See How to Request Help on Certain BlueCard® Claims
AI Summary
Blue Cross Blue Shield of Texas has established a BlueCard Executive escalation process for high-value, aged claims. Only providers in the Provider Multidistrict Litigation Settlement Class can escalate specific BlueCard claims based on dollar amount and age thresholds (e.g., $1M+ claims aged 45+ days).
Action Required
Immediately: Billing team should identify if practice is a member of the Provider Multidistrict Litigation Settlement Class by checking the provider settlement website. Create workflow to track eligible BlueCard claims meeting escalation criteria ($1M+ at 45 days, $500K+ at 60 days, $300K+ at 90 days). For eligible escalations, email the BlueCard Executive with claim number, member ID, date of service, patient name and pertinent details instead of using standard dispute processes.
Plan Types
Commercial
States
TX
Specialties
all-specialties