DialClerk Directory

Blue Cross and Blue Shield of Texas (BCBSTX)

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

Medicaid complaints and appeals

Official page read
Phone

No phone listed for this route

Fax

855-235-1055

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address
Blue Cross and Blue Shield of Texas Attn: Complaints and Appeals Department P.O. Box 660717 Dallas, TX 75266-0717

Medicaid complaints and appeals

View source ↗ · Source checked 2026-10-22

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appeals grievances

Medicare Advantage retrospective medical appeals

Official page read
Phone

No phone listed for this route

Fax

800-419-2009

Published hours

Not published in this record

Product, plan and location

medicare advantage
Texas

Mailing address
Blue Cross Medicare Advantage c/o Appeals Department PO Box 663099 Dallas, TX 75266

Retrospective medical appeals

For members, authorized representatives or non-contracted providers. Prospective appeals have separate instructions.

View source ↗ · Source checked 2026-10-22

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appeals grievances

Medicare Advantage claim payment disputes

Official page read
Phone

No phone listed for this route

Fax

855-674-9192

Published hours

Not published in this record

Product, plan and location

medicare advantage
Texas

Mailing address
Blue Cross Medicare Advantage Attn: Provider Claims Disputes PO Box 4555 Scranton, PA 18505

Provider claim payment disputes

Confirm the process for your contracting status.

View source ↗ · Source checked 2026-10-22

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appeals grievances

Commercial contracted-provider adjudicated claim review

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

commercial
Texas

Mailing address
Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-0044

Contracted-provider claim review

Use the cited form for adjudicated claims. Not for member appeals, original or corrected claims, or responses to requests for information.

View source ↗ · Source checked 2026-10-22

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Call preparation · editorial guide

Make the call count.

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

Have ready in your secure workspace

  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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