bcbstx provider phone number

Provider Customer Service. Found inside... ma. bcbstx.com, texas. blueshieldca.com, california. lablue.com, blue cross of louisiana. premera.com/portals/visitor/member/providerdirectory.aspx, premera blue cross, preferred provider organizations. bcbsil.com/member/hmo, ... The book concludes with a chapter on accountable care organizations and patient-centered medical homes that moves from the conceptual to administrative embodiments of the principles of an integrated health system as we now know it. BCBSTX Connect Team October 1, 2021. Hi, I would like to know what are the prerequisites for becoming a provider. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse ... Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, Texas 75082. Go to the Preferences page and enter your mobile phone number. Please note that this number is used solely to receive calls from BCBS members seeking assistance and never to make calls to BCBS members. All Rights Reserved. For out-of-state Blue Cross and Blue Shield members, call BlueCard ® Eligibility at 1-800-676-BLUE (2583) for eligibility and benefit verifications. Found insideBLUE CROSS AND BLUE SHIELD OF TEXASwww.bcbstx.com Industry Group Code: 524114 Ranks within this company's industry ... The company's health care provider network consists of more than 27,000 physicians and 400 hospitals across Texas. Option 3 You can use the BCBSTX mobile app. Learn about insurance options for Individuals & Families or Employers, or get connected with your local Blue Cross Blue Shield company by calling 888.630.2583. This book presents the findings of the RCOG Study Group findings on genetics underlying reproductive function. The ones. ~ Kayla STAR Kids - 1-877-784-6802. Home One option is Adobe® Reader® which has a built-in screen reader. Go to the Preferences page and enter your mobile phone number. Found inside – Page 118UT Select is a self - funded PPO plan administered by Blue Cross Blue Shield of Texas ( BCBSTX ) . The UT Select Plan also uses BCBSTX's provider network , which includes doctors throughout Texas . Members can also utilize the Blue ... BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by independent third party vendors. Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill. Note: referrals are for HMO plans only. • Provide Application ID and answer the Security Questions 1 and 2 to retrieve the saved application. Prime Therapeutics LLC is a pharmacy benefit management company. It is important for primary care providers (PCPs) to know details about the care their patients receive during inpatient hospital stays. For questions or additional information, please contact our: BCBSTX Medicaid Provider Service Center at 1-877-560-8055.

Call 1-800-441-9188 for concurrent/extensions requesting additional units or days. Found inside – Page 195ASIM also emphasized “ Reimbursement for the low - income popu that physician review panels should be lation and for ... Blue individuals have a choice of a fee - for - service Cross and Blue Shield of Texas ( BCBSTX ) plan in any ... It will open in a new window. Benefit: By collaborating with CAQH, BCBSTX is working to reduce administrative burdens and timelines required to coordinate these claims, resulting in faster and more accurate claims payments to you.

February 2008 NPI TIMES THE Keeping you up-to-date on National Provider Identifier (NPI) issues at Blue Cross and Blue Shield of Texas (BCBSTX) During the NPI transition, BCBSTX has been communicating to providers when

- Marie, Hi Arcy- What I can do is put you in touch with someone from our provider area. This new site may be offered by a vendor or an independent third party. The 2022 Open Enrollment Period (OEP) runs from November 1 - January 15, 2022. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Contact Us. 1 CMS.gov, Early 2020-2019 Effectuated Enrollment Report Prior authorizations with correct codes for CHC, HIT or therapy services. All Rights Reserved. Email: GPDTXMedicaidAG@bcbsnm.comFax: 1-855-235-1055State Email: HPM_Complaints@hhsc.state.tx.us, Blue Cross and Blue Shield of TexasComplaints and AppealsP.O. Based on your location, you may be able to get in-network care at: LensCrafters ®. Found inside – Page 213Access the website http://www.bcbstx.com/. Click on the link named Member ... The prescription is rejected by the prescription provider with the following explanation “INVALID ID NUMBER/INVALID GROUP NUMBER.” How would you handle the ... BCBSTX Provider Customer Service at 800-451-0287**. Magellan Behavioral Health Providers of Texas, Inc. 800-729-2422: Behavioral health services - claims status inquiries.

