Electronic Claim Submission via Availity^⪚ Provider Portal

Availity’s Claim Submission tool allows providers to quickly submit electronic Professional (ANSI 837P) and facility, or Institutional (ANSI 837I) claims or encounters to Blue Cross and Blue Shield of Texas (BCBSTX), at no cost. Use this online tool to submit a single claim or add to batch and send multiple claims to BCBSTX at the same time. Once submitted, you can confirm BCBSTX’s receipt of the claim(s) and check claim status in real-time, all within the Availity portal.

You must be registered with Availity to use the Claim Submission tool for electronic professional or facility/institutional claims. You can sign up today at Availity , at no charge. For registration assistance, call Availity Client Services at 800-282-4548. This Availity portal option does not require the use of a separate clearinghouse or practice management system.

How to access and use Availity’s Claim Submission tool:

• Log in to Availity
• Select Claims & Payments from the navigation menu
• Select Professional Claim or Facility Claim
• Within the tool, select your Organization, Transaction Type and Payer
• Complete the required fields

For additional details, refer to the Electronic Professional Claim Submission User Guide or the Electronic Facility Claim Submission User Guide .

Questions?

Email our Provider Education Consultants. Be sure to include your name, direct contact information, Tax ID and/or Billing NPI.

Availity is a trademark of Availity, LLC, 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 provided by third party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.