BCBSTX - Genesis Physicians Group
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BCBSTX

Resources For Your Revenue Cycle Team

Please utilize these BCBSTX resources to access the following:

      • Provider Manuals
      • Answer to your BCBSTX claim questions
      • Training Material
      • Availity Instructions and User Guides
          •  Patient Cost Estimator User Guide
        • This is the link for the Availity document with instructions on verifying member benefits and visit cost estimator.
          • What is Availity Tool?
          • Prior Authorization User Guide
          • Patient Care Summary User Guide
          • National Drug Codes (NDC) Unit Calculator User Guide
          • Pre-determination of Benefits User Guide

BCBS of Texas Claim Filing Guidance

          • Claims and Eligibility
          • Provider Tools
            • Submit Recommended Clinical Review Requests
            • Availity Authorization & Referrals
            • Availity Eligibility and Benefits
            • BlueApprovR
            • Blue Distinction
            • Claim Inquiry Resolution Tool – High Dollar, Pre-Pay Reviews
            • Injectable Fee Schedules
            • Claim Reconsideration Requests
            • Claim Status Tool
            • Clear Claim Connection
          • Patient Eligibility and Benefits
          • Prior Authorization for BCBS Medicare Advantage (PPO) and BCBS Medicare Advantage (HMO)
          • Claim Filing Tips
          • Claim Status
          • Claim Review Process
          • Medicare Advantage Private Fee For Service
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