Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Call the IVR: 205-220-6765. 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). dentists throughout Alabama. I am a Broker or Blue Plan partner that wants to visit the Partner Portal. services, For Small Reimbursement will be sent to claimant; no claims are paid directly to provider. . Find out More 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. Us, Delete If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. 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. MAIL US Corporate Office Address 450 Riverchase Parkway East Birmingham, Alabama 35244 (You can fill the form in electronically or complete it by hand.). It's easy to protect your smile to the fullest with dental coverage that 'allPortletsReady', Access a wealth of healthcare resources and tools with MyBlue. 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. Attorney, Terms of function() { Family. Submit a separate claim for each patient. I want to purchase services for my organization. Highest customer reviews on one of the most highly-trusted product review platforms. 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. Box 303017 Montgomery, AL 36130-3017. 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. Choose a state to see how Blue Cross Blue Shield is working in your community. Claims Payment Policy & Other Information. An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. All rights reserved. What is the timely filing limit for BCBS of Alabama corrected claims? CDT codes, descriptions and data copyright 2022 American Dental Association. For Indemnity policies - you will be paid your applicable Daily Benefit Amount. Patient. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. The plan will only pay for care that is medically necessary and not investigational, as determined by us. When you receive services from an in-network provider, your provider will generally file claims for you. Need to submit a claim? What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. }. Theft, Personal Expenses will be applied against your Plan of Care and reimbursed accordingly. This login is for your Employer Account. 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. if (jsonStr.Availability === 'YES') { Print and complete the form according to instructions on the front. This link takes you to another website. BCBS FEP Dental Claim Form View PDF. If you purchased an individual plan through the health insurance marketplace and you are receiving advance payments of tax credits and/or cost sharing reductions in accordance with the Affordable Care Act, each of your monthly periodic payments is due on the first day of the month for that coverage period. CPT codes, descriptions and data copyright 2022 American Medical Association. LLC, Internet Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. 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". Box 3686, Scranton . You can view your personal EOBs through your MyBlue account. Register Now. Not a provider, but want to search our network?Search for Providers. In these cases, you are responsible for payment to the provider. Enjoy smart fillable fields and interactivity. }).then(function(data) { 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. Guarantees that a business meets BBB accreditation standards in the US and Canada. 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. Blue Cross and Blue Shield of Alabama method: "GET", { All rights reserved. By continuing to use this website, you consent to these cookies. Patient & Claim. 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. Call 1-855-488-2515. FSAFEDS (Reimbursement Options) Form Visit Page. Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. 450 Riverchase Parkway East 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). Name and Address of Carrier . $('#chat-available').show(); Thank you for your interest in our Short Term Plan. Additional details about this and other exception review details can be found in the Claims and Appeals section of your benefit booklet. { By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". In some cases, your provider will initiate the precertification process for you. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. For more information, view our privacy policy. A healthy smile is an important part of your family's overall health. 2023 New Directions Behavioral Health. 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. the page. 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. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". If you have questions, please contact your local Blue Cross and Blue Shield company. We use cookies on this website to give you the best experience and measure website usage. * Sign up today and get a plan that's accepted by over 1,700 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. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal. $('#chat-available').hide(); What is the fax number for BCBS of Alabama claims? Download the overseas medical claim form: 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 . To continue to the HealthEquity website, click "Accept." If services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. 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: 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. 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. 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. 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 Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. With US Legal Forms the entire process of completing official documents is anxiety-free. A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. CPT codes, descriptions and data copyright 2022 American Medical Association. The route you should take depends on your individual healthcare needs and financial situation. If you want to stay on Blue Cross' website, click "Cancel.". Please make sure you select the appropriate form to address your specific need. 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. 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. gives you access to exams, X-rays and routine cleaningsat no Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. 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. Complete the form following the instructions on the back. There is a grace period of three months for all monthly premium payments after the initial premium payment. A retroactive denial is the reversal of a previously paid claim. 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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.

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