} HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. Out-of-network liability and balance billing. Print and complete the form according to instructions on the front. The following documentation provides guidance regarding the process for appeals. Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal { USLegal fulfills industry-leading security and compliance standards. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. 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. Contact Us | Blue Cross Blue Shield In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. 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. 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. $23 /month. My Account, Forms in Find your plan. Information on Explanations of Benefits (EOBs). Choose a state to see how Blue Cross Blue Shield is working in your community. To continue to this website, click "Accept." 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. Attorney, Terms of Double-check every area has been filled in correctly. For more information about the appeals process, see the following: Providers are required to file all post-service appeals to their local Blue Cross Plan regardless of the member's Home Plan. You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. 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. } } You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. All rights reserved. Access the most extensive library of templates available. 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. if(window.location.host==='qaibcbsal.bcbsal.org') Address: CHIP P.O. Some information on our siteis secure; log in to ensure youre seeingall the news. Applicable FARS/DFARS apply. From Huntsville to Mobile, we have the best medicare plans **Dental Blue Plus is a Health Insurance Marketplace plan. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Include the date to the document using the Date function. 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. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. Theft, Personal 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Your member ID card is your key to using your medical plan benefits. 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 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. MAIL US Corporate Office Address 450 Riverchase Parkway East Birmingham, Alabama 35244 Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. }. Provider Phone Numbers PEEHIP P.O. 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. Please make sure you select the appropriate form to address your specific need. 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. We must follow the IROs decision. window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); else PDF Dental Payers - Availity View the latest providernews. contact your local Blue Cross and Blue Shield company. If your ID card is not available, you may use one of the Customer Service telephone numbers below. 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. Information contained in the external sites is not endorsed by BCBSAL. All rights reserved. EDI enrollment is NOT required for submission of electronic claims. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. With US Legal Forms the entire process of completing official documents is anxiety-free. 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. For general inquiries, please call Blue Cross Blue Shield FEP Dental Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday (TTY 711) You can also submit an online inquiry regarding claims; ID cards; website assistance; grievance or appeal; or fraud, waste, and abuse. Three forms are also available to aid providers in preparing an appeal request. Email the Sales Call Center (AdviseMe@bcbsal.org) anytime. . 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. ProviderAccess Professional Claims Submission Help - bcbsal.org Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . Contact Us | Credence Blue Cross and Blue Shield Health Insurance Experience a faster way to fill out and sign forms on the web. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Claim submission is supported for primary, secondary and tertiarypayment. The protection of your privacy will be governed by the privacy policy of that site. P.O. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. 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. Providers - ndbh.com This function gets loaded when everything, including the portlets, is on Resources - provider.bcbsal.org Box 3686, Scranton . Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service Family. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. English Espaol. $42 /month. 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. All Rights Reserved. Claims Administrator We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. Medical necessity and prior authorization timeframes and enrollee responsibilities. 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. Home - provider.bcbsal.org }); 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. the range of plans available toyou. Check out the changes and updates to our plan in 2023. Blue Cross Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . 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. Submit a separate claim for each patient. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. */ What is the timely filing limit for BCBS of Alabama corrected claims? 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. method: "GET", All rights reserved. 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. This link takes you to another website. Only available through. 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. Business. }).then(function(data) { 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 What is the fax number for BCBS of Alabama claims? Payer Name: Blue Cross Blue Shield of Alabama - thePracticeBridge allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. Technology, Power of CLAIM.MD | Payer Information | AL BCBS Patient & Claim. To save time and incorrect billing process you can check the below table for the insurance numbers along with the respective states of the BCBS. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Download the overseas medical claim form: A retroactive denial is the reversal of a previously paid claim. All rights reserved. Are you a provider?Click to be directed to our Providers area. In these cases, you are responsible for payment to the provider. Already a Blue Cross member and have questions about your current plan? Don't have a User ID? var jsonStr = jQuery.parseJSON(data); By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". 13. USLegal received the following as compared to 9 other form sites. Highest customer reviews on one of the most highly-trusted product review platforms. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. function() { Expenses will be applied against your Plan of Care and reimbursed accordingly. You can use 3 available choices; typing, drawing, or uploading one. 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. Service, Contact //show the chat available image Thank you for your interest in our Short Term Plan. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Resources - provider.bcbsal.org Blue Cross Blue Shield of Alabama. 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. Call the IVR: 205-220-6765. & Estates, Corporate - 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. extra cost. Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. gives you access to exams, X-rays and routine cleaningsat no url: "/ChatAvailabilityService/getAvailability?queueName=CID" Claim forms must be submitted to: Some information on our site is secure; log in to ensure you're seeing all the news. An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN
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