Attn: Provider Administration. Found insideBLUE CROSS AND BLUE SHIELD OF TEXASwww.bcbstx.com Industry Group Code: 524114 Ranks within this company's industry ... The company's health care provider network consists of more than 36,000 physicians and 400 hospitals across Texas. Found inside – Page 61.972.766.6900 www.bcbstx.com Blue Shield of California 50 Beale Street San Francisco, CA 94105 Tel. ... Founded in 1939, it now has 3.2 million members, 4,500 employees, one of the largest provider networks and more than 20 office ... General Information: 1-972-766-6900. Refer to important information for our linking policy. To return to our website, simply close the new window. The site may also contain non-Medicare related information. 1 Coverage Plus Central provides . Pay My Bill. You are leaving this website/app ("site").

Referrals should only include consultation CPT codes. Partially Saved Application must be completed and submitted within 30 days. Found inside – Page 370A provider must be individually contracted with Blue Cross/Blue Shield to receive reimbursement as a member physician. ... Generic $100/120 Rx Copay Brand $100/200/300 www.bcbstx.com Member Customer Service Provider Customer Service See ... Found insideBLUE CROSS AND BLUE SHIELD OF TEXASwww.bcbstx.com Industry Group Code: 524114 Ranks within this company's industry ... The company's health care provider network consists of more than 27,000 physicians and 400 hospitals across Texas.

Blue Cross and Blue Shield of Texas (BCBSTX) is working with the Council for Affordable Quality Healthcare (CAQH) to help identify some commercial members who have more than one health insurance policy. Provider Network Management Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759 Phone: 1-855-212-1615 Fax: 1-512-349-4860 Found inside – Page 138BCBSTX had recently initiated a major push into managed care and had quite astutely recognized the importance of ... care company required a complete overhaul of the existing structure , from the computer system to provider contracts . ~ Kayla Find contacts for Blue Cross Blue Shield of Michigan and Blue Care Network hospitals, facilities, physicians and professionals. Note: If you get coverage through your job, ask your employer's HR department if vision insurance plans are offered.

Provider Learning Opportunities You will receive one from us, confirming that you're opted in. • Provide Application ID and answer the Security Questions 1 and 2 to retrieve the saved application. Hospital Discharge Summaries Empower Members and Inform Providers. References to other third-party sources or organizations, such as CAQH, are not a representation, warranty or endorsement of such organization. Search for doctors, hospitals, pharmacies, urgent care and more using Provider Finder ®. Contact Us. Thank you. In Pricing the Priceless, Joseph Newhouse explains the different pricing systems and how they affect resource allocation and efficiency, focusing on the efficiency of pricing. Found inside – Page 41Retrieved from Blue Cross Blue Shield of Texas. https://www.bcbstx.com/provider/ pdf/txcpcp01_telemedicine_and_telehealth_servces_new.pdf. Accessed 1 Dec 2019. 13. Telehealth and Telemedicine Policy, Professional. 2019. Monday - Friday 8 a.m. - 11:30 p.m. (CT), Saturday 6 a.m. - 3:30 p.m. (CT), Sunday - Closed. *Interactive voice response (IVR) system — the IVR accepts either your National Provider Identifier (NPI) or your Federal Tax Identification (TIN) for provider identification. Found inside – Page 3102 , 6Texas , Inc ( BCBSTX ) is the Medi rier / Intermediary Medical Director who 35-10. ... therapy pitals may honor a physician's attendance at any hyperbaric medicine course irrespective decreased and pain was reduced in our eight ... Check your text messages. For more information, please refer to the Provider Standards and Requirements on our website for additional information on policies. Any questions regarding those organizations should be addressed to them directly. BCBSTX vision plans have large provider networks. Log in to our community to ask questions, rate articles, comment and more. View Provider Network Consultant Assignments.

