What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. What is the fax number for BCBS Alabama appeals? It's easy to protect your smile to the fullest with dental coverage that Please review your information to continue. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Child up to age 19. Emergency services are not covered out-of-network under our dental plans. Information contained in the external sites is not endorsed by BCBSAL. Box 3686, Scranton . & Estates, Corporate - dentists throughout Alabama. method: "GET", If you are a contracted health plan partner, then you have a dedicated account manager you can call upon at any time for any reason. ); TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Authorization to Release Information Form View PDF. Claims Administrator What is the fax number for BCBS of Alabama Dental Claims? CDT codes, descriptions and data copyright 2022 American Dental Association. { HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. CPT codes, descriptions and data copyright 2022 American Medical Association. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. View the latest providernews. Provider. Claim submission is supported for primary, secondary and tertiarypayment. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. $.ajax({ An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. An EOB is not a bill. Patient Consent Form for Provider Submitted Appeals View PDF. Email the Sales Call Center (AdviseMe@bcbsal.org) anytime. If you use our Care Coordinator services in developing your Plan of Care, and your claim is initiated with Home or Community Services, then your Lifetime Waiting Period will be reduced by half. I am a Broker or Blue Plan partner that wants to visit the Partner Portal. Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. function() { Questions? Thank you for your interest in our Short Term Plan. Additionally, out-of-network providers have not contracted with us or any Blue Cross and/or Blue Shield plan for negotiated discounts and can bill you for amounts in excess of the allowed amounts under the plan. In the left-hand column, locate the state where services were rendered. My Account, Forms in Find out More Need to submit a claim? Service, Contact Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. From October 1 through February 14, we are available 7 days a week. This link takes you to another website. You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. contact your local Blue Cross and Blue Shield company. As an Alfa representative, I agree to the payment terms and conditions of Blue Cross and Blue Shield of Alabama and will not collect any checking account, debit card or credit card information on behalf of the consumer for the purchase of health or dental insurance. Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. All rights reserved. Reimbursement will be sent to claimant; no claims are paid directly to provider. Make sure your documents include the five following pieces of information as required by the IRS: Provider name (which is Medicare in this case), You can fax the form, along with proof that you paid a Medicare Part B premium, to, You can upload the form through the EZ Receipts mobile app, available at the. Name and Address of Carrier . (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). } 13. if (userAction === 'onclick') { at 1-855-488-2515 or click the "Get Started" link to compare your plans today. For example, if an Alabama physician provides services to a member with Blue Cross and Blue Shield of Kansas coverage and a post-service appeal is needed, the physician should fill out the appropriate form from above and submit it to Blue Cross and Blue Shield of Alabama. MAIL US Corporate Office Address 450 Riverchase Parkway East Birmingham, Alabama 35244 If you want to stay on the Blue Cross website, click "Cancel.". Get your online template and fill it in using progressive features. } I authorize release of any information relating to this claim. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. If your ID card is not available, you may use one of the Customer Service telephone numbers below. The case number, contract number and/or accident date you've entered does not match our records. With Blue Cross and Blue Shield of Alabama, all of our dental plans include regular dental exams, x-ray and routine cleaning - at no extra cost. Handbook, Incorporation What is the fax number for BCBS of Alabama claims? url: "/ChatAvailabilityService/getAvailability?queueName=CID" checkChatAvailability('onload'); Mail original claims to the appropriate address as noted below. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Blue Cross Community Health Plans, c/o Provider Services, P.O. Quality Care That's Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. CLAIM.MD | Payer Information | AL BCBS Payer Information AL BCBS Payer ID: 00510 This insurance is also known as: Blue Cross Blue Shield of Alabama Other ID's: SB510, 12B54 Need to submit transactions to this insurance carrier? if(window.location.host==='qaibcbsal.bcbsal.org') window.open('https://cicqaaux.corp.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); English Espaol. 450 Riverchase Parkway East Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. 'allPortletsReady', { An EOB is a statement that describes what medical treatments and/or services we paid on your behalf, what our payment was and your financial responsibility under the terms of the plan. Liferay.on( In most cases, you can prevent a retroactive denial by paying your premiums on time and/or by promptly notifying the plan or, if applicable, the marketplace of changes in your eligibility status for the plan. A powerhouse editor is already at your fingertips supplying you with a range of useful instruments for filling out a Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal. In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. Three forms are also available to aid providers in preparing an appeal request. What is the timely filing limit for BCBS of Alabama corrected claims? Medical necessity and prior authorization timeframes and enrollee responsibilities. In these cases, you are responsible for payment to the provider. Please note that precertification relates only to the medical necessity of care; it does not mean that your care will be covered under the plan. **Dental Blue Plus is a Health Insurance Marketplace plan. Us, Delete An application, from the Enrollment section, is needed for any provider in the following situations: Highest customer reviews on one of the most highly-trusted product review platforms. This function gets loaded when everything, including the portlets, is on Attorney, Terms of Call 1-855-488-2515. if (jsonStr.Availability === 'YES') { Learn more >, New Directions complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Or mail a paper copy, along with proof that you paid a Medicare Part B premium, to: Complete the form following the instructions on the back. Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. Submit a separate claim for each patient. Your member ID card is your key to using your medical plan benefits. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN Theft, Personal the page. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. Claim forms must be submitted to: $('#chat-available').hide(); You can reach us at the following number: If you are or believe you may be experiencing a medical emergency,please dial 911 for emergency services.If you or a family member needs immediate assistance, please contact one of our representatives at 800-528-5763. Applicable FARS/DFARS apply. Choose a state to see how Blue Cross Blue Shield is working in your community. By continuing to use this website, you consent to these cookies. Get Started A Qualified Health Plan is an insurance plan that has been certified by the Health Insurance Marketplace and provides essential health benefits, follows established limits on cost sharing and meets other requirements under the Affordable Care Act. Health . When you receive services from an in-network provider, your provider will generally file claims for you. Node:bclrprvappp1001.corp.bcbsal.org:8080 Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. Double-check every area has been filled in correctly. Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. CDT codes, descriptions and data copyright 2022 American Dental Association. We reference sites that we think might be useful or of interest to you, but we are not responsible for the content or privacy practices used by other site owners. If we deny your request, you may request an internal appeal and an external review by an impartial third party reviewer, known as an Independent Review Organization (IRO). Download your FREE dental guide to learn more about Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. An employee or dependent who loses coverage under Medicaid or a State Children's. Print and complete the form according to instructions on the front. If you receive services from an out-of-network provider, these services may not be covered at all under the plan. Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. Planning, Wills **Dental Blue Plus is a Health Insurance Marketplace plan. Follow the simple instructions below: The days of distressing complex legal and tax forms have ended. To continue to the HealthEquity website, click "Accept." Thank you for your interest in our Short Term Plan. Home - provider.bcbsal.org Patient & Claim Payment & Refund Visit our COVID-19 Provider Update Center for the latest information about testing, treatment and telehealth coverage. //show the chat available image If your provider does not file your claim for you, you can call our Customer Service Department at the number on the back of your ID card and ask for a claim form. Enjoy smart fillable fields and interactivity. Guarantees that a business meets BBB accreditation standards in the US and Canada. $23 /month. These guidelines, in addition to the editor will assist you through the entire procedure. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. In some cases, your provider will initiate the precertification process for you. If you want to stay on Blue Cross' website, click "Cancel.". Include the date to the document using the. Complete the form following the instructions on the back. Node:bclrprvappp1002.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members, Anesthesia Sedation for Dental or Oral Surgery Procedures, Notification of Noncovered Dental Services, Predetermination of Benefits for Veneers and Anterior Crowns. Someone will get back to you within two business days. Provider Enrollment Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. As a CHA representative, I agree to the payment terms and conditions of Blue Cross and Blue Shield of Alabama and will not collect any checking account, debit card or credit card information on behalf of the consumer for the purchase of health or dental insurance. Fax (provider credentialing applications and related documents): 205-220-9545. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. function checkChatAvailability(userAction) { Choose between our 3 dental plans today! Include itemized bills for covered services or supplies. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Be sure the data you add to the Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal is up-to-date and accurate. Generally, if precertification is required and not obtained, no benefits will be payable under the plan. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. } dental, vision, hearing and fitness benefits at no added cost . Tell us the type of service or supply for which you wish to file a claim (for example, hospital, physician, dentist or pharmacy), and we will send you the proper type of form. Using an electronic vendor approved with Blue Cross and Blue Shield of Alabama, submit an electronic claim using a valid Tax ID, Individual NPI and Organizational NPI. Blue Cross and Blue Shield of Alabama (SLC mailing address ) 61473: USA Blue Cross Blue Shield of North Carolina (Winston Salem mailing addr 61473 . Call the IVR: 205-220-6765. Some areas of our site may provide links to other external sites that we don't own, control or influence. Business. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. In that case, you will be responsible for all charges billed to you by the out-of-network provider. Dental Expense Claim Author: Blue Cross and Blue Shield of Alabama Subject: Dental Expense Claim Keywords: Dental Expense Claim,dental expense,dental,expense,claim Created Date: Forms, Real Estate Precertification also does not mean that we have been paid all monies necessary for coverage to be in force on the date that services or supplies are rendered. Dental Blue Benefit Summary Plan Benefit In-Network Benefits Dental Blue 2500A Dental Blue 2000A Dental Blue 1500A Dental Blue 1500B Dental Blue 1000A Dental Blue 1000B MAJOR SERVICES (CONTINUED) Major Services - Prosthetic Services to deductibleInlays, onlays, veneers or crowns Fixed or removable bridges Full or . Start now! Please make sure you select the appropriate form to address your specific need. Phone Numbers. The Blue Cross representative will assist you in developing a Plan of Care - a guide in determining the type and frequency of care services you need. If you have questions, please contact your local Blue Cross and Blue Shield company. Experience a faster way to fill out and sign forms on the web. