Claim submission is supported for primary, secondary and tertiarypayment. window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Choose between our 3 dental plans today! Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity Questions? function checkChatAvailability(userAction) { To determine your premium, call us Find your plan. Drug exceptions timeframes and enrollee responsibilities. An EOB is not a bill. 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Dental. You can file your expenses for reimbursement as frequently as you want. By continuing to use this website, you consent to these cookies. We must follow the IROs decision. if (userAction === 'onclick') { Information contained in the external sites is not endorsed by BCBSAL. What is the dental number for Blue Cross Blue Shield of Alabama? Submit a separate claim for each member. Service, Contact CDT codes, descriptions and data copyright 2022 American Dental Association. A retroactive denial is the reversal of a previously paid claim. 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. If you want to stay on the Blue Cross website, click "Cancel.". Ensures that a website is free of malware attacks. To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. This link takes you to another website. Theft, Personal 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. }. Download the overseas medical claim form: Don't have a User ID? Using this login enables you to manage the account for your organizations participating members. Planning, Wills Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. All rights reserved. Family. Are you reporting a new case? Adults age 19+. Spanish, Localized 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. } Patient & Claim. the page. services, For Small The route you should take depends on your individual healthcare needs and financial situation. 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. Access a wealth of healthcare resources and tools with MyBlue. Find out More if(window.location.host==='qaibcbsal.bcbsal.org') Follow the simple instructions below: The days of distressing complex legal and tax forms have ended. * Sign up today and get a plan that's accepted by over 1,700 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. Phone Numbers. 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 Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. Attach pharmacy receipts for covered prescriptions. Lexington, KY 40512. (You can fill the form in electronically or complete it by hand.). Get access to thousands of forms. 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. } Claim forms must be submitted to: 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. Get your online template and fill it in using progressive features. } contact your local Blue Cross and Blue Shield company. Include itemized bills for covered services or supplies. 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. Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. method: "GET", Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. Experience a faster way to fill out and sign forms on the web. 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. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. 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: 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 secondary plan is one which takes into consideration the benefits of the primary plan before determining benefits available under its plan. 3. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. 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. For more information about the appeals process, see the following: Providers are required to file all post-service appeals to their local Blue Cross Plan regardless of the member's Home Plan. Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. The protection of your privacy will be governed by the privacy policy of that site. Call 1-855-488-2515. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. Box 14053 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. Register Now. Call 1-855-488-2515. Questions? Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. All rights reserved. Out-of-network liability and balance billing. }).then(function(data) { Find your smile. **Dental Blue Plus is a Health Insurance Marketplace plan. 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. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". In the left-hand column, locate the state where services were rendered. Include proof that you paid a Medicare Part B premium. 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. Include the date to the document using the. Thank you for your interest in our Short Term Plan. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. } If you want to stay on Blue Cross' website, click "Cancel.". Business. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. 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. 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. $42 /month. 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. 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 Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. //show the chat un-available image Blue Cross Blue Shield of Oregon -Regence FEP Claims TLW13 USA Blue Cross Blue Shield of Rhode Island: CB870 W: USA ); In that case, you will be responsible for all charges billed to you by the out-of-network provider. LLC, Internet Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. If you want to stay on the Blue Cross website, click "Cancel.". 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. It also tells you how much has been credited toward any required deductible and out-of-pocket maximums. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. Are you a provider?Click to be directed to our Providers area. What is the timely filing limit for BCBS of Alabama corrected claims? 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. If you have questions, please contact your local Blue Cross and Blue Shield company. Handbook, Incorporation 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 Child up to age 19. If your ID card is not available, you may use one of the Customer Service telephone numbers below. From October 1 through February 14, we are available 7 days a week. Submit a separate claim for each patient. checkChatAvailability('onload'); I want to purchase services for my organization. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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. View the latest providernews. $129 /month. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. 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. Please review the terms of use and privacy policies of the new site you will be visiting. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim).
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