2. 3. 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". Choose between our 3 dental plans today! . You can file your expenses for reimbursement as frequently as you want. If you have questions, please contact your local Blue Cross and Blue Shield company. }); Attorney, Terms of CDT codes, descriptions and data copyright 2022 American Dental Association. 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 and continue onto the payment page otherwise, click "Cancel". function checkChatAvailability(userAction) { Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. contact your local Blue Cross and Blue Shield company. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. 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. Register Now. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. We must follow the IROs decision. Node:bclrprvappp1002.corp.bcbsal.org:8080 . Family. } In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. To continue to the HealthEquity website, click "Accept." Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. Blue Cross and Blue Shield of Alabama Preferred Long-Term Care Customer Service: 1-888-331-4188 or 1-205-733-7019, Blue Cross and Blue Shield of Alabama Preferred Long-Term Care Customer Accounts: 1-205-220-4503, LifePlans Claims Services:* 1-800-525-7279 extension 273, LifePlans Provider Pathway:* 1-800-886-7404 or. CPT codes, descriptions and data copyright 2022 American Medical Association. Include itemized bills for covered services or supplies. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. (You can fill the form in electronically or complete it by hand.). 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. *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. (SLC mailing address ) 61473: USA Blue Cross Blue Shield of North Carolina (Winston Salem mailing addr 61473 . 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: Theft, Personal Submit a separate claim for each patient. 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). From October 1 through February 14, we are available 7 days a week. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. In some cases, your provider will initiate the precertification process for you. Ensures that a website is free of malware attacks. Resources - provider.bcbsal.org 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. Information on Explanations of Benefits (EOBs). ProviderAccess Provider News View the latest provider news. Claims Payment Policy & Other Information - bcbsal.org By continuing to use this website, you consent to these cookies. The following documentation provides guidance regarding the process for appeals. Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. 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. Blue Cross Blue Shield FEP Dental - Contact Us Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. English, Download the overseas retail prescription drugclaim form: If you receive services from an out-of-network provider, these services may not be covered at all under the plan. 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. All rights reserved. . { 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. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. CPT codes, descriptions and data copyright 2022 American Medical 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. #1 Internet-trusted security seal. } else { services, For Small For Indemnity policies - you will be paid your applicable Daily Benefit Amount. Choose between our 3 dental plans today! Information contained in the external sites is not endorsed by BCBSAL. 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. Service, Contact 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. ALL Kids. You may also visit them online at BCBSAL. Applicable FARS/DFARS apply. 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 if (userAction === 'onclick') { This function gets loaded when everything, including the portlets, is on 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. Adults age 19+. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. Instructions: 1. Heres everything you need to know about it. You can view your personal EOBs through your MyBlue account. 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). Blue Cross Blue Shield FEP Dental - Forms Contact Us | Credence Blue Cross and Blue Shield Health Insurance Include the date to the document using the Date function. Not a provider, but want to search our network?Search for Providers. Mail original claims to the appropriate address as noted below. Claim - provider.bcbsal.org In that case, you will be responsible for all charges billed to you by the out-of-network provider. To continue to the HealthEquity website, click "Accept." Thank you for your interest in our Short Term Plan. 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. BCBS State by State | Blue Cross Blue Shield Submit a separate claim for each member. Brush up on important dental plan details Download your FREE dental guide to learn more about the range of plans available to you. Providers - ndbh.com window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Highest customer reviews on one of the most highly-trusted product review platforms. BCBS FEP Dental Claim Form View PDF. All Rights Reserved. LLC, Internet 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. Home - provider.bcbsal.org Start now! Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . It is your responsibility to ensure that you or your provider obtains precertification. 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. Include the date to the document using the. 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? Drug exceptions timeframes and enrollee responsibilities. Each time Blue Cross processes a claim submitted by you or your healthcare provider, we send you an Explanation of Benefits (EOB). Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. Your local company can help you to: Change your coverage Estimate the cost of a medical procedure File or check on claim Replace your member ID card Review your balance View your plan details Looking for Insurance? By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". To continue to this website, click "Accept." An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan. Outside the United States. PDF Dental Expense Claim - bcbsal.org Liferay.on( Please review the terms of use and privacy policies of the new site you will be visiting. Provider Enrollment Please review your information to continue. We make it easy to manage your healthcare finances, claims and health information. else Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. 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. 450 Riverchase Parkway East Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. For example, if an Alabama physician provides services to a member with Blue Cross and Blue Shield of Kansas coverage and a post-service appeal is needed, the physician should fill out the appropriate form from above and submit it to Blue Cross and Blue Shield of Alabama. Authorization to Release Information Form View PDF. This link takes you to another website. Name and Address of Carrier . 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. Information contained in the external sites is not endorsed by BCBSAL. & Estates, Corporate - CDT codes, descriptions and data copyright 2022 American Dental Association. Please make sure you select the appropriate form to address your specific need. Three forms are also available to aid providers in preparing an appeal request. We use cookies on this website to give you the best experience and measure website usage. Business. 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. Expenses will be applied against your Plan of Care and reimbursed accordingly. FSAFEDS (Reimbursement Options) Form Visit Page. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. All rights reserved. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. What is the fax number for BCBS of Alabama claims? Questions? Child up to age 19. Find out More dental, vision, hearing and fitness benefits at no added cost . 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. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. CPT codes, descriptions and data copyright 2022 American Medical Association. With US Legal Forms the entire process of completing official documents is anxiety-free. After determining your benefit eligibility, your Lifetime Waiting Period start date will be determined. Spanish, Localized checkChatAvailability('onload'); 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. $('#chat-available').show(); To continue to this website, click "Accept." 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Dental Blue Member Services For general inquiries, you can reach us by calling the number below. The plan will only pay for care that is medically necessary and not investigational, as determined by us. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. If your ID card is not available, you may use one of the Customer Service telephone numbers below. window.open('https://cicqaaux.corp.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Claims Administrator 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. How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee extra cost. Emergency services are not covered out-of-network under our dental plans. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. Check out the changes and updates to our plan in 2023. All rights reserved. In these cases, you are responsible for payment to the provider. if (jsonStr.Availability === 'YES') { Node:bclrprvappp1001.corp.bcbsal.org:8080 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. 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. When you receive services from an in-network provider, your provider will generally file claims for you. What is the fax number for BCBS Alabama appeals? Blue Cross Community Health Plans, c/o Provider Services, P.O. 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 Download your FREE dental guide to learn more about Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. //show the chat un-available image Choose between our 3 dental insurance plans today - bcbsal.org PDF Provider Phone Numbers Applicable FARS/DFARS apply. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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. $('#chat-available').hide(); 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. var fromUrl =window.location.host; $.ajax({ We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. Questions? Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. Claims Payment Policy & Other Information. Box 14053 } Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States.