2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. CPT codes, descriptions and data copyright 2022 American Medical Association. contact your local Blue Cross and Blue Shield company. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. ); Call 1-855-488-2515. Check out the changes and updates to our plan in 2023. Heres everything you need to know about it. Providers - ndbh.com 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. If your ID card is not available, you may use one of the Customer Service telephone numbers below. All rights reserved. Print and mail the form to your local Blue Cross and Blue Shield company by December 31 of the year following the year you received service. Node:bclrprvappp1001.corp.bcbsal.org:8080 myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 TTY 711 . 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Find your plan. 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. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. ProviderAccess Professional Claims Submission Help - bcbsal.org I am a Broker or Blue Plan partner that wants to visit the Partner Portal. CDT codes, descriptions and data copyright 2022 American Dental Association. Some information on our site is secure; log in to ensure you're seeing all the news. Health . 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. Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service Lastly mail the completed claim form to the address provided. It is your responsibility to ensure that you or your provider obtains precertification. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. Contact Us - bcbsal.org The plan will only pay for care that is medically necessary and not investigational, as determined by us. * Sign up today and get a plan that's accepted by over 1,700 If you want to stay on the Blue Cross website, click "Cancel.". The case number, contract number and/or accident date you've entered does not match our records. Family. In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. Resources - provider.bcbsal.org gives you access to exams, X-rays and routine cleaningsat no Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. Fax (provider credentialing applications and related documents): 205-220-9545. PDF Dental Expense Claim - bcbsal.org All rights reserved. CPT codes, descriptions and data copyright 2022 American Medical Association. } Here are the forms/documents to add locations and make changes to information and other requests. 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. } 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. Authorization to Release Information Form View PDF. Technology, Power of You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Complete the form following the instructions on the back. To determine your premium, call us Your member ID card is your key to using your medical plan benefits. Emergency services are not covered out-of-network under our dental plans. This login is for your Employer Account. 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. A healthy smile is an important part of your family's overall health. P.O. How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee I want to purchase services for my organization. Thank you for your interest in our Short Term Plan. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. 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. *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. We must follow the IROs decision. All rights reserved. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. What is the timely filing limit for BCBS of Alabama corrected claims? You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. Include itemized bills for covered services or supplies. Submit a separate claim for each patient. Download your FREE dental guide to learn more about You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. Business. method: "GET", */ For more information, view our privacy policy. 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. Blue Cross Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . 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. 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. 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. Include the date to the document using the Date function. 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. What is the fax number for BCBS of Alabama Dental Claims? You may also visit them online at BCBSAL. 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. 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. ALL Kids. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. function checkChatAvailability(userAction) { USLegal fulfills industry-leading security and compliance standards. If you have questions, please contact your local Blue Cross and Blue Shield company. Claim submission is supported for primary, secondary and tertiarypayment. A retroactive denial is the reversal of a previously paid claim. Questions? Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. & Estates, Corporate - 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. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. (You can fill the form in electronically or complete it by hand.). Us, Delete By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". The following documentation provides guidance regarding the process for appeals. 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. var jsonStr = jQuery.parseJSON(data); } An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. Call the IVR: 205-220-6765. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. CPT codes, descriptions and data copyright 2022 American Medical Association. if (userAction === 'onclick') { Phone Numbers. If you believe you believe you have overpaid your premium due to our overbilling, please contact us by calling the Customer Service Department number on the back of your ID card. To continue to the HealthEquity website, click "Accept." An EOB is not a bill. Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan. 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. In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. Rev 3/2007 Blue Cross Community Health Plans, c/o Provider Services, P.O. Spanish, Localized Include the date to the document using the. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. 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. $23 /month. //show the chat available image You can view your personal EOBs through your MyBlue account. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. English Espaol. 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. 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. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". Each time Blue Cross processes a claim submitted by you or your healthcare provider, we send you an Explanation of Benefits (EOB). Blue Cross and Blue Shield of Alabama. 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. CLAIM.MD | Payer Information | AL BCBS 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. url: "/ChatAvailabilityService/getAvailability?queueName=CID" Choose between our 3 dental plans today! Thank you for your interest in our Short Term Plan. Claim Submission | Blue Cross and Blue Shield of Illinois - BCBSIL 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). Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN FSAFEDS (Reimbursement Options) Form Visit Page. 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. { 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. }).then(function(data) { To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. }); An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. 