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". To continue to the HealthEquity website, click "Accept." Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. 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. Theft, Personal & Estates, Corporate - *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. Blue Cross Blue Shield of Alabama. What is the fax number for BCBS of Alabama claims? Find your smile. In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. Payer Name: Blue Cross Blue Shield of Alabama - thePracticeBridge You should be sure to check with your provider to confirm whether precertification has been obtained. View the latest providernews. . You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. 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. else Get access to thousands of forms. If you want to stay on the Blue Cross website, click "Cancel.". Claim Submission | Blue Cross and Blue Shield of Illinois - BCBSIL Providers - ndbh.com 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. If you have questions, please contact your local Blue Cross and Blue Shield company. Contact Us | Blue Cross and Blue Shield of Alabama - bcbsal.org Already a Blue Cross member and have questions about your current plan? Claim forms must be submitted to: FSAFEDS (Reimbursement Options) Form Visit Page. Complete the form following the instructions on the back. If you want to stay on the Blue Cross website, click "Cancel.". Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. Three forms are also available to aid providers in preparing an appeal request. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. The case number, contract number and/or accident date you've entered does not match our records. Get Started 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. url: "/ChatAvailabilityService/getAvailability?queueName=CID" PDF State Mail to Mailing Address City, State Zip - Pnnl PDF Provider Phone Numbers Rev 3/2007 Include proof that you paid a Medicare Part B premium. Blue Cross and Blue Shield of Alabama. . If the out-of-network services are covered, in most cases, you will have to pay significantly more than what you would pay an in-network provider because of lower benefit levels and higher cost sharing. Please attach any additional information and/or medical records at the time of filing the appeal for consideration. Member Services For general inquiries, you can reach us by calling the number below. Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. Resources - provider.bcbsal.org extra cost. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. if (jsonStr.Availability === 'YES') { Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal Provider. 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 This link takes you to another website. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. Technology, Power of I am a Broker or Blue Plan partner that wants to visit the Partner Portal. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. Submit a separate claim for each member. Emergency services are not covered out-of-network under our dental plans. Ensures that a website is free of malware attacks. Select the Sign button and create a digital signature. Include the date to the document using the. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. } 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. To continue to the HealthEquity website, click "Accept." function() { In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. window.open('https://cicqaaux.corp.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Information on Explanations of Benefits (EOBs). Include the date to the document using the Date function. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Follow the simple instructions below: The days of distressing complex legal and tax forms have ended. There is a grace period of three months for all monthly premium payments after the initial premium payment. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. if(window.location.host==='qaibcbsal.bcbsal.org') Brush up on important dental plan details Download your FREE dental guide to learn more about the range of plans available to you. Need to submit a claim? Liferay.on( 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: 3. You can use 3 available choices; typing, drawing, or uploading one. Name and Address of Carrier . Blue Cross Blue Shield FEP Dental - Contact Us */ CDT codes, descriptions and data copyright 2022 American Dental Association. Outside the United States. Us, Delete Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. 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). All rights reserved. Call 1-855-488-2515. If you want to stay on Blue Cross' website, click "Cancel.". 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. login - provider.bcbsal.org 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. } else { You can view your personal EOBs through your MyBlue account. 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? /* CPT codes, descriptions and data copyright 2022 American Medical Association. If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Member Services | Blue Cross Blue Shield HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. } 13. 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. Start now! CDT codes, descriptions and data copyright 2022 American Dental Association. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. Blue Cross Blue Shield myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 TTY 711 . 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. If you have questions, please contact your local Blue Cross and Blue Shield company. Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. checkChatAvailability('onload'); $('#chat-available').hide(); Get your online template and fill it in using progressive features. Heres everything you need to know about it. $129 /month. Choose a state to see how Blue Cross Blue Shield is working in your community. Resources - provider.bcbsal.org 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. 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. 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. We use cookies on this website to give you the best experience and measure website usage. (You can fill the form in electronically or complete it by hand.). 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? Three forms are also available to aid providers in preparing an appeal request. Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. at 1-855-488-2515 or click the "Get Started" link to compare your plans today. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Blue Cross Blue Shield FEP Dental - Forms }).then(function(data) { 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Register Now. P.O. If you want to stay on Blue Cross' website, click "Cancel.". Attach pharmacy receipts for covered prescriptions. PDF Dental Payers - Availity Don't have a User ID? All rights reserved. 