Contact Us

Finding the right contact may save you time. Sometimes it's easy to know where to go for assistance. At other times, it's less clear. Use the drop down menus below to help guide you to the best point of contact for your answer.

You may also use the Provider Contact Reference Guide.

  • 1099 Forms

    Blue Cross Blue Shield of Montana
    Attn: Corporate Tax, A-2
    PO Box 655730
    Dallas, TX 75265

    1099inquiries@bcbstx.com

    Phone: 972-766-9057
    Fax: 972-766-6657

    To request a duplicate 1099, you must include the following information:

    • Provider Name
    • Tax Identification Number
    • Correct Mailing Address
    • Contact Name and Number

     

    To request a corrected 1099, you much include the following information:

    • Explanation of what needs to be corrected.
    • Copy of 1099
    • Current W-9 Form
    • Contact Name and Number
  • Appeals & Disputes

    Contact based on member policy:

    Group & Individual Appeals Non-Emergent Fax: 866-589-8256
    Emergent Fax: 406-441-5569
    Healthy Montana Kids Appeals Non-Emergent Fax: 866-589-8256
    Emergent Fax: 406-441-5569
    Medicare Advantage Claim Disputes Blue Cross Medicare AdvantageSM
    Attn: Claims Disputes
    P.O. Box 4555
    Scranton, PA 18505
    Fax: 855-674-9192
    Medicare Advantage Clinical Appeals Blue Cross Medicare AdvantageSM
    Attn: Appeals Department
    P.O. Box 663099
    Dallas, TX 75266
    Standard Appeals Fax: 800-419-2009
    Expedited Appeals Fax: 800-338-2227
  • Availity® Essentials

    Availity.com


    800-282-4548

    • Benefits Questions
    • BlueApprovR® Prior Authorizations
    • Claim Status
    • Coding Logic Tool
    • Compensation Policies
    • EFT & ERA Enrollment and Changes
    • Electronic Refund Management
    • Fee Schedule
    • Medical Policies
    • Member Eligibility
    • Prior Authorization Requests
    • Provider Claim Summary
    • Remittance Notices

     

  • Carelon Prior Authorizations

  • Contract Requests and Adding New Providers

    Professional, Group, & Clinic Providers: Please fill out and submit the Provider OnBoarding Form.

    Ancillary & Facility Providers: Please fill out and submit the Facility/Ancillary Participation Form.

    See the How to Join page for more information.

  • Credentialing

     hcsx6100@bcbsmt.com

    • CAQH Issues
    • Credentialing Issues

    You may check your credentialing status here. 

  • Demographic Changes

    Please fill out and submit the Demographic Change form to change any of the following:

    • Legal Name
    • Office Physical Address, Telephone, Fax, Email, and Hours of Operation
    • Billing Address, Telephone, Fax, and Email
    • Credentialing Address, Telephone, Fax, and Email
    • Administrative and Correspondence Address, Telephone, Fax, and Email
    • Other Provider Updates
    • Remove Provider from a Group or Location

    Professional Providers may also update their information in Availity® Essentials. Anciliary and Facility Providers should continue to use the form above.

    Learn more about updating your provider information.

  • Evicore Prior Authorizations

    855-252-1117

    clientservices@evicore.com

    https://www.evicore.com/pages/providerlogin.aspx

    • Medicare Advantage: Prior Authorization required for Specialty Utilization Management
    • Group and Individual: Recommended Clinical Review Requests for Radiation Therapy and Molecular & Genomic Testing
  • Group, BlueCard®, and Individual Providers

    800-447-7828
    Option 2

    • Claims Questions & Issues
    • Benefits Questions
    • Member Eligibility
    • Remit Questions & Requests
    • Prior Authorization Status

     

    BlueCard
    For eligibility and benefits for out-of-state Blue Cross Blue Shield Members or providers
    800-676-BLUE (2583)

     

    Behavioral Health
    855-313-8909

  • Medical Management

    Contact based on member policy

    FEP Prior Authorization P: 877-885-3751
    Case Management P: 855-313-8908
    Disease Management P: 866-412-8795
    HMK Recommended Clinical Review & Prior Authorization P: 855-699-9907
    F: 855-610-5684
    BH Prior Authorization P: 855-313-8909
    F: 855-649-9681
    Individual Plans Medical Prior Authorization P: 855-458-9444
    Group Plans Prior Authorization P: 855-313-8914
    F: 866-589-8256
    Recommended Clinical Review P: 800-447-7828
    F: 866-900-2634
    MA Prior Authorization P: 877-774-8592
  • Medicare Advantage, Healthy Montana Kids, and Federal Employee Program® Providers

    • Claims Questions & Issues
    • Benefits Questions
    • Member Eligibility
    • Remit Questions & Requests
    • Prior Authorization Status
    Federal Employee Program®  800-634-3569
    Healthy Montana Kids 855-258-3489
    Medicare Advantage Individual 877-774-8592
    Medicare Advantage Group 877-299-1008
    Medicare Advantage Peer to Peer Scheduling 800-981-2795
  • Network Consultants

    • Contract Negotiations
    • Pricing
    • Persistent Global Issues
    • Process Questions
    • Provider Education
  • Network Representatives

    Message Box
    406-437-6100

    Leave a message. We will respond within 48 hours.

    hcsx6100@bcbsmt.com

    • Effective Date Questions
    • Global Reimbursement Issues
    • Provider Manual Questions
    • Credentialing Questions
    • Network Questions
    • High Dollar Claims Issues ($100,000+)
    • CAQH Issues
  • TriWest

    Claim Status or Routine Inquiry: 866-651-4977

    Provider’s Zip Code will route to WPS for Legacy Region and TriWest for Expansion Region

  • Value Based Care

    mt_ valuebasedcareteam@bcbsmt.com

    • Value Based Care Programs
    • Contracting
    • Incentives
    • Gap Reports