Health Care Provider Tools Blue Cross and Blue Shield of Texas. At Blue Cross and Blue Shield of Texas BCBSTX, we are committed to providing support to physician practices. Weve designed tools that health care providers find useful. Whether doing research or streamlining billing, these tools can help you evaluate costs, save time, improve service and more. The following average paid differentials have been posted to foster awareness regarding the general financial impact of facility or drug type preferences. A physician often has freestanding facility options for select outpatient services or generic drug options in most drug classes. The type of facility or drug may have significant financial impact on the member, employer or payer. Learn More. Be Smart. McKesson Corp. MCK, 4. Monday it has agreed to buy RxCrossroads from CVS Health Corp. CVS, 5. 54 for 735 million. Donovan Sunshine Superman Stereo Special Edition. The deal will be funded by cash on. He artificial intelligence revolution has arrived, setting in motion the most powerful technological transformation of our lifetime. AI is going to be more. No more missed important software updates UpdateStar 11 lets you stay up to date and secure with the software on your computer. Be Well., a wellness website. An eligibility and benefits inquiry should be completed for every patient at every visit to confirm membership, verify coverage and determine other important information, such as the patients co pay, co insurance and deductible amounts. Learn More. Find facilities recognized for expertise in bariatric surgery, cardiac care, complex and rare cancers, knee and hip replacement, spine surgery, and transplants on the Blue Distinction website. BCBSTX is licensed as a sponsor of the Bridges to Excellence BTE Diabetic Care Recognition program, Cardiac Care Recognition program and Asthma Recognition programs. Learn More. Our Claim Inquiry Resolution tool is available via a tab in our Electronic Refund Management e. RM system.   By providing a method for online assistance with specific inquiries on finalized claims, the CIR tool can help save your staff time by reducing the need for phone calls and written correspondence. Learn More. The Claim Research Tool CRT offers enhanced, real time claim status functionality to help you manage and resolve your BCBSTX claims. Learn More. Clear Claim Connection C3 as a web based code auditing reference tool. C3 is an online code auditing tool, designed by Mc. Kesson Information Solutions, Inc., that enables BCBSTX to disclose our claim auditing rules and clinical rationale to our contracting provider network. C3 mirrors how BCBSTXs current code auditing software evaluates code combinations during the adjudication of a claim. Learn More. Cover. Cardiology2-1024x603.jpg' alt='Mckesson Viewer' title='Mckesson Viewer' />My. Meds is an online tool for electronic completion and submission of benefit prior authorization PA requests for prescription drugs that are part of the Blue Cross and Blue Shield of Texas BCBSTX pharmacy PA program. Learn More. Electronic Refund Management e. RM is an online tool that can help simplify your overpayment reconciliation and related processes. Learn More. An eligibility and benefits inquiry should be completed for every patient at every visit to confirm membership, verify coverage and determine other important information, such as the patients co pay, co insurance and deductible amounts. Learn Morei. Exchange is a web based application that supports the direct submission and processing of referrals and approval of select outpatient services and inpatient admissions to acute care facilities by network physicians, professional providers and facilities within Texas. Learn More. Opti. Purple3/v4/81/0f/7f/810f7f51-e737-bae6-6469-f0f310ab0f88/screen1024x1024.jpeg' alt='Mckesson Viewer' title='Mckesson Viewer' />Net is an online assessment tool developed by AIM Specialty Health AIM  to collect modality specific data from imaging providers. This tool is as an enhancement to our Radiology Quality Initiative RQI program, which AIM administers for BCBSTX. Learn More. The Patient Care Summary tool uses claim based information to provide you with a consolidated view of a patients health care history at the point of care. This electronic health record can help you identify gaps in care, missed prescription refills and possible drug interactions, and other clinical flags and treatment opportunities. Learn More. The Patient Cost Estimator is a member liability estimator tool. Purple122/v4/82/e5/27/82e52729-db5c-23ff-7125-318811d45aae/source/512x512bb.jpg' alt='Mckesson Viewer' title='Mckesson Viewer' />Visit Top Ten Reviews to read the latest reviews and opinions. Reviews are complete with product ratings and comparisons. McKesson_Banner.jpg' alt='Mckesson Viewer' title='Mckesson Viewer' />This free online tool can provide you with a real time, estimated member share amount at the time of service, while the patient is still in your office, prior to claim submission. Learn More. The remittance viewer offers providers and billing services a convenient way to view and help reconcile claim data provided by Blue Cross and Blue Shield of Texas BCBSTX in the 8. Electronic Remittance Advice ERA. Learn More. The Reporting On Demand application allows users to readily view, download, save andor print the Provider Claim Summary PCS and other reports online, at no additional cost.