PDF Dental Payers - Availity An EOB is not a bill. English Espaol. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Blue Cross and Blue Shield of Alabama Provider Directory > Claims Issues > or call 877-231-7239 or 205-220-6899 for eSolutions New Directions AL_ProviderRelations@ndbh.com or call 888-611-6285 < Back at 1-855-488-2515 or click the "Get Started" link to compare your plans today. How to file a dental claim with Blue Cross Blue Shield Alabama? Ensures that a website is free of malware attacks. Questions? Call 1-855-488-2515. This link takes you to another website. 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 ); For more information, view our privacy policy. What is the timely filing limit for BCBS of Alabama corrected claims? Claim Submission | Blue Cross and Blue Shield of Illinois - BCBSIL Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. 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. BCBS FEP Dental Claim Form View PDF. 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. COB provisions determine which plan is primary and which is secondary. USLegal received the following as compared to 9 other form sites. All rights reserved. LLC, Internet Include proof that you paid a Medicare Part B premium. If you receive services from an out-of-network provider, these services may not be covered at all under the plan. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. If you want to stay on the Blue Cross website, click "Cancel.". Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. 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. We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. $42 /month. }. }).then(function(data) { Download your FREE dental guide to learn more about Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Resources - provider.bcbsal.org Print and complete the form according to instructions on the front. Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. BCBS Provider Phone Number list updated (2023) 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. How to File a Claim - Blue Cross and Blue Shield of Alabama From October 1 through February 14, we are available 7 days a week. Thank you for your interest in our Short Term Plan. //show the chat available image We make it easy to manage your healthcare finances, claims and health information. 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). } Dental Blue All rights reserved. { Some information on our site is secure; log in to ensure you're seeing all the news. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. The following documentation provides guidance regarding the process for appeals. 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. Box 14053 Node:bclrprvappp1001.corp.bcbsal.org:8080 (You can fill the form in electronically or complete it by hand.). 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. A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Guarantees that a business meets BBB accreditation standards in the US and Canada. From Huntsville to Mobile, we have the best medicare plans 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. Liferay.on( Each time Blue Cross processes a claim submitted by you or your healthcare provider, we send you an Explanation of Benefits (EOB). You may also visit them online at BCBSAL. USLegal fulfills industry-leading security and compliance standards. Home - provider.bcbsal.org Claim forms must be submitted to: Contact Us | Blue Cross Blue Shield It also tells you how much has been credited toward any required deductible and out-of-pocket maximums. */ Are you reporting a new case? Claim forms must be submitted to: Blue Cross and Blue Shield of Alabama 450 Riverchase Parkway East Birmingham, Alabama 35244-2858 Grace periods and claims pending policies during the grace period Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. CLAIM.MD | Payer Information | AL BCBS Using this login enables you to manage the account for your organizations participating members. Submit a separate claim for each patient. The route you should take depends on your individual healthcare needs and financial situation. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. Provider Phone Numbers PEEHIP P.O. By continuing to use this website, you consent to these cookies. All rights reserved. Theft, Personal HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. Choose a state to see how Blue Cross Blue Shield is working in your community. #1 Internet-trusted security seal. I authorize release of any information relating to this claim. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Applicable FARS/DFARS apply. When you receive services from an in-network provider, your provider will generally file claims for you. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. { Some areas of our site may provide links to other external sites that we don't own, control or influence. Resources - provider.bcbsal.org Email the Sales Call Center (AdviseMe@bcbsal.org) anytime. The first column represents the states of the US and the second column is the insurance name and the Third column represents the Phone number. If you have questions, please contact your local Blue Cross and Blue Shield company. Provider Enrollment In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. PDF State Mail to Mailing Address City, State Zip - Pnnl Resources - provider.bcbsal.org Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. Blue Cross Community Health Plans, c/o Provider Services, P.O. 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 Blue Shield FEP Dental - Forms Blue Cross and Blue Shield of Alabama. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. I am a Broker or Blue Plan partner that wants to visit the Partner Portal. Claims Payment Policy & Other Information - bcbsal.org dental, vision, hearing and fitness benefits at no added cost . 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. }); With US Legal Forms the entire process of completing official documents is anxiety-free. Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. Providing us with your name and email address allows us to contactyou. 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. Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. Please review the terms of use and privacy policies of the new site you will be visiting. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. ProviderAccess Professional Claims Submission Help - bcbsal.org To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. //show the chat un-available image function checkChatAvailability(userAction) { Providers - ndbh.com Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. There is a grace period of three months for all monthly premium payments after the initial premium payment. 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 contact your local Blue Cross and Blue Shield company. You should be sure to check with your provider to confirm whether precertification has been obtained. gives you access to exams, X-rays and routine cleaningsat no CDT codes, descriptions and data copyright 2022 American Dental Association. Address: CHIP P.O. Get your online template and fill it in using progressive features. 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. If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. 