Provider Claim Summaries Available Online

Beginning December 12, 2016, Blue Cross Blue Shield of Texas (BCBSTX) providers will have access to a new report viewer application in the Availity^TM Payer Spaces. The report viewer will permit providers to view, print, and download their Provider Claim Summaries (PCS).

Having access to the PCS viewer offers Availity users the opportunity to obtain a summary of adjudicated claims for multiple patients online in one central location. In addition, other performance related reports will be made available in this application.

Providers enrolled for Electronic Remittance Advice (ERA) already have the ability to receive the Electronic Payment Summary (EPS), which is the detailed, readable version of the ERA. Now, providers can also view the PCS through this new report viewer application. The PCS contains the same information as the EPS.

Providers who currently receive the paper PCS via mail, are invited to consider electronic options as a more convenient alternative that also gives access to a variety of other online tools and resources.

To use the report viewer application in the Blue Cross and Blue Shield of Texas Availity Payer Spaces section, you must be an existing Availity user. If you have not registered with Availity, you can sign up today, at no cost, by visiting Availity  Also see the ‘Back to Basics: Availity 101’ webinars for dates and times of upcoming training sessions hosted by our BCBSTX Provider Education Consultant team.

Stay informed by viewing upcoming News & Updates publications on our provider website.

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.