Managing Conservator. Benefits for services provided to your minor Dependent child may be paid to a third party if: • the third party is named in a court order or administrative order as managing or possessory conservator of the child; and • BCBSTX has not already paid any portion of the claim. In order for benefits to be payable to a managing or possessory conservator of a child, the managing or possessory conservator must submit to BCBSTX, with the claim form, proof of payment of the expenses and a certified copy of the court order or administrative order naming that person the managing or possessory conservator. BCBSTX may deduct from its benefit payment any amounts it is owed by the recipient of the payment. Payment to you or your Dentist, or deduction by BCBSTX from benefit payments of amounts owed to BCBSTX, will be considered in satisfaction of its obligations to you under the Plan. An Explanation of Benefits (EOB) for Dental Care summary is sent to you so you will know what has been paid. When to Submit Claims All claims for benefits under the Plan must be properly submitted within 90 days of the date you receive the services or supplies. Claims not submitted and received by BCBSTX within twelve (12) months after that date will not be considered for payment of benefits except in the absence of legal capacity. Receipt of Claims by BCBSTX A claim will be considered received by BCBSTX for processing upon actual delivery to the BCBSTX Administrative Office in the proper manner and form and with all of the information required. If the claim is not complete, it may be denied or BCBSTX may contact either you or the Dentist for the additional information.
Managing Conservator. A person responsible for a child as the result of a district court order pursuant to the Texas Family Code, Chapter 153. [See 40 TAC §700.501(9)].