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. the range of plans available toyou. Not a provider, but want to search our network?Search for Providers. What is the dental number for Blue Cross Blue Shield of Alabama? checkChatAvailability('onload'); CDT codes, descriptions and data copyright 2022 American Dental Association. Find out More Start now! 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. /* services, For Small $23 /month. Dental Blue Plans - bcbsal.org Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. Submit a separate claim for each member. CPT codes, descriptions and data copyright 2022 American Medical Association. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Lastly mail the completed claim form to the address provided. A healthy smile is an important part of your family's overall health. Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. PDF Dental Expense Claim - bcbsal.org 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. Fax (provider credentialing applications and related documents): 205-220-9545. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. Claim - provider.bcbsal.org Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. Claims Administrator Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. 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. Include the date to the document using the Date function. Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service 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. Authorization to Release Information Form View PDF. To continue to the HealthEquity website, click "Accept." Submit a separate claim for each patient. **Dental Blue Plus is a Health Insurance Marketplace plan. Already a Blue Cross member and have questions about your current plan? 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. Contact Us - bcbsal.org Business. Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. View the latest providernews. Contact Us | Alabama Department of Public Health (ADPH) BCBS State by State | Blue Cross Blue Shield Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. Technology, Power of 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? Blue Cross Blue Shield Thank you for your interest in our Short Term Plan. Service, Contact Node:bclrprvappp1002.corp.bcbsal.org:8080 . In the left-hand column, locate the state where services were rendered. 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. 450 Riverchase Parkway East Double-check every area has been filled in correctly. 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. Access the most extensive library of templates available. Three forms are also available to aid providers in preparing an appeal request. Box 303017 Montgomery, AL 36130-3017. Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. Blue Cross Blue Shield of Alabama. Attorney, Terms of Emergency services are not covered out-of-network under our dental plans. English, Download the overseas retail prescription drugclaim form: Submit a separate claim for each patient. extra cost. 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). CDT codes, descriptions and data copyright 2022 American Dental Association. Name and Address of Carrier . 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. Applicable FARS/DFARS apply. Call the IVR: 205-220-6765. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". Download the overseas medical claim form: Some areas of our site may provide links to other external sites that we don't own, control or influence. Call 1-855-488-2515. To ask for a formal decision about the coverage if you disagree, print and complete the appropriate form below and fax it to 1-800-693-6703 or mail to Prime Therapeutics LLC, Attention: Part D Appeals Department, 1305 Corporate Center Dr. How to File a Claim Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. 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. 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 else ALL Kids. What is the fax number for BCBS of Alabama claims? *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. 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: Highest customer reviews on one of the most highly-trusted product review platforms. 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. if(window.location.host==='qaibcbsal.bcbsal.org') $129 /month. Attach pharmacy receipts for covered prescriptions. 2. You can file your expenses for reimbursement as frequently as you want. Choose between our 3 dental plans today! If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. 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. An employee or dependent who loses coverage under Medicaid or a State Children's. Health . Outside the United States. Planning, Wills Access a wealth of healthcare resources and tools with MyBlue. 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. Contact Us | Credence Blue Cross and Blue Shield Health Insurance My Account, Forms in FSAFEDS (Reimbursement Options) Form Visit Page. PDF Provider Phone Numbers Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Get access to thousands of forms. Find your smile. . 13. We use cookies on this website to give you the best experience and measure website usage. Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal 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. Some information on our siteis secure; log in to ensure youre seeingall the news. Medical necessity and prior authorization timeframes and enrollee responsibilities. 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. } We must follow the IROs decision. Dental Blue In that case, you will be responsible for all charges billed to you by the out-of-network provider. Check out the changes and updates to our plan in 2023. 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. Blue Cross and Blue Shield of Alabama These guidelines, in addition to the editor will assist you through the entire procedure. var jsonStr = jQuery.parseJSON(data); * Sign up today and get a plan that's accepted by over 1,700 Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. If you want to stay on Blue Cross' website, click "Cancel.". Three forms are also available to aid providers in preparing an appeal request. All Rights Reserved. The protection of your privacy will be governed by the privacy policy of that site. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN Thank you for your interest in our Short Term Plan. All rights reserved. function() { Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. Member Services | Blue Cross Blue Shield 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. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 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. All rights reserved. Dental. Your member ID card is your key to using your medical plan benefits. EDI enrollment is NOT required for submission of electronic claims. Patient. Our representatives can answer your questions and help you navigate these choices. 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". You can view your personal EOBs through your MyBlue account. Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. The following documentation provides guidance regarding the process for appeals. Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! Need to submit a claim? You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. $.ajax({ 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. 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.
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