Box 65067. Found insideBLUE CROSS AND BLUE SHIELD OF TEXASwww.bcbstx.com Industry Group Code: 524114 Ranks within this company's industry ... The company's health care provider network consists of more than 36,000 physicians and 400 hospitals across Texas. Retrieve Saved Application: • To complete and submit a saved application, choose Retrieve Saved Application radio button. If you are a HealthSelect of Texas ® participant, you must have a primary care provider (PCP) on file with plan administrator Blue Cross and Blue Shield of Texas (BCBSTX) to get the highest level of benefits—and save the most money. November 5, 2021. Dallas, TX 75265-0267. This book examines the current state of American health care using a social science lens to focus on the interdependent, intercultural, economic, and communication aspects of access and delivery. To return to our Web site, simply close the new window. Retrieve Saved Application: • To complete and submit a saved application, choose Retrieve Saved Application radio button. The Blue Cross Blue Shield of Texas (BCBSTX) 2021 PCP . Option 2 If you are not a registered BAM member, you can opt in to receive text messages using our communications preferences page. Refer to important information for our linking policy.

STAR, CHIP: 1-877-560-8055STAR Kids: 1-877-784-68028:00 a.m. to 8:00 p.m. CST, M–F, www.availity.comOpens in new window  Registration Required. If you do not have online access, use our automated phone system for eligibility and benefits and other self-service requests. Box 660717Dallas, TX 75226-0717, STAR/CHIPPhone: 1-877-560-8055Fax: 1-855-653-8129 STAR KidsPhone: 1-877-784-6802Fax: 1-866-644-5456 eviCorePhone: 1-855-252-1117Fax: 1-855-774-1319, STAR/CHIPPhone: 1-877-560-8055Fax: 1-855-653-8129 STAR KidsPhone: 1-877-784-6802Fax: 1-866-644-5456, STAR/CHIPPhone: 1-877-214-5630TX_Medicaid_HC@bcbstx.com, STAR KidsPhone: 1-877-301-4394Fax: 1-866-644-5456 TX_Medicaid_HC@bcbstx.com, STAR/CHIP: 1-844-971-8906STAR Kids: 1-855-802-461424 Hour Nurse Hotline, Magellan Health ServicesOpens in new window Provider Hotline: 1-800-327-7390, 1-800-77-DAVIS (1-800-773-2847)Davis VisionOpens in new window, Prime TherapeuticsPharmacy Help Desk 24 hours/7 days a weekSTAR (Pharmacy HD): 1-855-457-0405, STAR Kids (Pharmacy HD) – Travis Service Area: 1-855-457-0757STAR Kids (Pharmacy HD) – MRSA Central Area: 1-855-457-0758, Pharmacy PA Voice 24 hours/7 days a weekSTAR and CHIP (PA): 1-855-457-0407, STAR/CHIP: 1-800-657-6061STAR Kids: 1-877-688-1811, Provider Network ManagementBlue Cross and Blue Shield of TexasArboretum Plaza II9442 Capital of Texas Hwy N, Suite 500Austin, TX 78759Phone: 1-855-212-1615Fax: 1-512-349-4860. TTY: 735-2989. For Federal Employee Program (FEP) members, eligibility and benefits can be obtained by calling 1-800-442-4607. Found inside – Page 100He was unaware at the time, however, of the ramifica- tions of a provider's being either PAR or nonPAR. ... form for Blue Card Worldwide: http://www.bcbstx.com/ut/pdf/tx_international.pdf/ Author's Note: Websites change frequently. Found inside – Page 865Medicare Part D update: utilization of antipsychotics in the elderly population. www.bcbstx. com/provider/news/2012_11_14.html. Brent, N. J. (2013). Nurses and mandatory reporting laws. Provider Network Office: Austin. Visit BCBSTX Doctors and Hospitals Provider Finder. Product and Program Contact Information Availity Administrators need to assign their users the Claim Status role in Availity to ensure users can access and submit electronic appeals online. Found inside – Page 80For specific examples of BCBS cards refer to https://www.bcbstx.com/provider/pdf/bav_id_card.pdf or ... Health care organizations should have available for reference the current provider manual for its state's BCBS plans, which should ... By leveraging CAQH’s COB Smart® database, we are collaborating with other health insurers to streamline benefit coordination. 1001 E. Lookout Drive.

