Summary
Effective September 1, 2026, TRS-ActiveCare plans have updated network codes, alpha prefixes, group numbers, and tiered benefit designs with new participant cost sharing that may vary by selected primary care physician, specialist, or facility. Billing teams must verify current eligibility and benefits before every appointment using Availity Essentials or preferred vendors to ensure accurate claim processing and proper patient notification of coverage.
Get alerts when payers change rules like this one
We check BCBS Texas and other payers every day and email you when a change matches your specialty and state.
Get BCBS Texas alertsPolicy Monitoring is free. No card required.
What to do
Action · 4 steps
01Billing team must immediately update internal records and billing system references to reflect the new network codes, alpha prefixes, and group numbers for all TRS-ActiveCare 2026-27 plan year claims.
02Before processing claims for TRS participants, verify patient eligibility and benefits using Availity Essentials or preferred vendor system to confirm current coverage status, applicable copays, coinsurance, deductibles, and any tiered benefit variations based on selected primary care physician, specialist, or facility.
03Front desk and clinical staff should notify patients of any non-covered services and that they may be billed directly for services not covered under updated plans.
04Access the updated information referenced in the source ('Learn more here' link) to identify all affected network codes and group numbers for accurate claim submission.
Original notice
TRS Participants Have Updated Plans
bcbstx.com · Always check the source before changing claims.