What is the timely filing limit for BCBS of Alabama corrected claims? Access the most extensive library of templates available. $.ajax({ Dental Blue Benefit Summary Plan Benefit In-Network Benefits Dental Blue 2500A Dental Blue 2000A Dental Blue 1500A Dental Blue 1500B Dental Blue 1000A Dental Blue 1000B MAJOR SERVICES (CONTINUED) Major Services - Prosthetic Services to deductibleInlays, onlays, veneers or crowns Fixed or removable bridges Full or . Providing us with your name and email address allows us to contactyou. Claim forms must be submitted to: Blue Cross and Blue Shield of Alabama. If you have questions, please contact your local Blue Cross and Blue Shield company. 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. Information contained in the external sites is not endorsed by BCBSAL. English, Download the overseas retail prescription drugclaim form: 2023 New Directions Behavioral Health. Choose between our 3 dental insurance plans today - bcbsal.org 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. I want to purchase services for my organization. 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. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. Provider Enrollment For Indemnity policies - you will be paid your applicable Daily Benefit Amount. Forms, Real Estate Dental. To continue to the HealthEquity website, click "Accept." An employee or dependent who loses coverage under Medicaid or a State Children's. 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. function() { Lexington, KY 40512. This function gets loaded when everything, including the portlets, is on Patient Consent Form for Provider Submitted Appeals View PDF. Box 303017 Montgomery, AL 36130-3017. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. 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. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. An EOB is not a bill. else Some areas of our site may provide links to other external sites that we don't own, control or influence. 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). My Account, Forms in Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. Claims Payment Policy & Other Information - bcbsal.org Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal 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. Authorization to Release Information Form View PDF. Three forms are also available to aid providers in preparing an appeal request. Resources - provider.bcbsal.org 2. Provider Phone Numbers PEEHIP P.O. Heres everything you need to know about it. You can use 3 available choices; typing, drawing, or uploading one. $42 /month. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. } 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. myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 TTY 711 . Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. Information contained in the external sites is not endorsed by BCBSAL. Get Started The following documentation provides guidance regarding the process for appeals. This login is for your Employer Account. } I have reviewed the following treatment plan. These guidelines, in addition to the editor will assist you through the entire procedure. Thank you for your interest in our Short Term Plan. 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 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. 3. Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity url: "/ChatAvailabilityService/getAvailability?queueName=CID" Theft, Personal Call the IVR: 205-220-6765. window.open('https://cicqaaux.corp.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Our representatives can answer your questions and help you navigate these choices. 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. We make it easy to manage your healthcare finances, claims and health information. We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. Expenses will be applied against your Plan of Care and reimbursed accordingly. 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? Choose between our 3 dental plans today! Blue Cross Blue Shield of Oregon -Regence FEP Claims TLW13 USA Blue Cross Blue Shield of Rhode Island: CB870 W: USA { How to file a dental claim with Blue Cross Blue Shield Alabama? Applicable FARS/DFARS apply. Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! ); There is a grace period of three months for all monthly premium payments after the initial premium payment. To determine your premium, call us Claims Administrator The route you should take depends on your individual healthcare needs and financial situation. Questions? }).then(function(data) { *Subject to your Calendar Year Deductible. 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. The plan will only pay for care that is medically necessary and not investigational, as determined by us. You may also visit them online at BCBSAL. 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. Spanish, Localized In some cases, your provider will initiate the precertification process for you. 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. You should be sure to check with your provider to confirm whether precertification has been obtained. Us, Delete In these cases, you are responsible for payment to the provider. If services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. The protection of your privacy will be governed by the privacy policy of that site. View the latest providernews. Dental Blue To continue to the HealthEquity website, click "Accept." Dental Blue Plans - bcbsal.org 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. All rights reserved. the page. 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. Get your online template and fill it in using progressive features. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. Someone will get back to you within two business days. Applicable FARS/DFARS apply. If you want to stay on the Blue Cross website, click "Cancel.". COB provisions determine which plan is primary and which is secondary. Please attach any additional information and/or medical records at the time of filing the appeal for consideration. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. A healthy smile is an important part of your family's overall health. Submit a separate claim for each patient. Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. All rights reserved. