|October 12, 2012 |
For Travis Service-Area Medicaid & CHIP Providers
Welcome to the Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid (STAR) & CHIP weekly newsletter. Thank you for participating in BCBSTX Medicaid (STAR) & CHIP programs.
BCBSTX is currently contracted with the following imaging centers for the Texas Medicaid (STAR) & CHIP programs:
|Advanced Imaging San Marcos ||Austin Radiological Associates |
|Austin Cancer Centers ||Austin Open MRI, LLP |
|CardioStaff Corporation ||Central Texas Imaging |
|Central Texas Open MRI ||Preferred Imaging of Round Rock |
|River Ranch Radiology ||South Austin Health Imaging, LLC |
|Synergy Advanced Imaging, Ltd. || |
In Network Labs
BCBSTX is currently contracted with Clinical Pathology Labs and Quest Laboratory for the Texas Medicaid (STAR) & CHIP programs.
Electronic Remittance Advice and Electronic Funds Transfer
The following clearinghouses are currently set up to receive Electronic Remittance Advices:
|Capario ||Navicure ||Viatrack |
|Gateway EDI ||RealMed || Zirmed |
If you do not see your clearinghouse listed above and you would like to receive Electronic Remittance Advices, complete this attachment.
Oct. 25, 2012 - OB/GYN Provider Training
Nov. 6, 2012 - Provider Orientation - Comprehensive Overview
Nov. 15, 2012 - Texas Health Steps
More information on the above trainings will be posted in a later edition of the BCBSTX (STAR) and CHIP Medicaid Update newsletter.
Eligibility Fax Back
To obtain fax back eligibility information, call BCBSTX Customer Care Interactive Voice Response (IVR) automated telephone response system at 888-292-4487. The IVR accepts either your billing National Provider Identifier (NPI) or your Federal Tax Identification Number (TPI) for Provider identification.
Referrals to Provider and Laboratories
Only Medicaid-attested providers and laboratories are eligible for reimbursement under the Medicaid Program. Providers must ensure referrals are to Medicaid-attested providers and Medicaid-attested laboratories.
New Pharmacies Added to the BCBSTX Medicaid (STAR) and CHIP Network
Beginning Sept. 15, 2012, new pharmacies have been added to our network. For a complete list of all contracted pharmacies, visit our provider website at http://bcbstx.com/provider/network/medicaid.html
Link to BCBSTX Medicaid Website
On this website, you will find links to the Provider Manual, Quick Reference Guide, Services Requiring Prior Authorization, and other useful information.
Provider Customer Service: 888-292-4487, 7 a.m. to 6 p.m. CT, Monday through Friday
For general questions and concerns:
Jamye Rushing, firstname.lastname@example.org, 512-349-4876; Fax: 512-349-4848
Network Provider Representatives
Juanita Hill, email@example.com, 512-349-4896
Burnet, Williamson, Blanco, Lampasas, Llano, San Saba
Shelby Robinson, firstname.lastname@example.org, 512-349-4897
Lee, Austin County, Bell, Burleson, Milam, Washington
Britton Thibodeaux, email@example.com, 512-349-4898
Bastrop, Caldwell, Fayette, Hays, Colorado, Comal, Gonzales, Guadalupe, Lavaca
Dee Culver, firstname.lastname@example.org, 512-349-4899
Clinical Outreach & Education, Quality/Compliance
Kathy Clark, email@example.com, 512-349-4480
Senior Outreach Specialist/Member Advocate
Sonia Saenz, firstname.lastname@example.org, 512-349-4883