The BlueCard program links participating health care providers and the independent Blue Cross and Blue Shield Plans across the country and around the world through a single electronic network.
BlueCard enables our members to obtain health care services while traveling or living in another Blue Cross and/or Blue Shield Plan’s service area.
Program Advantages for Providers:
- The program allows you to submit claims for members from other BCBS Plans to the Texas Plan.
- BCBSTX is your sole contact for claims payment, problem resolution and adjustments.
Covered/NonCovered Services:
Covered Services Under BlueCard
- All inpatient, outpatient and professional services
Services Not Covered Under BlueCard
- Prescription Drugs
- Hearing/Vision
- Dental (non-surgical)
- Federal Employee Program® (FEP)
How the BlueCard Program Works:
- Three – Character Prefixes
- Contacts:
- Eligibility/Benefits
1-800-676-BLUE or 1-800-676-2583
- Prior Authorizations
Home Plan — (See member's card)
- Claim Adjustments (BCBSTX)
1-800-451-0287
- Eligibility and Benefits
- Call 1-800-676-2583 for eligibility and benefits prior to services benefits prior to services being rendered.
- Provide the three-character prefix as it is listed on the member's identification card.
- A BlueCard Eligibility Representative will connect you to the appropriate plan where eligibility and benefits can be obtained.
Related Resources
BlueCard Specialty Pharmacy Claims Guide