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Blue Cross and Blue Shield of Texas

Part of Health Care Service Corporation

Regional plandentalmedicalvision
Typical enrollment turnaround
60-90 days

Summary

Blue Cross and Blue Shield of Texas is a regional health plan, part of Health Care Service Corporation, offering dental, medical, and vision coverage operating in Texas. Claims route under payer ID 84980, with 10 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BCBS TX Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
84980Also seen as 10048, 1406, 5501, CB900, DX900, G84980 and 4 more
Also known as
BCBSTX, Blue Cross Blue Shield Texas Medicaid STAR CHIP, Blue Cross Blue Shield Texas Medicaid STAR Children's Health Insurance Program, Blue Cross Blue Shield of Texas, Blue Cross and Blue Shield of Texas - Medicare Advantage
Uses CAQH
YesApplication route: CAQH application only
Service area
TX

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Blue Cross and Blue Shield of Texas?
The payer ID for Blue Cross and Blue Shield of Texas is 84980. Alternate IDs seen across clearinghouses include 10048, 1406, 5501, CB900.
How long does Blue Cross and Blue Shield of Texas provider enrollment take?
Blue Cross and Blue Shield of Texas provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Blue Cross and Blue Shield of Texas require CAQH?
Yes. Blue Cross and Blue Shield of Texas uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Blue Cross and Blue Shield of Texas require ERA enrollment?
Yes. Blue Cross and Blue Shield of Texas requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Blue Cross and Blue Shield of Texas cover?
Blue Cross and Blue Shield of Texas operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.