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Quick Reference InformationTRS-ACTIVECAREPlan Year Sept. 1 through Aug. 31Address for Dependent Child%u2019s Statement of DisabilityBCBSTXPO Box 660044 Dallas, TX 75266-0044Exception Requests Use the online Exception Request form to submit requests and documentation to TRS. Please submit an exception or appeal through the bswift portal. Reference the BA Manager Guide on the home page of your bswift Enrollment Portal for more information.TRS Enrollment Appeals* and Grievances TRS-ActiveCare Grievance AdministratorP.O. Box 149676Austin, Texas 78714-0185Fax: 1-512-542-6784grievance.administrator@trs.texas.govWebsites www.trs.texas.gov/pages/healthcare_trs_activecare.aspxbswift Enrollment Portal: https://trsactivecare.bswift.comEnrollment Eligibility/Billing Exceptions: https://trsactivecare.bswift.comBCBSTX: www.bcbstx.com/trsactivecareExpress Scripts: www.esrx.com/trsactivecareTRS-ACTIVECARE PLANSBCBSTXGroup Number TRS-ActiveCare HD: 385000TRS-ActiveCare Primary+: 385001TRS-ActiveCare 2: 385002TRS-ActiveCare Primary: 385003BCBSTX Alpha Numeric Prefix TRS-ActiveCare HD: T2STRS-ActiveCare Primary+: T2U TRS-ActiveCare 2: T2STRS-ActiveCare Primary: T2UGroup Health Plan Information BCBSTX Tax ID: 36-1236610TRS-ActiveCare BA Advocate Team(for eligibility, enrollment, billing, and benefit inquiries)bswiftTRSBAinquiries@bswift.com Phone: 1-877-767-52548 a.m. - 5 p.m. CT (Monday-Friday)TRS-ActiveCare Customer Service, PreauthorizationBCBSTXPO Box 660044 Dallas, TX 75266-0044Phone: 1-866-355-5999Available 24 hours a day, seven days a weekBCBSTX Maternity Program Phone: 1-888-421-7781Address for Claim Forms and Claim Appeals BCBSTXPO Box 660044 Dallas, TX 75266-0044Transitional Care Forms BCBSTXUtilization Management %u2014 Transitional BenefitsPO Box 660044 Dallas, TX 75266-0044 Fax: 1-866-739-4093COBRA Administration bswift (TRS-ActiveCare)PO Box 860620Minneapolis, MN 55486-0620Phone: 1-833-682-89727 a.m. - 7 p.m. CT (Monday-Friday)*See specific health plans for information on claim appeals.www.bcbstx.com/trsactivecareba 7