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. 2023 New Directions Behavioral Health. 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. Handbook, Incorporation 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. **Dental Blue Plus is a Health Insurance Marketplace plan. 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. $('#chat-available').show(); Medical necessity and prior authorization timeframes and enrollee responsibilities. Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. 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. A healthy smile is an important part of your family's overall health. } Resources - provider.bcbsal.org 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. 450 Riverchase Jun 4, 2012 Payers Transitioned to 5010 As of 6/4/2012 Below is a list of the Use professional pre-built templates to fill in and sign documents online faster. Access a wealth of healthcare resources and tools with MyBlue. We must follow the IROs decision. $23 /month. To continue to this website, click "Accept." 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. Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan. Claims Payment Policy & Other Information - bcbsal.org What is the fax number for BCBS of Alabama Dental Claims? Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. BCBS FEP Dental Claim Form View PDF. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Spanish, Localized 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. Box 303017 Montgomery, AL 36130-3017. In the left-hand column, locate the state where services were rendered. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. 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 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 . Find your plan. A retroactive denial is the reversal of a previously paid claim. Patient. Dental Blue Guarantees that a business meets BBB accreditation standards in the US and Canada. Some information on our site is secure; log in to ensure you're seeing all the news. I have reviewed the following treatment plan. Provider Enrollment *Subject to your Calendar Year Deductible. USLegal fulfills industry-leading security and compliance standards. If your ID card is not available, you may use one of the Customer Service telephone numbers below. Claim submission is supported for primary, secondary and tertiarypayment. BCBS State by State | Blue Cross Blue Shield }. 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. * Sign up today and get a plan that's accepted by over 1,700 Box 3686, Scranton . Blue Cross and Blue Shield of Alabama In that case, you will be responsible for all charges billed to you by the out-of-network provider. Forms, Real Estate 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. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. English, Download the overseas retail prescription drugclaim form: By continuing to use this website, you consent to these cookies. 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 Patient Consent Form for Provider Submitted Appeals View PDF. Choose between our 3 dental insurance plans today - bcbsal.org How to file a dental claim with Blue Cross Blue Shield Alabama? Provider Phone Numbers PEEHIP P.O. 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. method: "GET", the range of plans available toyou. Blue Plus **. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. For Indemnity policies - you will be paid your applicable Daily Benefit Amount. 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. Blue Cross and Blue Shield of Alabama Preferred Long-Term Care Customer Service: 1-888-331-4188 or 1-205-733-7019, Blue Cross and Blue Shield of Alabama Preferred Long-Term Care Customer Accounts: 1-205-220-4503, LifePlans Claims Services:* 1-800-525-7279 extension 273, LifePlans Provider Pathway:* 1-800-886-7404 or. You can file your expenses for reimbursement as frequently as you want. Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. Highest customer reviews on one of the most highly-trusted product review platforms. Additional details about this and other exception review details can be found in the Claims and Appeals section of your benefit booklet. All rights reserved. What is the dental number for Blue Cross Blue Shield of Alabama? 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. Your member ID card is your key to using your medical plan benefits. Submit a separate claim for each patient. ProviderAccess Provider News View the latest provider news. Thank you for your interest in our Short Term Plan. Fax (provider credentialing applications and related documents): 205-220-9545. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". Lexington, KY 40512. CLAIM.MD | Payer Information | AL BCBS Patient & Claim. }); Dental. contact your local Blue Cross and Blue Shield company. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. //show the chat un-available image Instructions: 1. 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. Our representatives can answer your questions and help you navigate these choices. Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. Out-of-network liability and balance billing. All rights reserved. How to File a Claim - Blue Cross and Blue Shield of Alabama Providing us with your name and email address allows us to contactyou. A primary plan is one whose benefits for a person's healthcare coverage must be determined first without taking the existence of any other plan into consideration. CPT codes, descriptions and data copyright 2022 American Medical Association. Thank you for your interest in our Short Term Plan. This function gets loaded when everything, including the portlets, is on Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. 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. $42 /month. Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. Questions? 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. This link takes you to another website. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. My Account, Forms in Not a provider, but want to search our network?Search for Providers. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. When you receive services from an in-network provider, your provider will generally file claims for you. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. Access the most extensive library of templates available. Double-check every area has been filled in correctly. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Choose between our 3 dental plans today! It is your responsibility to ensure that you or your provider obtains precertification. What is the timely filing limit for BCBS of Alabama corrected claims? 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.
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