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. Three forms are also available to aid providers in preparing an appeal request. 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. Lastly mail the completed claim form to the address provided. Claim forms must be submitted to: From October 1 through February 14, we are available 7 days a week. Email the Sales Call Center (AdviseMe@bcbsal.org) anytime. (You can fill the form in electronically or complete it by hand.). For more information, view our privacy policy. The plan will only pay for care that is medically necessary and not investigational, as determined by us. 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. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield 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. Please review your information to continue. 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. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. 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. Box 3686, Scranton . These guidelines, in addition to the editor will assist you through the entire procedure. Service, Contact (SLC mailing address ) 61473: USA Blue Cross Blue Shield of North Carolina (Winston Salem mailing addr 61473 . Questions? The case number, contract number and/or accident date you've entered does not match our records. Submit a separate claim for each patient. Already a Blue Cross member and have questions about your current plan? If you receive services from an out-of-network provider, these services may not be covered at all under the plan. How to file a dental claim with Blue Cross Blue Shield Alabama? 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. I have reviewed the following treatment plan. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. 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. if (jsonStr.Availability === 'YES') { 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. Submit a separate claim for each patient. function checkChatAvailability(userAction) { You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. 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. Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. The following documentation provides guidance regarding the process for appeals. Liferay.on( All rights reserved. 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. 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. Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service If you want to stay on the Blue Cross website, click "Cancel.". 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 Us, Delete Claims Administrator Need to submit a claim? 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. Family. #1 Internet-trusted security seal. 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. In that case, you will be responsible for all charges billed to you by the out-of-network provider. Here are the forms/documents to add locations and make changes to information and other requests. Health . All rights reserved. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. window.open('https://cicqaaux.corp.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. gives you access to exams, X-rays and routine cleaningsat no Three forms are also available to aid providers in preparing an appeal request. Member Services For general inquiries, you can reach us by calling the number below. 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. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. Our representatives can answer your questions and help you navigate these choices. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. 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). Download your FREE dental guide to learn more about Don't have a User ID? To continue to the HealthEquity website, click "Accept." extra cost. View the latest providernews. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. **Dental Blue Plus is a Health Insurance Marketplace plan. Get your online template and fill it in using progressive features. //show the chat available image the range of plans available toyou. Using this login enables you to manage the account for your organizations participating members. Call 1-855-890-7416, 8 a.m. - 8 p.m. Central Time, Monday through Friday. $('#chat-available').show(); Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. The protection of your privacy will be governed by the privacy policy of that site. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. the page. 2023 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue ShieldAssociation. Some information on our siteis secure; log in to ensure youre seeingall the news. A healthy smile is an important part of your family's overall health. Access a wealth of healthcare resources and tools with MyBlue. Attorney, Terms of Call the IVR: 205-220-6765. 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). function() { 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. 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. The route you should take depends on your individual healthcare needs and financial situation. Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. Print and complete the form according to instructions on the front. English Espaol. In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. 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. To determine your premium, call us 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. $23 /month. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. var jsonStr = jQuery.parseJSON(data); Lexington, KY 40512. } 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 CPT codes, descriptions and data copyright 2022 American Medical Association. It is your responsibility to ensure that you or your provider obtains precertification. 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. What is the fax number for BCBS of Alabama claims? 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". By continuing to use this website, you consent to these cookies. Select the Sign button and create a digital signature. Attach pharmacy receipts for covered prescriptions. Your member ID card is your key to using your medical plan benefits. ); All Rights Reserved. } Adults age 19+. Learn more >, New Directions complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Provider Enrollment HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. 2. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. An employee or dependent who loses coverage under Medicaid or a State Children's. 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. My Account, Forms in Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity An application, from the Enrollment section, is needed for any provider in the following situations: url: "/ChatAvailabilityService/getAvailability?queueName=CID" Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. . Some areas of our site may provide links to other external sites that we don't own, control or influence. Thank you for your interest in our Short Term Plan. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. 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. We must follow the IROs decision. Blue Cross Community Health Plans, c/o Provider Services, P.O. Some areas of our site may provide links to other external sites that we don't own, control or influence. An EOB is not a bill. 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. Technology, Power of COB provisions determine which plan is primary and which is secondary. P.O. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. All rights reserved. Find your smile. You can use 3 available choices; typing, drawing, or uploading one. Business. Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members, PRO-81 Professional Reimbursement Appeal Form, PRO-82 Utilization Management Appeal Form. Outside the United States. services, For Small 13. It's easy to protect your smile to the fullest with dental coverage that If you have questions, please contact your local Blue Cross and Blue Shield company. Drug exceptions timeframes and enrollee responsibilities. 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. In the left-hand column, locate the state where services were rendered. 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. CPT codes, descriptions and data copyright 2022 American Medical Association.

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