Claim Forms, Submissions, Responses and Adjustments
Get links to current claim forms, understand how to submit claims to BCBSTX, read claim responses and use the Claim Review Form to submit adjustment requests. Also refer to the Provider Tools page on the provider website for convenient tools available.
Claim Submission Forms
- CMS-1500 User Guide & Tutorial
- CMS-1500 Claims Filing Address
- UB-04 User Guide
- UB-04 Claims Filing Address
Claim Submission Information
- Avoid Claim Delays
- Diagnosis Pointers on CMS-1500
- Duplicate Claim Submissions
- Electronic Claim Submission
- Electronic Claim Submission Rejections & Claim Denials
- Electronic Replacement/Corrected Claim Submissions
- Facility Providers - Outpatient Claim Submission Reminders
- Hospital Acquired Conditions & Present on Admissions (POA) Indicators
- Medicare Crossover Claim Submissions
- Medicare Corrected Claims
- NPI Resources
- Temporary Practice Location Changes
- Termination of Unused Provider Record ID
Claim Responses and Adjustments