Provider Finder ® Understanding Insurance; Insurance Basics; How Health Insurance Works; Importance of Health Insurance; Getting Health Insurance; In the Community; Community Partners; Our Viewpoints; Guest Blogs; Blue Promise; Ask BCBSTX; FAQs; Ask a Question; Send Private Message; Visit BCBSTX.com; Medicare; Health and Wellness; Benefits and . To view this file, you may need to install a PDF reader program. 800-972-8088. . Monday - Friday 8 a.m. - 11:30 p.m. (CT), Saturday 6 a.m. - 3:30 p.m. (CT), Sunday - Closed. You will receive one from us, confirming that you're opted in. Most people don't like to go get health screenings and tests. BlueHPN/EPO - Outpatient, Non-Emergency Diagnostic Imaging Services Found insidewww.bcbstx.com Underwriters-Business: Property/Casualty: Specialty: Group Life: Group Health: Y Underwriters-Personal: ... (HMO) and preferred provider organization (PPO) networks comprising roughly 40,000 physicians and 400 hospitals. Register for Blue Access for Members. Federal Employee Program (FEP) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Legal and Privacy If your provider organization is not yet registered with Availity, you can sign up today at Availity , at no charge.For registration assistance you may contact Availity Client Services at 1-800-282-4548. Richardson, Texas 75082. Non-Discrimination Notice. Some sites may require you to agree to their terms of use and privacy policy. Target Optical ®. Autoimmune Neurology presents the latest information on autoimmune neurologic disease, the immune response to the body where organs run wild, causing the immune system to attack itself. Customer Service: If you have questions or need additional support, BCBSTX Personal Health Assistants are available to help.

This link will take you to a new site not affiliated with BCBSTX.

The letters will remind you to comply with BCBSTX's policies and requirements. To initiate a request for verification, please contact BCBSTX Provider Customer Service at 1 -800 451 0287 and select the prompt for verification, or Providers may submit the request in writing. Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Texas. UHC Customer Service Now Available You can also call the UHC customer service line at 1-866-347-9507 , 7 a.m.-6 p.m., Monday-Friday, if you have questions about providers, benefits, or need information about your plan. Select your PCP now! ever submit concurrent/extensions via Availity to avoid delays. Then, submit the referral request through Availity ® Authorization & Referrals * or by calling the authorization phone number on the back of the . © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. Note: Please be advised that verification is not applicable for all enrollees or providers. Found insideBLUE CROSS AND BLUE SHIELD OF TEXASwww.bcbstx.com Industry Group Code: 524114 Ranks within this company's industry group: ... Waste Disposal: Specialty Svcs.: Health Care: Home Health: Long-Term Care: Physical Therapy: Physician Prac. How it works: CAQH is a non-profit alliance of health plans and trade associations that creates shared industry initiatives to streamline the business of health care. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, Its COB Smart database contains records for approximately 180 million insured members, over half of the insured population in the U.S. We will use the database to identify members with overlaps in health coverage and facilitate more efficient claim adjudication. Subsidies helped 92% of new members lower their monthly bill in 2020 1. P.O. The easy-to-use online data collection and application process means less paperwork for BCBSTX providers, with built-in auditing tools to help increase efficiency and maintain data security and integrity. Option 3 You can use the BCBSTX mobile app. Automated clinical summarization creates condition-specific displays, promising improved clinician efficiency. However, automated summarization requires new kinds of clinical knowledge (e.g., problem-medication relationships). Read More. HealthSelect of Texas participants must choose a primary care provider (PCP) 09/01/2021. Call toll-free (800) 252-8039 (TTY:711) , Monday-Friday 7 a.m. - 7 p.m. and Saturday 7 a.m. - 3 p.m. CT. You can also communicate via secure chat and secure messaging after logging into Blue Access for Members SM. October 29, 2021. BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama (800) 248-2342 Once you make your PCP selection, most services must be coordinated .

