claims to BCBSTX, read claim responses and use the Claim Review Form to submit adjustment requests. Also refer to the Provider Tools page on the provider website for convenient tools available.

Claim Submission Forms

• CMS-1500 User Guide & Tutorial
• CMS-1500 Claims Filing Address
• UB-04 User Guide
• UB-04 Claims Filing Address

Claim Submission Information

• Avoid Claim Delays
• Diagnosis Pointers on CMS-1500
• Duplicate Claim Submissions
• Electronic Claim Submission
• Electronic Claim Submission Rejections & Claim Denials
• Electronic Replacement/Corrected Claim Submissions
• Facility Providers - Outpatient Claim Submission Reminders
• Medicare Crossover Claim Submissions
• Medicare Corrected Claims
• NPI Resources
• Temporary Practice Location Changes
• Termination of Unused Provider Record ID

Claim Responses and Adjustments

• Claim Review Form
• PCS "Pay" Value Codes & Descriptions

Insurance Basics

• Health Care Costs
• Types of Health Insurance Coverage
• Glossary
  
• FAQs

Buying a Health Plan

• How to Enroll for Health Insurance
• Get a Quote/Browse and Buy Plans
• Premium Tax Credit Estimator
• Individual & Family Plans
• Medicare Plans

Member Resources

• Log in to Blue Access for Members
• Register for Blue Access for Members
• Pay My Bill
• Federal Employee Program (FEP)
  

• Legal and Privacy
• Non-Discrimination Notice
• Careers
• Contact Us
• Newsroom

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

© Copyright 2022 Health Care Service Corporation. All Rights Reserved.

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