Payment Updates for Contracted Providers

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Payment Updates for Contracted Providers

July 13, 2020

Blue Cross and Blue Shield of Texas (BCBSTX) payment processes were updated Jan. 1, 2020. You may have noticed changes in the number of payments you receive from us and changes to our overpayment recovery process.

What has changed

Multiple payments: You may be used to receiving a consolidated payment from BCBSTX that addresses multiple claims for members who belong to different employer groups. Now our employer groups have the choice to not participate in this type of reimbursement. This means that you may now be receiving reimbursements from us in multiple payments.

Overpayment recovery: Employer groups may also choose not to participate in offsetting overpayments from consolidated payments that address multiple claims from members who belong to different employer groups. This means that when we attempt to recover overpayments, you may have to send in a check for certain overpayments. Instructions for submitting a refund will be in the request letter we send you.

More information

If you have any questions, please call our Financial Operations at 1(844) 866-BLUE.