Service, Contact Download the overseas medical claim form: Resources - provider.bcbsal.org Include the date to the document using the. Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal If your ID card is not available, you may use one of the Customer Service telephone numbers below. What is the timely filing limit for BCBS of Alabama corrected claims? Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. 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. dental, vision, hearing and fitness benefits at no added cost . Blue Cross Blue Shield of Alabama. Resources - provider.bcbsal.org Three forms are also available to aid providers in preparing an appeal request. Choose a state to see how Blue Cross Blue Shield is working in your community. I authorize release of any information relating to this claim. if (userAction === 'onclick') { Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. 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. With US Legal Forms the entire process of completing official documents is anxiety-free. window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); ProviderAccess Professional Claims Submission Help - bcbsal.org Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! Patient & Claim. Thank you for your interest in our Short Term Plan. Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. Authorization to Release Information Form View PDF. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee The route you should take depends on your individual healthcare needs and financial situation. Some areas of our site may provide links to other external sites that we don't own, control or influence. (You can fill the form in electronically or complete it by hand.). Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity Forms, Real Estate Questions? It's easy to protect your smile to the fullest with dental coverage that For more information, view our privacy policy. . Complete the form following the instructions on the back. if (jsonStr.Availability === 'YES') { Claims Payment Policy & Other Information - bcbsal.org Only available through. 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. 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. 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. . Contact Us - bcbsal.org 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. Need to submit a claim? If you have questions, please contact your local Blue Cross and Blue Shield company. How to file a dental claim with Blue Cross Blue Shield Alabama? ALL Kids. What is the fax number for BCBS of Alabama claims? 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 By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. Resources - provider.bcbsal.org 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. A healthy smile is an important part of your family's overall health. Planning, Wills Contact Us | Credence Blue Cross and Blue Shield Health Insurance services, For Small 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? if(window.location.host==='qaibcbsal.bcbsal.org') Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. 2023 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue ShieldAssociation. #1 Internet-trusted security seal. Three forms are also available to aid providers in preparing an appeal request. 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 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. gives you access to exams, X-rays and routine cleaningsat no 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. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. //show the chat available image Rev 3/2007 Blue Cross and Blue Shield of Alabama. 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. Heres everything you need to know about it. 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. 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. Enjoy smart fillable fields and interactivity. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. To continue to the HealthEquity website, click "Accept." Register Now. Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. Name and Address of Carrier . EDI enrollment is NOT required for submission of electronic claims. To continue to this website, click "Accept." Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Spanish, Localized Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. Provider. CDT codes, descriptions and data copyright 2022 American Dental Association. 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. Your member ID card is your key to using your medical plan benefits. 2023 New Directions Behavioral Health. 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. All rights reserved. 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. Mail original claims to the appropriate address as noted below. CDT codes, descriptions and data copyright 2022 American Dental Association. 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. ); 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Claim forms must be submitted to: Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan. Applicable FARS/DFARS apply. Please attach any additional information and/or medical records at the time of filing the appeal for consideration. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Technology, Power of 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. USLegal received the following as compared to 9 other form sites. PDF Dental Expense Claim - bcbsal.org An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. English Espaol. 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. 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. 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. English, Download the overseas retail prescription drugclaim form: Address: CHIP P.O. In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. I am a Broker or Blue Plan partner that wants to visit the Partner Portal. Are you a provider?Click to be directed to our Providers area. Select the Sign button and create a digital signature. Claims Administrator Please review your information to continue. To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. **Dental Blue Plus is a Health Insurance Marketplace plan. All Rights Reserved. Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. COB provisions determine which plan is primary and which is secondary. If you want to stay on the Blue Cross website, click "Cancel.". Guarantees that a business meets BBB accreditation standards in the US and Canada. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. * 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. The case number, contract number and/or accident date you've entered does not match our records. */ An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility.

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