Geographic Adjustment in Medicare Payment will inform the work of government agencies such as HHS, the Centers for Medicare and Medicaid Services, congressional members and staff, the health care industry, national professional ... Found inside – Page 100He was unaware at the time, however, of the ramifica— tions of a provider's being either PAR or nonPAR. ... form for Blue Card Worldwide: http://www.bcbstx.com/ut/pdf/tx_international.pdf/ Author's Note: Websites change frequently. Mail to: Blue Cross and Blue Shield of Texas. Your BCBSTX Medicaid Provider Network Representative at 1-855-212-1615. Most PDF readers are a free download. Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill..

General Information: 972-766-6900 TTD: 735-2989 Make a Payment. Provider Finder . . If you encounter potential fraud, waste and/or abuse, please file a report online or call our Fraud Hotline at 1-800-543-0867. Partially Saved Application must be completed and submitted within 30 days. Then, submit the referral request through Availity ® Authorization & Referrals * or by calling the authorization phone number on the back of the . Pearle Vision. Establishing regular appointments and immediately notifying . Provider Customer Service. © Copyright 2018 Health Care Service Corporation. For status of claims filed to BCBSTX, contact your electronic connectivity vendor, i.e. Provider Learning Opportunities If you have any questions regarding the products or services they offer, you should contact the vendor(s) directly. Communication between Federal Employee Program ® (FEP ®) members and their health care professionals during the patient's pre-pregnancy, pregnancy, and postpartum medical journey is important. Found insideTexas (BCBSTX) allows claim reviews for audit payments within 30 days, overpayments within 45 days, and claim disputes ... Most insurance companies have a claim review form that asks for the original claim number, group number, provider ... Written to assist family physicians and maternity care practitioners in providing comprehensive care for their pregnant patients, this exciting new edition covers all aspects of birth care, from preconception counseling and prenatal care, ... We have a small gym and would like to offer physical fitness classes to senior citizens and others who qualify. Found inside... she had thoroughly investigated her Blue Cross Blue Shield of Texas (BCBSTX) insurance plan to make sure that, ... She was reassured to learn that not only was a nearby hospital in the DR approved as an in-network provider, ... Log in to Blue Access for Members. Learn more about BlueCard. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association© Copyright 2021 Health Care Service Corporation. 800-972-8088. Make sure you apply by December 15, 2021 for coverage on January 1, 2022.

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Blue Cross and Blue Shield of Texas (BCBSTX) is working with the Council for Affordable Quality Healthcare (CAQH) to help identify some commercial members who have more than one health insurance policy. Search for doctors, hospitals, pharmacies, urgent care and more using Provider Finder ®. Once you're on the provider search tool, you can search for providers and hospitals directly or search by category.

This challenge has been costly for everyone across the health care industry.

~ Kayla, Hi, I'm already a BCBS provider for behavioral health with the Sage Social Services, now I need to add an agency in which I will start work with on 2/1/19. The protection of your privacy will be governed by the privacy policy of that site. It will open in a new window. But there are some tests you really want to take. Blue Cross and Blue Shield of Texas. For status of claims filed to BCBSTX, contact availity.com or a web vendor of your choice or call the toll -free Provider Customer Service number indicated on the member's ID card. Found insidewww.bcbstx.com Insurance/HMO/PPO: Insurance: Managed Care: Utilization Mgmt.: Payment Processing: Y Y Drugs: ... (HMO) and preferred provider organization (PPO) networks comprising roughly 40,000 physicians and 400 hospitals. Member Resources. Please let me know how to add this counseling agency so I can be a provider for clients there who have BCBS benefits. Found inside – Page 201.972.766.6900 www.bcbstx.com Blue Shield of California 50 Beale Street San Francisco, CA 94105 Tel. ... Founded in 1939, it now has 3.2 million members, 4,500 employees, one of the largest provider networks and more than 20 office ... All Rights Reserved. "HBNA, Hospice & Palliative Nurses Association, advancing expert care in serious illness." I would like to know what do I need in order to become a direct provider with BlueCross BlueShield of Texas? 0 BCBSTX Connect Team over 2 years ago in reply to mariejoseph24 Hello, If you'd like to send us a private message we can have someone in our provider services department contact you directly. For services managed by BCBSTX: Contact Availity or other electronic connectivity vendor or call 800-451-0287* Submit via email Texas Medicaid Network Department. Find a Doctor or Hospital. Found inside – Page 319Because of what it learned from Katrina's aftermath, BCBSTX prospectively prepared treatment information that ... Within days, MEDecision was able to produce transportable, electronic records for healthcare providers across Texas. Is the CAQH .

