PPO Scheduled Service Notification

PPO Scheduled Service Notification

• This service will allow you to submit notification of a scheduled service (surgery) for BCBSTX PPO members as required by the Texas Department of Insurance Subchapter X. Preferred and Exclusive Provider Plans Division 1. General Requirements 28 T AC §§3.3701 – 3.3710.
  
• If you have already obtained prior approval for the services, the prior authorization will serve as notification. You do not have to submit notification for service with prior approval.
  
• Notification using this service does not replace pre-certification requirements. If a surgery requires pre-certification – please obtain approval through the normal precertification process.

Notice through this service does not constitute pre-authorization, pre-certification or eligibility of membership.

All questions should be directed to the customer service phone number on the back of the member's ID card