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. (You can fill the form in electronically or complete it by hand.). Start now! All rights reserved. & Estates, Corporate - PDF State Mail to Mailing Address City, State Zip - Pnnl Contact Us | Blue Cross Blue Shield ProviderAccess Provider News View the latest provider news. Reimbursement will be sent to claimant; no claims are paid directly to provider. ALL Kids. **Dental Blue Plus is a Health Insurance Marketplace plan. 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. function checkChatAvailability(userAction) { 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 extra cost. In that case, you will be responsible for all charges billed to you by the out-of-network provider. 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. CPT codes, descriptions and data copyright 2022 American Medical Association. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee Submit a separate claim for each patient. If you are a contracted health plan partner, then you have a dedicated account manager you can call upon at any time for any reason. 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. What is the fax number for BCBS of Alabama claims? You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. 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. method: "GET", 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) 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". 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. Call 1-855-488-2515. This link takes you to another website. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. Choose a state to see how Blue Cross Blue Shield is working in your community. 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. * Sign up today and get a plan that's accepted by over 1,700 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. USLegal received the following as compared to 9 other form sites. Technology, Power of CPT codes, descriptions and data copyright 2022 American Medical Association. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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). You can view your personal EOBs through your MyBlue account. Check out the changes and updates to our plan in 2023. 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. 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. CDT codes, descriptions and data copyright 2022 American Dental Association. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. } else { Include itemized bills for covered services or supplies. Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. Find your plan. gives you access to exams, X-rays and routine cleaningsat no It's easy to protect your smile to the fullest with dental coverage that 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. Thank you for your interest in our Short Term Plan. If your ID card is not available, you may use one of the Customer Service telephone numbers below. Adults age 19+. Questions? 1.833.663.8713 Other ways to connect By mail Credence Blue Cross and Blue Shield 450 Riverchase Parkway East Birmingham, Alabama 35244 Physicians and providers Credence Blue Cross and Blue Shield 450 Riverchase Parkway East Birmingham, Alabama 35244 Blue Cross Blue Shield Service, Contact Guarantees that a business meets BBB accreditation standards in the US and Canada. 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. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. Submit a separate claim for each patient. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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. What is the dental number for Blue Cross Blue Shield of Alabama? Address: CHIP P.O. Print and complete the form according to instructions on the front. What is the fax number for BCBS of Alabama Dental Claims? The following documentation provides guidance regarding the process for appeals. The case number, contract number and/or accident date you've entered does not match our records. PDF Dental Expense Claim - bcbsal.org Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Please make sure you select the appropriate form to address your specific need. 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. //show the chat un-available image #1 Internet-trusted security seal. CDT codes, descriptions and data copyright 2022 American Dental Association. PDF Dental Payers - Availity 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. (SLC mailing address ) 61473: USA Blue Cross Blue Shield of North Carolina (Winston Salem mailing addr 61473 . You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. 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. var fromUrl =window.location.host; After determining your benefit eligibility, your Lifetime Waiting Period start date will be determined. When you receive services from an in-network provider, your provider will generally file claims for you. Call 1-855-488-2515. 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. Download the overseas medical claim form: Family. To continue to this website, click "Accept." If you have questions, please contact your local Blue Cross and Blue Shield company. *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. Provider. Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. Member Services | Blue Cross Blue Shield Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. Each time Blue Cross processes a claim submitted by you or your healthcare provider, we send you an Explanation of Benefits (EOB). Ensures that a website is free of malware attacks. By continuing to use this website, you consent to these cookies. Double-check every area has been filled in correctly. You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. 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. Node:bclrprvappp1001.corp.bcbsal.org:8080 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. Payer Name: Blue Cross Blue Shield of Alabama - thePracticeBridge You can file your expenses for reimbursement as frequently as you want. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. Contact Us - bcbsal.org BCBS Provider Phone Number list updated (2023) 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: 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. Blue Cross and Blue Shield of Alabama This link takes you to another website. Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. 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. 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. Medical necessity and prior authorization timeframes and enrollee responsibilities. Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan.
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