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). There is a grace period of three months for all monthly premium payments after the initial premium payment. Technology, Power of Additional details about this and other exception review details can be found in the Claims and Appeals section of your benefit booklet. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. Find your plan. } else { else Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . If you fail to pay in full all periodic monthly payments due and payable before the end of the grace period for those coverage periods, your coverage under the plan will be retroactively canceled back to the last day of the first month of the grace period. Submit a separate claim for each member. Already a Blue Cross member and have questions about your current plan? #1 Internet-trusted security seal. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. All rights reserved. *Subject to your Calendar Year Deductible. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico 107 M members covered $ 382 M+ invested in community health initiatives 572 K+ Employee volunteer hours Note: If you are a Blue Cross and Blue Shield of Alabama customer and need to reach us by phone, please use the telephone number (s) on the back of your ID card. The protection of your privacy will be governed by the privacy policy of that site. Blue Cross Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . LLC, Internet A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. Box 303017 Montgomery, AL 36130-3017. Applicable FARS/DFARS apply. You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. With Blue Cross and Blue Shield of Alabama, all of our dental plans include regular dental exams, x-ray and routine cleaning - at no extra cost. Call 1-855-488-2515. }).then(function(data) { Coordination of Benefits (COB) is a provision designed to help manage the cost of healthcare by avoiding duplication of benefits when a person is covered by two or more benefit plans. Blue Plus **. Using this login enables you to manage the account for your organizations participating members. Blue Cross Blue Shield of Alabama. }. myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 TTY 711 . English, Download the overseas retail prescription drugclaim form: Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. If you want to stay on Blue Cross' website, click "Cancel.". You can use 3 available choices; typing, drawing, or uploading one. You should be sure to check with your provider to confirm whether precertification has been obtained. Provider Phone Numbers PEEHIP P.O. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. With US Legal Forms the entire process of completing official documents is anxiety-free. If you pay a monthly payment later than the first day of the coverage period to which it applies, but before the end of the grace period for the coverage period, any claim you submit for benefits will be placed in a pending status (suspended) on the first day of the second month of the grace period and then processed by the plan only when all periodic monthly payments due during the grace period are received. The first column represents the states of the US and the second column is the insurance name and the Third column represents the Phone number. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. All rights reserved. This login is for your Employer Account. It also tells you how much has been credited toward any required deductible and out-of-pocket maximums. USLegal fulfills industry-leading security and compliance standards. . Payer Name: Blue Cross Blue Shield of Alabama Payer ID: 510 Enrollment Required (ENR): Yes Type / Model: Commercial/Par State: AL Professional (CMS1500)/Institutional (UB04) [Hospitals] Real Time Eligibility (RTE): NO Real Time Claim Status (RTS): NO Electronic Remittance Advice (835) [ERA]: YES Secondary Electronic Claims (SEC): YES When we receive an electronic claim, you will automatically be set up as an out-of-state provider in our systemand can register to use our provider website,ProviderAccess: Once you have registered for ProviderAccess, you can also use on our online claim entry application,eClaims, to submit claims to us: Resources for Out-of-State Dental Providers: CPT codes, descriptions and data copyright 2022 American Medical Association. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Member Services For general inquiries, you can reach us by calling the number below. ProviderAccess Provider News View the latest provider news. Choose between our 3 dental plans today! CPT codes, descriptions and data copyright 2022 American Medical Association. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. If you have questions, please contact your local Blue Cross and Blue Shield company. To continue to this website, click "Accept." Not a provider, but want to search our network?Search for Providers. Include proof that you paid a Medicare Part B premium. Family. Print and mail the form to the Blue Cross and Blue Shield company in the state that the services were rendered by December 31 of the year following the year you received service. The following documentation provides guidance regarding the process for appeals. Spanish, Localized Node:bclrprvappp1002.corp.bcbsal.org:8080 . 2023 New Directions Behavioral Health. Our representatives can answer your questions and help you navigate these choices. If your drug is not covered and you think it should be, you may ask us to make an exception to the drug coverage rules by calling the Customer Service Department number on the back of your ID card. Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service To determine your premium, call us 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Find your smile. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Blue Cross and Blue Shield of Alabama. We make it easy to manage your healthcare finances, claims and health information. We use cookies on this website to give you the best experience and measure website usage. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". Your Lifetime Waiting Period begins after you have been deemed Chronically Ill (or to have a significant Cognitive Impairment) and you have incurred one Qualified Long-Term Care expense. As an Alabama Health Guidance representative, I agree to the payment terms and conditions of Blue Cross and Blue Shield of Alabama and will not collect any checking account, debit card or credit card information on behalf of the consumer for the purchase of health or dental insurance.

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