Blue Cross Blue Shield of Texas
CommercialVerified · August 2026Texas
Phase 3B: first verified state-specific commercial entry. Provider services, eligibility and payer ID confirmed on the official BCBSTX provider contact page on 2026-08-16.
⚠ Texas-specific contact information: Heads up
- Standard timely filing
- 95 days
- Appeal filing window
- 180 days
- Prior authorization
- Not yet published
- Appeal channel
- Portal
- Provider portal
- See portal tab
- Verification
- Verified · August 2026by AR Guide team
Notes
Phase 3B: first verified state-specific commercial entry. Provider services, eligibility and payer ID confirmed on the official BCBSTX provider contact page on 2026-08-16.
Payer Contact Finder
Know before you call
Insider tipsEditorial guidance
Separate lines by line of business
BCBSTX routes commercial and Medicaid (STAR/CHIP) calls differently — confirm you're calling the line matching the member's plan to avoid a transfer.
Editorial tip · last reviewed 2026-08-16
Processing-time standardsSource-backed
Medicaid (STAR/CHIP) claims filing window
95 days from date of service
Published by the payer / state agency · verified 2026-08-16 · View source (opens in a new tab)
Commercial claim reconsideration / dispute window
180 days
Published by the payer / state agency · verified 2026-08-16 · View source (opens in a new tab)
- Standard filing limit
- 95 days
- Counted from
- date of service
- Appeal filing limit
- 180 days
- Appeal window from
- eob date
- Notes
- Texas prompt-pay rule: TX HMO/PPO carriers (incl. BCBSTX commercial) require claims filed within 95 days of the service date (auth-tdi). Claim reconsideration / dispute window: 180 days from the explanation of payment (EOP) or payment correction summary (PCS) (auth-bcbstx-review).
- Provider Services
- 800-972-8088Verified · August 2026Verified Aug 16, 2026 · Official web pageView source (opens in a new tab)
Provider customer service — commercial. Hours: Monday–Friday 8 a.m.–11:30 p.m. CT; Saturday 6 a.m.–3:30 p.m. CT.
- BlueCard / Out-of-State Eligibility
- 800-676-2583Verified · August 2026Verified Aug 16, 2026 · Official web pageView source (opens in a new tab)
BlueCard Eligibility Line — for OUT-OF-STATE Blue Cross Blue Shield member eligibility and benefits. This is not the general Texas local-member eligibility line.
Payer IDs
- payer id
- 84980Verified · August 2026
Every contact is individually source-tracked and shows the date it was last verified. A green “Verified” badge only appears when a source and verification date exist.
- Features
- claims, eligibility, authorization, appeals
- Registration required
- Yes
- Notes
- BCBSTX provider claims, eligibility and authorizations are handled through the BCBSTX payer space on Availity Essentials (auth-availity).
Referrals
Not yet published for this entry. Referral requirements and retro-referral rules are published only when verified against a source.
- Method
- other
- Address
- Claim reconsideration / dispute: 180 days from the explanation of payment (EOP) or payment correction summary (PCS)
- Portal
- https://www.bcbstx.com/provider/claims/claims-eligibility/claim-rev-process
Level 1
- Medical records
- Not stated
- Itemized bill
- Not stated
- Operative report
- Not stated
- Other required
- Claim Review Form with reason code (mail reviews)
- Notes
- BCBSTX claim review process: claim disputes must be requested within 180 days of the check date / EOP / Provider Claims Summary; audited-payment and overpayment disputes within 45 days of the written refund notice. Each of the two review levels completes within 45 days. Timely-filing reviews accept TDI mail logs, certified mail receipts (with TDI log), Availity EBR response reports, and BCBSTX documentation of an incomplete claim or request for more information.
- Common CARCs
- 19729
- Common RARCs
- MA119N29
- Top reasons
- Precertification / prior authorization / notification absent (CARC 197) — the payer documents authorization requirements for covered services.; Timely filing (CARC 29) — Texas prompt-pay rule documents a 95-day claim-filing window from the service date for BCBSTX commercial claims (paired RARC MA119: provider-level adjustment for late claim filing).
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Recent updates
Change log
- Verified documentation requirements · Aug 19, 2026BCBSTX — Claim Review Process
- Verified timely filing · Aug 18, 2026TDI — Prompt payment of health care claims rulesBCBSTX — Claim Review Process
- Verified portal information · Aug 18, 2026BCBSTX — Provider HomeAvaility — Payer Spaces / Clearinghouse
- Verified authorization policy · Aug 18, 2026BCBSTX — Prior Authorization Services for Fully Insured and ASO
- Verified appeal policy · Aug 18, 2026BCBSTX — Claim Review Process
- Verified denial patterns · Aug 18, 2026BCBSTX — Prior Authorization Services for Fully Insured and ASOTDI — Prompt payment of health care claims rulesBCBSTX — Claim Review Process
- Entry last reviewed · Aug 18, 2026Blue Cross Blue Shield of Texas — official websiteBCBSTX — Provider Contact Us
- Verified provider services contact · Aug 16, 2026BCBSTX — Provider Contact Us
- Verified eligibility contact · Aug 16, 2026BCBSTX — Provider Contact Us
- Verified payer ID · Aug 16, 2026BCBSTX — Provider Contact Us
Contact information is provided for reference and is verified against the cited source as of the date shown. Payer contact information may change. Always confirm the appropriate contact for the member's plan and claim.
Source & verification
Directory record
- Geographic scope
- Texas
- Line of business
- Commercial
- Last reviewed
- Aug 18, 2026
- Verified by
- AR Guide team
- Blue Cross Blue Shield of Texas — official website — https://www.bcbstx.com
- BCBSTX — Provider Contact Us — https://www.bcbstx.com/provider/contact-us
- TDI — Prompt payment of health care claims rules — https://www.tdi.texas.gov/hprovider/pp-emgcyrules.html
- BCBSTX — Claim Review Process — https://www.bcbstx.com/provider/claims/claims-eligibility/claim-rev-process
- BCBSTX — Provider Home — https://www.bcbstx.com/provider
- Availity — Payer Spaces / Clearinghouse — https://www.availity.com/
- BCBSTX — Prior Authorization Services for Fully Insured and ASO — https://www.bcbstx.com/provider/claims/claims-eligibility/um/pri-aso