on October 21, 2023
Submit a separate claim for each member. All Rights Reserved. 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. LLC, Internet 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. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. When we receive an electronic claim, you will automatically be set up as an out-of-state provider in our system and can register to use our provider website, ProviderAccess: Once . If you want to stay on the Blue Cross website, click "Cancel.". Find your plan. *Subject to your Calendar Year Deductible. To continue to the HealthEquity website, click "Accept." Information on Explanations of Benefits (EOBs). 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. extra cost. 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. Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. dental, vision, hearing and fitness benefits at no added cost . $42 /month. Dental Blue 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. Thank you for your interest in our Short Term Plan. Your local company can help you to: Change your coverage Estimate the cost of a medical procedure File or check on claim Replace your member ID card Review your balance View your plan details Looking for Insurance? Ensures that a website is free of malware attacks. A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. Questions? Experience a faster way to fill out and sign forms on the web. Double-check every area has been filled in correctly. 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 The following documentation provides guidance regarding the process for appeals. Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. Already a Blue Cross member and have questions about your current plan? Call 1-855-488-2515. The plan will only pay for care that is medically necessary and not investigational, as determined by us. 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. Print and complete the form according to instructions on the front. Address: CHIP P.O. An EOB is not a bill. $23 /month. The route you should take depends on your individual healthcare needs and financial situation. These guidelines, in addition to the editor will assist you through the entire procedure. } else { Box 303017 Montgomery, AL 36130-3017. Planning, Wills COB provisions determine which plan is primary and which is secondary. Applicable FARS/DFARS apply. Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. Resources - provider.bcbsal.org View the latest providernews. Include proof that you paid a Medicare Part B premium. The following documentation provides guidance regarding the process for appeals. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Select the Sign button and create a digital signature. 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. I authorize release of any information relating to this claim. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. Regular Dental Program P O Box 830389 Birmingham, AL 35283-0389 Dental Expense Claim An Independent Licensee of the Blue Cross and Blue Shield Association TO BE COMPLETED BY SUBSCRIBER 1. For general inquiries, please call Blue Cross Blue Shield FEP Dental Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday (TTY 711) You can also submit an online inquiry regarding claims; ID cards; website assistance; grievance or appeal; or fraud, waste, and abuse. A healthy smile is an important part of your family's overall health. //show the chat un-available image I am a Broker or Blue Plan partner that wants to visit the Partner Portal. Here are the forms/documents to add locations and make changes to information and other requests. It's easy to protect your smile to the fullest with dental coverage that Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. **Dental Blue Plus is a Health Insurance Marketplace plan. Provider Phone Numbers PEEHIP P.O. services, For Small window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); 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. 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. English, Download the overseas retail prescription drugclaim form: Using this login enables you to manage the account for your organizations participating members. 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: You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. What is the timely filing limit for BCBS of Alabama corrected claims? Blue Plus **. url: "/ChatAvailabilityService/getAvailability?queueName=CID" Call 1-855-488-2515. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. What is the fax number for BCBS of Alabama Dental Claims? If your ID card is not available, you may use one of the Customer Service telephone numbers below. Choose a state to see how Blue Cross Blue Shield is working in your community. Blue Cross Blue Shield FEP Dental - Contact Us 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. Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. 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. Blue Cross Community Health Plans, c/o Provider Services, P.O. In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal. 2. Medical necessity and prior authorization timeframes and enrollee responsibilities. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Call 1-855-890-7416, 8 a.m. - 8 p.m. Central Time, Monday through Friday. myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 TTY 711 . the range of plans available toyou. Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service Claim - provider.bcbsal.org CDT codes, descriptions and data copyright 2022 American Dental Association. The case number, contract number and/or accident date you've entered does not match our records. (You can fill the form in electronically or complete it by hand.). You can view your personal EOBs through your MyBlue account. 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 Contact Us | Alabama Department of Public Health (ADPH) To continue to the HealthEquity website, click "Accept." Blue Cross Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . 13. Patient Consent Form for Provider Submitted Appeals View PDF. How to file a dental claim with Blue Cross Blue Shield Alabama? Three forms are also available to aid providers in preparing an appeal request. All rights reserved. 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. CDT codes, descriptions and data copyright 2022 American Dental Association. /* We use cookies on this website to give you the best experience and measure website usage. Mail original claims to the appropriate address as noted below. In these cases, you are responsible for payment to the provider. Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. 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 . 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. In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. $('#chat-available').hide(); if (jsonStr.Availability === 'YES') { 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. Applicable FARS/DFARS apply. P.O. Please review the terms of use and privacy policies of the new site you will be visiting. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. } Email the Sales Call Center (AdviseMe@bcbsal.org) anytime. Claim Statements Reimbursements Contract and Dependent Information Other Insurance Coverage Deductible & Out of Pocket Costs View Benefits and Coverage Resources Review and Pay my Bill ID Cards Forms and Materials Covered Immunizations Health Insurance Basics Policies and Guidelines Preventive Services Caregiver Resources
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