Use Updated Form to Submit Medicaid Claims Inquiry or Dispute Requests

Oct. 23, 2025 (Updated Oct. 30, 2025)

If you provide care and services to our members with Blue Cross Community Health PlansSM, please use the updated Claims Inquiry or Dispute Request Form to submit a claims inquiry or dispute request to us. 

What’s new: This form was updated as of Aug. 1, 2025, to include the new mailing address and fax number below. Related changes were announced in July. The previous fax number will be discontinued as of Dec. 31, 2025; disputes received at this number after this date will not be accepted.

Mail requests to:
Blue Cross Community Health Plans
C/O Provider Services 
PO Box 650712 
Dallas, TX 75265-0712 

Fax requests for a claim inquiry or dispute to 855-590-5690