Written Protocol (Nurse Practitioners only) Forward completed application packet to BCBSTX: Fax to: 972-996-8230 (preferred method) or. Background: Historically, coordinating payments for members who have multiple policies has been a lengthy, manual process. The 1999 edition includes more than 500 code changes. To make coding easy, color-coded keys are used for identifying section and sub-headings, and pre-installed thumb-notch tabs speed searching through codes. This link will take you to a new site not affiliated with BCBSTX. Tracking down multiple policies for members resulted in delayed and inaccurate payments, stakeholder abrasion, significant recovery activities and unnecessary administrative costs. In-Network Referral Submissions - Confirm which specialists are in-network by leveraging Provider Finder ® on the BCBSTX website and determine which in-network provider your member prefers to see. Found inside – Page 396BCBSTX also implemented more frequent updates to its online provider directory , Second , BCBSTX reimbursed fully - insured members who previously received and paid for certain covered services provided by non - contracting facilities ... How You Can Help Stop Bullying. If you do not have online access, use our automated phone system for eligibility and benefits and other self-service requests. an Independent Licensee of the Blue Cross and Blue Shield Association. Hello, If you'd like to send us a private message we can have someone in our provider services department contact you directly. Thanks for your interest with us! Updated as of January 1, 2018, this guide includes relevant guidance contained in applicable standards and other technical sources. Option 2 If you are not a registered BAM member, you can opt in to receive text messages using our communications preferences page. 1 CMS.gov, Early 2020-2019 Effectuated Enrollment Report If you're enrolled in TRS-ActiveCare Primary or TRS-ActiveCare Primary+, you must select a primary care provider (PCP) in BCBSTX's network to access your benefits and get specialist referrals. BCBSTX Connect Team November 18, 2020. . The hospital discharge summary is the key source for this information. Encourage Early and Timely Intervention for Pre-and Post-Partum Care. Subsidies helped 92% of new members lower their monthly bill in 2020 1. If you'd private message us back with your contact information, I can get that to the right folks! 0 BCBSTX Connect Team over 2 years ago in reply to mariejoseph24 Hello, If you'd like to send us a private message we can have someone in our provider services department contact you directly. In-Network Referral Submissions - Confirm which specialists are in-network by leveraging Provider Finder ® on the BCBSTX website and determine which in-network provider your member prefers to see. --Tonya. you may contact the CAQH Help Desk at (888) 599-1771 for assistance or you may send an email to caqh.updhelp@acsgs.com. Sears ® Optical. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Check your text messages. Found inside – Page 119-413Initial proposals were received from five offerors , including BCBSTX and FHFS , by August 31 , 1994. Following evaluation , all five ... 7 4 Controllable trend factors included provider discounts , resource sharing , and penetration ... Find a Doctor or Hospital. By leveraging CAQH's COB Smart ® database, we are collaborating with other health insurers to streamline benefit coordination. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Availity or other electronic connectivity vendor or call the toll-free Provider Customer Service number indicated on the View Provider Network Consultant Assignments. Found inside – Page 450Provider Identification / Provider Number A85M Current status of case closed . ... was sentenced on 1/06/94 to six months in Federal prison for Conspirasy to commit Mall Fraud and was ordered to pay restitution to BCBSTX of $ 157.50 . Found inside – Page 370A provider must be individually contracted with Blue Cross/Blue Shield to receive reimbursement as a member physician. ... elements to obtain from the member's/ subscriber's card are their ID number and group number (Figure 11-1).

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