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. CDT codes, descriptions and data copyright 2022 American Dental Association. Download your FREE dental guide to learn more about Blue Cross Blue Shield of Alabama. The following documentation provides guidance regarding the process for appeals. You can also find our claim forms on our website at: Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. I have reviewed the following treatment plan. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. Blue Plus **. }).then(function(data) { With US Legal Forms the entire process of completing official documents is anxiety-free. 13. You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. The route you should take depends on your individual healthcare needs and financial situation. To continue to this website, click "Accept." { . What is the fax number for BCBS of Alabama claims? Fax (provider credentialing applications and related documents): 205-220-9545. Applicable FARS/DFARS apply. Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service Spanish, Localized Include itemized bills for covered services or supplies. Some areas of our site may provide links to other external sites that we don't own, control or influence. ALL Kids. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. Provider Enrollment Include the date to the document using the. Member Services For general inquiries, you can reach us by calling the number below. Business. var jsonStr = jQuery.parseJSON(data); I want to purchase services for my organization. at 1-855-488-2515 or click the "Get Started" link to compare your plans today. Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. 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. An EOB is not a bill. Print and complete the form according to instructions on the front. Patient. 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. Forms, Real Estate $.ajax({ extra cost. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. function checkChatAvailability(userAction) { For questions about claims payments, health, and dental benefits, or to order insurance cards, please call Blue Cross and Blue Shield of Alabama at 1-800-760-6851. Planning, Wills Patient & Claim. $('#chat-available').show(); Claim forms must be submitted to: Call 1-855-488-2515. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. What is the timely filing limit for BCBS of Alabama corrected claims? If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. & Estates, Corporate - To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. Generally, if precertification is required and not obtained, no benefits will be payable under the plan. Applicable FARS/DFARS apply. Access a wealth of healthcare resources and tools with MyBlue. LLC, Internet Start now! Here are the forms/documents to add locations and make changes to information and other requests. Please attach any additional information and/or medical records at the time of filing the appeal for consideration. . 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 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. 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. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. Thank you for your interest in our Short Term Plan. Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. If you have questions, please contact your local Blue Cross and Blue Shield company. 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. //show the chat available image P.O. the page. Are you a provider?Click to be directed to our Providers area. In these cases, you are responsible for payment to the provider. Find your smile. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Get Started Child up to age 19. $42 /month. 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? Family. Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. A retroactive denial is the reversal of a previously paid claim. The plan will only pay for care that is medically necessary and not investigational, as determined by us. Information on Explanations of Benefits (EOBs). Enjoy smart fillable fields and interactivity. To determine your premium, call us }. Using this login enables you to manage the account for your organizations participating members. It includes the date you received the service, the amount billed, the amount covered, the amount we paid and any balance you're responsible for paying the provider. if (jsonStr.Availability === 'YES') { Get your online template and fill it in using progressive features. Thank you for your interest in our Short Term Plan. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. This function gets loaded when everything, including the portlets, is on Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Access the most extensive library of templates available. Preservice and concurrent appeals should continue to be submitted to the member's Home 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. #1 Internet-trusted security seal. An application, from the Enrollment section, is needed for any provider in the following situations: CPT codes, descriptions and data copyright 2022 American Medical Association. When you receive services from an in-network provider, your provider will generally file claims for you. url: "/ChatAvailabilityService/getAvailability?queueName=CID" We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. From October 1 through February 14, we are available 7 days a week. EDI enrollment is NOT required for submission of electronic claims. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Claims Payment Policy & Other Information. Our representatives can answer your questions and help you navigate these choices. If services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. This link takes you to another website. } 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. Choose a state to see how Blue Cross Blue Shield is working in your community. Thank you for your interest in our Short Term Plan. $('#chat-available').hide(); If you receive out-of-network services for a medical emergency in the emergency room of a hospital, those services will be paid at the applicable in-network coinsurance amounts for benefits described in your benefit booklet, but subject to the out-of-network calendar year deductible.For emergency services for medical emergencies provided within the emergency room department of an out-of-network hospital, the allowed amount will be determined in accordance with the Affordable Care Act. myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 TTY 711 . 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. Blue Cross Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . BCBS FEP Dental Claim Form View PDF. method: "GET", Patient Consent Form for Provider Submitted Appeals View PDF. If you purchased an individual plan through the health insurance marketplace and you are receiving advance payments of tax credits and/or cost sharing reductions in accordance with the Affordable Care Act, each of your monthly periodic payments is due on the first day of the month for that coverage period. Box 14053 What is the fax number for BCBS of Alabama Dental Claims? 2. $129 /month. /* 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. To save time and incorrect billing process you can check the below table for the insurance numbers along with the respective states of the BCBS. Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity Highest customer reviews on one of the most highly-trusted product review platforms. All rights reserved. Name and Address of Carrier . 