Blue cross blue shield of texas dental claims address

Important: You won’t be able to enroll in a BCBS dental plan unless you’re ALSO currently signing up for a health plan during a Special Enrollment Period. Check out your other dental options here. Open Enrollment for all plans is 11/01/20-12/15/20. We recommend Ameritas Dental as the best alternative in the meantime. 

BlueCross BlueShield of Texas Dental Plan

  • Dental Plans Brochure 
  • Application 

With the BCBSTX dental plans, you’ll get dental coverage on day one with no deductible required for check-ups, cleanings and other preventive services. Most important, costs are typically reduced when you receive care from any BCBSTX participating network dentists. However, you also have the option to see any dentist not in the network, but your out-of-pocket costs may be higher. Some highlights of Dental Indemnity USA coverage:

  • Coverage can be used to provide dental benefits to an individual, spouse, children or any combination of dependents.
  • A $50 deductible, based on fee schedule allowances, applies for dental procedures or services received by a covered individual during each benefit year.
  • Maximum deductible amount of $150 for family coverage.
  • Deductibles do not apply to oral exams, cleanings, fluoride treatments, sealants and X-rays.
  • $1,000 orthodontia benefit for children under 19 years old
  • For more information on coverage and benefits, view the Dental Outline of Coverage.

Eligibility Requirements

You must enroll in a BCBSTX health plan in order to enroll in the dental plan. You have up to 31 days from the effective date of your policy to enroll. All members on that health plan must be enrolled in Dental Indemnity USA. Once your dental plan is dropped for any reason, you cannot re-enroll unless you reapply for a new health insurance plan. There are three ways to enroll in BlueCare Dental PPO:

  • Select ‘YES’ next to the Dental option when you apply online for any qualifying Blue Cross and Blue Shield of Texas health plan.
  • Download a paper application and email to [email protected] or fax to 847-220-9280.
  • Call us at (312) 726-6565

* Includes insured, spouse, and three or more children 1. This document does not contain a complete listing of the exclusion, limitations and conditions that apply to the benefits shown. For full information refer to the member’s certificate of benefits booklet. 2. Annual maximum does not apply to members under age 21. 3. Rates subject to change. 4. Region 1 rates apply to members residing in the following counties: Archer, Austin, Bastrop, Brazoria, Caldwell, Chambers, Clay, Collin, Dallas, Delta, Denton, Ellis, Fort Bend, Galveston, Grayson, Harris, Hays, Hunt, Johnson, Kaufman, Liberty, Montgomery, Parker, Rockwall, San Jacinto, Tarrant, Travis, Waller, Wichita, Williamson and Wise. 5. Region 2 rates apply to all members residing in counties outside Region 1 6 Out of Pocket Maximum only applies to members under age 21. 7. The plans listed above refer to the following plans on your Outline of Coverage: 01 = 1A, 02 = 1B, 03 = 2A, 96 = 4 Kids 1A, 97 = 4 Kids 1B All benefits are based upon the Allowable Amount, which is the amount determined by BCBSTX as the maximum amount eligible for payment of benefits. A Contracting Dentist cannotbalance bill for charges in excess of the Allowable Amount. Benefits for services provided by a Non-Contracting Dentist will be based upon the same Allowable Amount, and it is likely that the Non-Contracting Dentist will balance bill for amounts above this, resulting in higher out-of-pocket expenses.

General Inquiries


Blue Cross and Blue Shield of Texas
1001 E. Lookout Drive
Richardson, TX 75082-4144

FEP Service
4002 Loop 322
Abilene, TX 79602

Claims/Customer Service

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


Disease/Care Management Programs


Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Coronary Artery Disease

If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company.

Below you will find the claims address, customer service phone numbers, and plan contact information for all plan administrators. Contact your Human Resources office for more information.


Claims Address

Customer Service

Medical – A&M Care Plans
Blue Cross and Blue Shield of Texas
Group: 039993
BlueCross BlueShield of Texas, Inc.
Claims Division
P.O. Box 660044
Dallas, Texas 75266-0044
(866) 295-1212
Pharmacy – A&M Care Plans
Express Scripts
BIN: 610014
Drugs not purchased with the prescription drug card:
Express Scripts
P. O. Box 2872
Clinton, IA 52733-2872Mail-order drug claims:
Express Scripts
P.O. Box 650322
Dallas, TX 75265-0322
(866) 544-6970
Medical – Graduate Student Health Plan
Academic HealthPlans (AHP)
Blue Cross and Blue Shield of Texas
P.O. Box 660044
Dallas, TX 75266-0044
(877) 624-7911
Pharmacy – Graduate Student Employee
Prime Therapeutics
Group: 117565
BIN: 01551
Prime Therapeutics
P.O. Box 660044 Dallas, Texas  75266-0044
(800) 423-1973
Dental PPO
Delta Dental
Group: 4170-0001
Delta Dental Insurance Company
Claims Department
P.O. Box #1809
Alpharetta, Georgia 30023
(800) 336-8264
Dental HMO
DeltaCare Dental HMO
N/A (800) 422-4234
Superior Vision
Group: 036138
Superior Vision
Attn: Claims Processing
PO Box 967
Rancho Cordova, CA 95741
(844) 549-2603
The Hartford
  • Basic – 681794
  • Optional – 681835
  • AD&D – ADD-509128
  • Claims & Portability & Conversion Information
    (877) 320-0484
The Hartford Group Life/AD&D Claims Unit
P. O. Box 14299
Lexington, KY 40512-4299
E-Mail to:
(800) 523-2233
Accidental Death and Dismemberment
Policy: 33770-G
Attn: Claims Department
P. O. Box 64114
St. Paul, MN 55164-0114
(800) 778-2281
Long-Term Disability
New York Life
Policy: VDT98005
New York Life
P.O. Box 709015
Dallas, TX 75370-9015

(800) 362-4462

Flexible Spending Accounts
Navia Benefit Solutions
Navia Benefit Solutions
PO Box 53250
Bellevue, WA 98015
1 (800) 669-3539

How do I file a claim with Blue Cross Blue Shield of Texas?

Any claim that can be submitted on paper can be submitted electronically. If you need more information on how to submit claims electronically call 1-800-AVAILITY (282-4548) or log on to Availity .

What is the payer ID for Blue Cross Blue Shield of Texas?

Plan health care providers submitting claims via the Availity Health Information Network must use payer identification code 84980. If you use another clearinghouse, please confirm that the correct electronic payer identifier for BCBSTX is used with your electronic claim vendor. Electronic Data Interchange (EDI)?

Is BCBS the same as BCBS of Texas?

BCBSTX is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Montana, Oklahoma and New Mexico), the country's largest customer-owned health insurer and fourth largest health insurer overall.

Where is BCBS Texas located?

We maintain our state headquarters in Richardson, with regional offices in Houston, Austin and Lubbock. In addition, we process our members' claims in Texas in our claims and customer service facilities in Abilene, Marshall, Richardson, San Angelo, Waco and Wichita Falls.

How do I contact BCBS Texas?

Call us toll-free at 1-888-657-6061 (TTY 711).

What is the timely filing for BCBS of Texas?

Participating physicians, professional providers, ancillary and facility providers are requested to submit claims electronically to Blue Cross and Blue Shield of Texas (BCBSTX) within 95 days of the date of service, or by using the standard CMS-1500 or UB04 claim form.