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1081.000-801 Claim Form

P.O. Box 660044 Dallas, Texas 75266-0044 Each item on this form needs to be completed. Please Print or Type Instructions for completion are listed on the reverse side.

Topic - Behavioral Health Services

The Integrated Behavioral Health Program is a portfolio of resources that helps Blue Cross and Blue Shield of Texas (BCBSTX) members access benefits for behavioral health (mental health and chemical dependency) conditions as part of an overall care management program.

BCBSTX HMO and PPO plans

Meetings For more information about open enrollment, visit www.houstontx.gov/hr/oe10 . Plan From To HMO: PCP visit $20 $25 Specialist visit $45 $50 PPO: PCP visit $30 $35 Specialist visit $50 $55 Retail Prescriptions: Generic $10 $10 Preferred brand $30 $35 Non-preferred brand $45 $50 Mail Order ...

What does ANSI 5010 mean to your practice or facility?

BCBSTX is committed to partnering with you every step of the way to full implementation on Oct. 1, 2013, and beyond. BCBSTX has a vested interest in your success and in the success of the entire endeavor and considers

In partnership with

Immunization Event Houston Calendar In partnership with. Immunization Event Houston Calendar February 2010 Visit carevan.org for latest clinic additions.

BCBSTX Providers

Close Print Title: Electroencephalograms Number: MED205.008 Effective Date: 03-01-2008 Legislation: ILLINOIS: None NEW MEXICO: None OKLAHOMA: None TEXAS: Texas Insurance Code, 1352, Health Benefit Plan Coverage for Certain Benefits Related to Brain Injury (House Bill 1676) FEDERAL (applies to ...

We appreciate your support and look forward to seeing you ...

Speaker 'sGolfTournament•P.O. Box 660583, Dallas, TX 75266-0583 1-800-258-5437 (ext. 6) •Golf@carevan.org 49736.0308 June5,2008 Wear eon ceagainge aringuptoplay golf for aw or thy cause.

Notices and announcements

BCBSTX makes no endorsements, representations, or warranties about any products or services offered by independent third-party vendors mentioned in this newsletter.

The statements made herein are intended to provide you with a ...

BCBSTX will consider the received date of a submitted termination notice to be the date the termination notice is received by the BCBSTX processing office; not the postmarked date of the U.S. mail

Override Request Form Clinical Pharmacy Programs: phone 972 ...

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Revised 1/09 Override Request Form Clinical Pharmacy Programs: phone 972-766-2725 or fax 800-986-9980 Please fill out the form completely.