How To Submit Claims To Blue Cross Blue Shield of Texas

Blue Cross Blue Shield of Texas's reviewed provider guidance starts with this submission channel: Availity Essentials electronic claims filing. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

BCBSTX generally directs providers to submit claims electronically. Specific electronic payer IDs and paper mailing addresses vary by line of business: commercial/Blue Choice PPO uses payer ID 84980 in Availity, while Medicaid/CHIP uses payer ID 66002. Paper claims are directed to BCBSTX mailing addresses that differ by program. Corrected claims should be submitted as replacement/corrected claims using the appropriate claim frequency code and marked clearly as corrected when paper submission is required.

Submission channels

Availity Essentials electronic claims filing
Other clearinghouses/electronic claim vendors
Paper CMS-1500 or UB-04 when paper submission is permitted
Fax for some Medicaid/CHIP workflows

Electronic claims payer IDs

84980
66002

Paper claims addresses

Blue Cross and Blue Shield of Texas, PO Box 660044, Dallas, TX 75266-0044
Blue Cross and Blue Shield of Texas, PO Box 650712, Dallas, TX 75265-0712

Corrected claims and follow-up

Submit corrected claims as electronic replacement claims with the appropriate claim frequency code when possible.
If unable to submit electronically, submit the paper claim with a Corrected Claim Form where required.
Corrected claims should be clearly marked as 'corrected claim' and indicate what is being corrected.
Facility corrected claims with added or late charges should be resubmitted with frequency code 7, not frequency code 5.
Claims status resource 1
Claims status resource 2

Caveats

Claims workflows differ by line of business, including Medicaid/CHIP, commercial, Medicare Advantage, and behavioral health.
BCBSTX may route some services through delegated vendors or alternate portals.
Duplicate claims are discouraged and may cause additional denials.

Provider resources

Provider home (official)
Contact Us / provider contacts (official)
Claims and eligibility - claim status (official)
Claims and eligibility - claim review process (official)
Utilization Management / prior authorization (official)
Availity Essentials / electronic transactions (official)
Blue Choice PPO Provider Manual - general claims filing (official)
Blue Choice PPO Provider Manual - electronic filing (official)
Medicaid claims page (official)
Medicaid/CHIP provider manual (official)

Sources

Fact	Value	Source	Confidence
Commercial/Blue Choice electronic payer ID	Providers submitting claims for Blue Choice PPO members via Availity must use payer identification code 84980.	Official	high
Medicaid/CHIP payer ID and submission window	Medicaid/CHIP claims use payer ID 66002 and should be submitted within 95 days of service.	Official	high
Paper claim address	Claims mailing address is PO Box 660044, Dallas, TX 75266-0044 for general provider contacts.	Official	high
Corrected claim guidance	If a corrected claim is needed, it must be marked as corrected claim and indicate what is being corrected.	Official	high
Replacement claim frequency code	For corrected facility claims with added or late charges, resubmit the entire claim with frequency code 7; do not use frequency code 5.	Official	high
Claim status via Availity or phone	Providers can check claim status through Availity or call provider customer service; duplicate claims should not be submitted.	Official	high

Last reviewed: March 27, 2026

Sources used: 6 official