800-451-0287: Blue Cross and Blue Shield of Texas Provider Services
Quick answer
(800) 451-0287 reaches Blue Cross and Blue Shield of Texas (provider services). It is answered by automated phone menu. From the greeting, press 1 or say “medical” for Medical benefits, claims or eligibility; press 2 or say “pharmacy” for pharmacy; press 3 or say “dental” for dental; press 4 or say “behavioral health” for behavioral health.
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Line at a glance
| Health plan | Blue Cross and Blue Shield of Texas |
|---|---|
| Department | Provider Services |
| Purpose | Provider services line for Blue Cross and Blue Shield of Texas covering medical benefits, claims and eligibility, pharmacy, dental and behavioral health inquiries. |
| Answered by | Automated phone menu |
| How to respond | Keypad or voice |
| Supported languages | English |
| Hours | Not stated in the greeting |
| Have ready | 10-digit NPI (rendering for eligibility and benefits, billing for claims), Subscriber ID |
How to reach each option
| To reach | Do this | What happens |
|---|---|---|
| Medical benefits, claims or eligibility | 1 or say medical | Asks for your IDAsks for a 10-digit NPI (rendering NPI for eligibility and benefits, billing NPI for claims), then offers eligibility and benefits, claims, authorization and referral management, or Senate Bill 418 written verification. |
| Pharmacy | 2 or say pharmacy | Opens a menuAsks whether the services fall under the patient's medical policy. |
| Covered under the medical policy | 2 or say pharmacythen 1 or say yes | Asks for your IDGoes to the NPI prompt and the medical service menu. |
| Not covered under the medical policy | 2 or say pharmacythen 2 or say no | Transfers the callTransfers to the Prime Therapeutics Pharmacy Help Desk, which offers a Medicare option. |
| Dental | 3 or say dental | Opens a menuAsks whether the services fall under the patient's medical policy. |
| Covered under the medical policy | 3 or say dentalthen 1 or say yes | Asks for your IDGoes to the NPI prompt; choosing eligibility and benefits asks for the subscriber ID without the 3-character prefix. |
| Not covered under the medical policy | 3 or say dentalthen 2 or say no | Transfers the callConnects the call to another line. |
| Behavioral health | 4 or say behavioral health |
Shortcuts and conditional instructions
- If calling about medical benefits, claims or eligibility 1 Say 'medical' or press 1
- If calling about pharmacy 2 Say 'pharmacy' or press 2
- If calling about dental 3 Say 'dental' or press 3
- If calling about behavioral health services 4 Say 'behavioral health' or press 4
- If the services are covered under the patient's medical policy Choose pharmacy (2) or dental (3); then say yes or press 1; otherwise say no or press 2
Skip the call
- Eligibility, benefits, claim status and code-specific authorization requirements www.availity.com
Questions about (800) 451-0287
Which NPI should I give on (800) 451-0287?
Your rendering NPI for eligibility or benefits, and your billing NPI for claims or other inquiries.
Where do pharmacy calls go?
If the services are not covered under the patient's medical policy, the call goes to the Prime Therapeutics Pharmacy Help Desk.
What ID does the eligibility option ask for?
The subscriber's ID, excluding the 3-character prefix.
Can I get eligibility and claim status online?
Yes. The line points to Availity Essentials or the web vendor of your choice.