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Web learn how to submit claims to blue cross and blue shield of texas (bcbstx) using the claim review form and other claim forms. Web use this form to request a review of previously adjudicated claims. To request a claim review by mail, complete the claim review form and include the following: Web blue cross and blue shield of texas (bcbstx) has revised our claim review form. This form is available on the. Blue cross blue shield of texas is committed to giving health care providers with the support and assistance they. Claim review requests must be submitted in writing on the claim review form. The common reasons for review are listed below (this is.