General Reimbursement Information

Refer to the COVID-19 Preparedness page for temporary information related to servicing members in response to COVID-19.

The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. You can find provider manuals, reimbursement documents and procedures.

General Information

• Anesthesia Payment and Billing Update 
• Participating Provider Fee Schedule Requests:
• Professional Providers:
• Refer to the Fee Schedules for via Availity tool to obtain immediate fees (at no charge) online or;
• Utilize the Professional Fee Schedule Request Form^* for an ample sample
• Ancillary/Hospital Fee Schedule Request Form 

Bundling Information

• ClaimsXten Rule Descriptions 
• Clear Claim Connection

Provider Manuals

View Manuals

Recoupments/Refunds

Recoupment Process

• Blue Choice PPO 
• Blue Essentials^SM,Blue Advantage HMO^SM and Blue Premier^SM 

Refund Policy

• Blue Choice PPO 
• Blue Essentials^SM, Blue Advantage HMO^SM and Blue Premier^SM 
• Provider Refund Form 

Reimbursement Schedules and Related Information (Secure Content)

This section provides additional reimbursement details. In-network providers will need to enter a password to access this section of the site. If you do not know the password, please contact your Network Management office.

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