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. 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. When you receive services from an in-network provider, your provider will generally file claims for you. Blue Cross Blue Shield } Box 14053 Information contained in the external sites is not endorsed by BCBSAL. 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. Choose a state to see how Blue Cross Blue Shield is working in your community. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". 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. **Dental Blue Plus is a Health Insurance Marketplace plan. 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. if (jsonStr.Availability === 'YES') { 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. 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. Thank you for your interest in our Short Term Plan. Liferay.on( 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 will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Claims Administrator 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. This function gets loaded when everything, including the portlets, is on the page. Some areas of our site may provide links to other external sites that we don't own, control or influence. Contact Us | Blue Cross and Blue Shield of Alabama - bcbsal.org Contact Us | Credence Blue Cross and Blue Shield Health Insurance Adults age 19+. USLegal received the following as compared to 9 other form sites. CDT codes, descriptions and data copyright 2022 American Dental Association. Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. The route you should take depends on your individual healthcare needs and financial situation. Three forms are also available to aid providers in preparing an appeal request. Blue Cross Blue Shield of Alabama. 3. Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! Node:bclrprvappp1002.corp.bcbsal.org:8080 . Start now! Claim forms must be submitted to: Find out More Our representatives can answer your questions and help you navigate these choices. Access the most extensive library of templates available. 13. You should be sure to check with your provider to confirm whether precertification has been obtained. Submit a separate claim for each patient. login - provider.bcbsal.org Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. 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. Mail original claims to the appropriate address as noted below. Submit a separate claim for each member. 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. 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. This link takes you to another website. Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. 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 You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. There is a grace period of three months for all monthly premium payments after the initial premium payment. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. All rights reserved. { 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: If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. What is the dental number for Blue Cross Blue Shield of Alabama? EDI enrollment is NOT required for submission of electronic claims. *Subject to your Calendar Year Deductible. The protection of your privacy will be governed by the privacy policy of that site. Email the Sales Call Center (AdviseMe@bcbsal.org) anytime. This link takes you to another website. if(window.location.host==='qaibcbsal.bcbsal.org') What is the fax number for BCBS Alabama appeals? Experience a faster way to fill out and sign forms on the web. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. checkChatAvailability('onload'); 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". $42 /month. All rights reserved. It's easy to protect your smile to the fullest with dental coverage that Highest customer reviews on one of the most highly-trusted product review platforms. All Rights Reserved. Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Register Now. window.open('https://cicqaaux.corp.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Using this login enables you to manage the account for your organizations participating members. Service, Contact Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 2. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Provider. Dental Blue Are you a provider?Click to be directed to our Providers area. 2023 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue ShieldAssociation. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Find your smile. Medical necessity and prior authorization timeframes and enrollee responsibilities. the range of plans available toyou. 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. $.ajax({ Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. } I authorize release of any information relating to this claim. Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. Forms, Real Estate 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. COB provisions determine which plan is primary and which is secondary. Blue Plus **. Blue Cross and Blue Shield of Alabama 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. To continue to the HealthEquity website, click "Accept." window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. Blue Cross Blue Shield FEP Dental - Forms Blue Cross and Blue Shield of Alabama Provider Directory > Claims Issues > or call 877-231-7239 or 205-220-6899 for eSolutions New Directions AL_ProviderRelations@ndbh.com or call 888-611-6285 < Back We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. Member Services | Blue Cross Blue Shield We use cookies on this website to give you the best experience and measure website usage. Already a Blue Cross member and have questions about your current plan? 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. Outside the United States. 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. . (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Please review the terms of use and privacy policies of the new site you will be visiting. Expenses will be applied against your Plan of Care and reimbursed accordingly. at 1-855-488-2515 or click the "Get Started" link to compare your plans today. 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. Member Services For general inquiries, you can reach us by calling the number below. Contact Us | Blue Cross Blue Shield Claims Payment Policy & Other Information - bcbsal.org The following documentation provides guidance regarding the process for appeals. Box 303017 Montgomery, AL 36130-3017. An employee or dependent who loses coverage under Medicaid or a State Children's. Address: CHIP P.O. Applicable FARS/DFARS apply. #1 Internet-trusted security seal. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Claim - provider.bcbsal.org Not a provider, but want to search our network?Search for Providers. else By continuing to use this website, you consent to these cookies. 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? Some information on our siteis secure; log in to ensure youre seeingall the news. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. Please review your information to continue. Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. Questions? Please attach any additional information and/or medical records at the time of filing the appeal for consideration. Need to submit a claim? 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?
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