Applicable FARS/DFARS apply. 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. To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. 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. If you want to stay on the Blue Cross website, click "Cancel.". Check out the changes and updates to our plan in 2023. To continue to this website, click "Accept." Heres everything you need to know about it. Call 1-855-890-7416, 8 a.m. - 8 p.m. Central Time, Monday through Friday. Information on Explanations of Benefits (EOBs). } Our representatives can answer your questions and help you navigate these choices. CDT codes, descriptions and data copyright 2022 American Dental Association. P.O. at 1-855-488-2515 or click the "Get Started" link to compare your plans today. Claims Payment Policy & Other Information - bcbsal.org 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. $.ajax({ function() { Blue Cross Community Health Plans, 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. Download your FREE dental guide to learn more about Access the most extensive library of templates available. Someone will get back to you within two business days. Some information on our site is secure; log in to ensure you're seeing all the news. Please attach any additional information and/or medical records at the time of filing the appeal for consideration. 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. Family. I want to purchase services for my organization. Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity You can use our interactive search to find your local Blue Cross Blue Shield Company's website. It also tells you how much has been credited toward any required deductible and out-of-pocket maximums. To continue to the HealthEquity website, click "Accept." All Rights Reserved. Get access to thousands of forms. 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. 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. Resources - provider.bcbsal.org If you want to stay on Blue Cross' website, click "Cancel.". 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. Find your plan. url: "/ChatAvailabilityService/getAvailability?queueName=CID" the page. Please review the terms of use and privacy policies of the new site you will be visiting. There is a grace period of three months for all monthly premium payments after the initial premium payment. What is the fax number for BCBS of Alabama claims? Expenses will be applied against your Plan of Care and reimbursed accordingly. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. $('#chat-available').hide(); Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Find out More FSAFEDS (Reimbursement Options) Form Visit Page. CPT codes, descriptions and data copyright 2022 American Medical Association. Member Services | Blue Cross Blue Shield This login is for your Employer Account. Call 1-855-488-2515. Print and complete the form according to instructions on the front. function checkChatAvailability(userAction) { Thank you for your interest in our Short Term Plan. $23 /month. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". Find your smile. In the left-hand column, locate the state where services were rendered. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Contact Us | Blue Cross and Blue Shield of Alabama - bcbsal.org Dental. 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. Questions? We must follow the IROs decision. 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. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. Outside the United States. gives you access to exams, X-rays and routine cleaningsat no ALL Kids. Using this login enables you to manage the account for your organizations participating members. **Dental Blue Plus is a Health Insurance Marketplace plan. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". It's easy to protect your smile to the fullest with dental coverage that 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. ProviderAccess Professional Claims Submission Help - bcbsal.org Get Started & Estates, Corporate - With US Legal Forms the entire process of completing official documents is anxiety-free. 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. Rev 3/2007 If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. Get your online template and fill it in using progressive features. CDT codes, descriptions and data copyright 2022 American Dental 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. else { Out-of-network liability and balance billing. Child up to age 19. 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. Home - provider.bcbsal.org What is the fax number for BCBS Alabama appeals? Technology, Power of 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Applicable FARS/DFARS apply. These guidelines, in addition to the editor will assist you through the entire procedure. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. BCBS FEP Dental Claim Form View PDF. If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. English Espaol. A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. (You can fill the form in electronically or complete it by hand.). . Three forms are also available to aid providers in preparing an appeal request. services, For Small 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. 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. 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. 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. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. Choose between our 3 dental insurance plans today - bcbsal.org 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: window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); } else { 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. Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. Claims Payment Policy & Other Information. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. You can file your expenses for reimbursement as frequently as you want. 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. window.open('https://cicqaaux.corp.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); How to File a Claim - Blue Cross and Blue Shield of Alabama Include itemized bills for covered services or supplies. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Spanish, Localized Submit a separate claim for each member. USLegal received the following as compared to 9 other form sites. BCBS Provider Phone Number list updated (2023) Planning, Wills LLC, Internet 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. PDF Dental Payers - Availity 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. var jsonStr = jQuery.parseJSON(data); Thank you for your interest in our Short Term Plan. Thank you for your interest in our Short Term Plan. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Blue Cross Blue Shield FEP Dental - Contact Us Business. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. For more information, view our privacy policy. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Patient. Member Services For general inquiries, you can reach us by calling the number below. Authorization to Release Information Form View PDF. This link takes you to another website. 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. 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. You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! 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. 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. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. CLAIM.MD | Payer Information | AL BCBS Applicable FARS/DFARS apply. Provider Phone Numbers PEEHIP P.O. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, 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. PDF State Mail to Mailing Address City, State Zip - Pnnl Reimbursement will be sent to claimant; no claims are paid directly to provider. if(window.location.host==='qaibcbsal.bcbsal.org') Only available through. Not a provider, but want to search our network?Search for Providers. Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service Choose between our 3 dental plans today! The route you should take depends on your individual healthcare needs and financial situation. Complete the form following the instructions on the back. 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. 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. Questions? 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. You may also visit them online at BCBSAL. Some areas of our site may provide links to other external sites that we don't own, control or influence. 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. You can view your personal EOBs through your MyBlue account. Box 14053 Select the Sign button and create a digital signature. Submit a separate claim for each patient. Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. Blue Plus **. Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. 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. contact your local Blue Cross and Blue Shield company. From October 1 through February 14, we are available 7 days a week. Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . Double-check every area has been filled in correctly. 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 retroactive denial is the reversal of a previously paid claim. Us, Delete 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. Mail original claims to the appropriate address as noted below. Contact Us | Alabama Department of Public Health (ADPH) Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. A healthy smile is an important part of your family's overall health. PDF Provider Phone Numbers (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). I have reviewed the following treatment plan. . HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. Providers - ndbh.com You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. 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. 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. 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. Generally, if precertification is required and not obtained, no benefits will be payable under the plan. All rights reserved. extra cost. Claim submission is supported for primary, secondary and tertiarypayment. Submit a separate claim for each patient. The case number, contract number and/or accident date you've entered does not match our records. View the latest providernews. 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. Information contained in the external sites is not endorsed by BCBSAL. 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. Address: CHIP P.O. } We use cookies on this website to give you the best experience and measure website usage. If you want to stay on Blue Cross' website, click "Cancel.". 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. Resources - provider.bcbsal.org We make it easy to manage your healthcare finances, claims and health information. In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. MAIL US Corporate Office Address 450 Riverchase Parkway East Birmingham, Alabama 35244 Forms, Real Estate Need to submit a claim? All rights reserved. To continue to the HealthEquity website, click "Accept." Guarantees that a business meets BBB accreditation standards in the US and Canada. The following documentation provides guidance regarding the process for appeals. Start now! 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 An EOB is not a bill. Call 1-855-488-2515. We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. CPT codes, descriptions and data copyright 2022 American Medical Association. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. Ensures that a website is free of malware attacks. Choose between our 3 dental plans today! Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. Are you a provider?Click to be directed to our Providers area. Claim Submission | Blue Cross and Blue Shield of Illinois - BCBSIL How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee
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