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. Dental. There is a grace period of three months for all monthly premium payments after the initial premium payment. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Theft, Personal Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. Box 3686, Scranton . Find your plan. 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. If your ID card is not available, you may use one of the Customer Service telephone numbers below. Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. The protection of your privacy will be governed by the privacy policy of that site. Technology, Power of If you want to stay on Blue Cross' website, click "Cancel.". An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. Please make sure you select the appropriate form to address your specific need. All Rights Reserved. Follow the simple instructions below: The days of distressing complex legal and tax forms have ended. 2023 New Directions Behavioral Health. We make it easy to manage your healthcare finances, claims and health information. Get access to thousands of forms. gives you access to exams, X-rays and routine cleaningsat no 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. Handbook, Incorporation To continue to the HealthEquity website, click "Accept." 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. 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". For claim status, eligibility, remittances and referrals, use one of the following methods: Access through your practice management software, Log in to our website, or Call the appropriate number listed below: In-State General Provider Inquiry Participating hospitals: 1-800-760-6852 Participating providers: 1-877-231-7239 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. Submit a separate claim for each patient. Find out More How to file a dental claim with Blue Cross Blue Shield Alabama? All rights reserved. Drug exceptions timeframes and enrollee responsibilities. What is the dental number for Blue Cross Blue Shield of Alabama? In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. Expenses will be applied against your Plan of Care and reimbursed accordingly. */ Authorization to Release Information Form View PDF. These guidelines, in addition to the editor will assist you through the entire procedure. For standard policies - all Qualified LTC expenses will be paid in full until you reach your Maximum Monthly Benefit (31 x your Daily Benefit Amount). if (userAction === 'onclick') { All rights reserved. Information contained in the external sites is not endorsed by BCBSAL. USLegal fulfills industry-leading security and compliance standards. Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. Claim submission is supported for primary, secondary and tertiarypayment. Provider Phone Numbers PEEHIP P.O. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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". I am a Broker or Blue Plan partner that wants to visit the Partner Portal. If you want to stay on the Blue Cross website, click "Cancel.". 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. else Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. CDT codes, descriptions and data copyright 2022 American Dental Association. *Subject to your Calendar Year Deductible. . Please review your information to continue. 'allPortletsReady', Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . Thank you for your interest in our Short Term Plan. It's easy to protect your smile to the fullest with dental coverage that Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. 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). In that case, you will be responsible for all charges billed to you by the out-of-network provider. 1.833.663.8713 Other ways to connect By mail Credence Blue Cross and Blue Shield 450 Riverchase Parkway East Birmingham, Alabama 35244 Physicians and providers Credence Blue Cross and Blue Shield 450 Riverchase Parkway East Birmingham, Alabama 35244 Double-check every area has been filled in correctly. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN Don't have a User ID? 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. 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. We must follow the IROs decision. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. I authorize release of any information relating to this claim. Not a provider, but want to search our network?Search for Providers. Us, Delete If you or your doctor believe there are exigent circumstances that require an expedited review, an expedited exception request can be submitted, and we will give a response within 24 hours. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. The following documentation provides guidance regarding the process for appeals. Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members, PRO-81 Professional Reimbursement Appeal Form, PRO-82 Utilization Management Appeal Form. Heres everything you need to know about it. Questions? Health . COB provisions determine which plan is primary and which is secondary. var fromUrl =window.location.host; You can file your expenses for reimbursement as frequently as you want. 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. ProviderAccess Provider News View the latest provider news. $23 /month. If you have questions, please contact your local Blue Cross and Blue Shield company. 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. } HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. 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. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. You can use 3 available choices; typing, drawing, or uploading one. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Mail original claims to the appropriate address as noted below. Choose between our 3 dental plans today! What is the fax number for BCBS Alabama appeals? FSAFEDS (Reimbursement Options) Form Visit Page. By continuing to use this website, you consent to these cookies. Some areas of our site may provide links to other external sites that we don't own, control or influence. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. 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. **Dental Blue Plus is a Health Insurance Marketplace plan. Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. Attorney, Terms of Submit a separate claim for each patient. This link takes you to another website. Are you reporting a new case? Instructions: 1. Already a Blue Cross member and have questions about your current plan? Phone Numbers. Claim forms must be submitted to: Blue Cross and Blue Shield of Alabama 450 Riverchase Parkway East Birmingham, Alabama 35244-2858 Grace periods and claims pending policies during the grace period English Espaol. Register Now. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. To ask for a formal decision about the coverage if you disagree, print and complete the appropriate form below and fax it to 1-800-693-6703 or mail to Prime Therapeutics LLC, Attention: Part D Appeals Department, 1305 Corporate Center Dr. How to File a Claim Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. A secondary plan is one which takes into consideration the benefits of the primary plan before determining benefits available under its plan. Blue Cross and Blue Shield of Alabama. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. 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. Submit a separate claim for each patient. 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. Using an electronic vendor approvedwith Blue Cross and Blue Shield of Alabama, submit an electronic claim using a valid Tax ID, Individual NPI and Organizational NPI.