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 BCBS FEP Dental Claim Form View PDF. Blue Cross and Blue Shield of Alabama. Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . dentists throughout Alabama. Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. //show the chat available image . if(window.location.host==='qaibcbsal.bcbsal.org') Someone will get back to you within two business days. 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. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. To continue to this website, click "Accept." If you want to stay on the Blue Cross website, click "Cancel.". To continue to the HealthEquity website, click "Accept." 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. Access a wealth of healthcare resources and tools with MyBlue. MAIL US Corporate Office Address 450 Riverchase Parkway East Birmingham, Alabama 35244 Call the IVR: 205-220-6765. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN 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. function() { Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. 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 Medical necessity and prior authorization timeframes and enrollee responsibilities. Brush up on important dental plan details Download your FREE dental guide to learn more about the range of plans available to you. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. Applicable FARS/DFARS apply. It is your responsibility to ensure that you or your provider obtains precertification. 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. 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. 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. You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. 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. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. What is the dental number for Blue Cross Blue Shield of Alabama? Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. 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. Are you a provider?Click to be directed to our Providers area. If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. 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 A retroactive denial is the reversal of a previously paid claim. 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 . You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. /* #1 Internet-trusted security seal. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. (SLC mailing address ) 61473: USA Blue Cross Blue Shield of North Carolina (Winston Salem mailing addr 61473 . Please make sure you select the appropriate form to address your specific need. 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. Us, Delete A secondary plan is one which takes into consideration the benefits of the primary plan before determining benefits available under its plan. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. 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. Mail original claims to the appropriate address as noted below. Generally, if precertification is required and not obtained, no benefits will be payable under the plan. Enjoy smart fillable fields and interactivity. Technology, Power of The following documentation provides guidance regarding the process for appeals. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. function checkChatAvailability(userAction) { 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 What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. An employee or dependent who loses coverage under Medicaid or a State Children's. *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. Reimbursement will be sent to claimant; no claims are paid directly to provider. Child up to age 19. What is the fax number for BCBS of Alabama claims? 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. 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. I want to purchase services for my organization. All rights reserved. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Theft, Personal 450 Riverchase Parkway East We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. 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. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. 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. Check out the changes and updates to our plan in 2023. } In some cases, your provider will initiate the precertification process for you. What is the timely filing limit for BCBS of Alabama corrected claims? In that case, you will be responsible for all charges billed to you by the out-of-network provider. 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. else url: "/ChatAvailabilityService/getAvailability?queueName=CID" If you want to stay on Blue Cross' website, click "Cancel.". Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Box 3686, Scranton . 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. $42 /month. 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. Business. Are you reporting a new case? Our representatives can answer your questions and help you navigate these choices. To continue to the HealthEquity website, click "Accept." 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. Node:bclrprvappp1001.corp.bcbsal.org:8080 $23 /month. dental, vision, hearing and fitness benefits at no added cost . Double-check every area has been filled in correctly. Find out More 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. You can view your personal EOBs through your MyBlue account. Using this login enables you to manage the account for your organizations participating members. 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. Get access to thousands of forms. 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: Lastly mail the completed claim form to the address provided. FSAFEDS (Reimbursement Options) Form Visit Page. 2023 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue ShieldAssociation. & Estates, Corporate - Fax (provider credentialing applications and related documents): 205-220-9545. $.ajax({ All rights reserved. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". Blue Plus **. */ We use cookies on this website to give you the best experience and measure website usage. All rights reserved. $129 /month. Outside the United States. Choose between our 3 dental plans today! }. Submit a separate claim for each patient. 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