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Outside the United States. dentists throughout Alabama. Contact Us | Credence Blue Cross and Blue Shield Health Insurance Health . After determining your benefit eligibility, your Lifetime Waiting Period start date will be determined. Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. 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. the page. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. Download the overseas medical claim form: Using an electronic vendor approved with Blue Cross and Blue Shield of Alabama, submit an electronic claim using a valid Tax ID, Individual NPI and Organizational NPI. } login - provider.bcbsal.org From Huntsville to Mobile, we have the best medicare plans Address: CHIP P.O. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. 'allPortletsReady', Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Blue Cross Blue Shield Resources - provider.bcbsal.org } else { Blue Cross and Blue Shield of Alabama. Resources - provider.bcbsal.org Information contained in the external sites is not endorsed by BCBSAL. 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: In some cases, your provider will initiate the precertification process for you. */ We must follow the IROs decision. We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. 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. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal. You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. The case number, contract number and/or accident date you've entered does not match our records. Dental Blue Plans - bcbsal.org Need to submit a claim? 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. Here are the forms/documents to add locations and make changes to information and other requests. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. If you purchased an individual plan through the health insurance marketplace and you are receiving advance payments of tax credits and/or cost sharing reductions in accordance with the Affordable Care Act, each of your monthly periodic payments is due on the first day of the month for that coverage period. 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 You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. Claim forms must be submitted to: 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 and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. You may also visit them online at BCBSAL. **Dental Blue Plus is a Health Insurance Marketplace plan. This link takes you to another website. & Estates, Corporate - **Dental Blue Plus is a Health Insurance Marketplace plan. There is a grace period of three months for all monthly premium payments after the initial premium payment. Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. Find out More Attorney, Terms of { To determine your premium, call us 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. Lastly mail the completed claim form to the address provided. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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 All rights reserved. Out-of-network liability and balance billing. Node:bclrprvappp1001.corp.bcbsal.org:8080 Choose between our 3 dental insurance plans today - bcbsal.org Include proof that you paid a Medicare Part B premium. 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. 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. PDF State Mail to Mailing Address City, State Zip - Pnnl Drug exceptions timeframes and enrollee responsibilities. Providers - ndbh.com 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. To continue to this website, click "Accept." } $('#chat-available').show(); $42 /month. Thank you for your interest in our Short Term Plan. 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. What is the fax number for BCBS Alabama appeals? Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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. 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 Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. In that case, you will be responsible for all charges billed to you by the out-of-network provider. I authorize release of any information relating to this claim. To continue to the HealthEquity website, click "Accept." Claims Payment Policy & Other Information - bcbsal.org What is the dental number for Blue Cross Blue Shield of Alabama? An EOB is not a bill. } 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. We use cookies on this website to give you the best experience and measure website usage. contact your local Blue Cross and Blue Shield company. url: "/ChatAvailabilityService/getAvailability?queueName=CID" Are you a provider?Click to be directed to our Providers area. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. else 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. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. 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). Your member ID card is your key to using your medical plan benefits. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. Enjoy smart fillable fields and interactivity. Submit a separate claim for each member. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. Call 1-855-890-7416, 8 a.m. - 8 p.m. Central Time, Monday through Friday. Experience a faster way to fill out and sign forms on the web. 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. Submit a separate claim for each patient. These guidelines, in addition to the editor will assist you through the entire procedure. 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 Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. When we receive an electronic claim, you will automatically be set up as an out-of-state provider in our system and can register to use our provider website, ProviderAccess: Once . Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. Blue Cross Community Health Plans, c/o Provider Services, P.O. 2023 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue ShieldAssociation. if(window.location.host==='qaibcbsal.bcbsal.org') services, For Small Three forms are also available to aid providers in preparing an appeal request. function() { What is the timely filing limit for BCBS of Alabama corrected claims? English Espaol. Submit a separate claim for each patient. By continuing to use this website, you consent to these cookies. var jsonStr = jQuery.parseJSON(data); Instructions: 1. Contact Us | Blue Cross and Blue Shield of Alabama - bcbsal.org Forms, Real Estate It is your responsibility to ensure that you or your provider obtains precertification.