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 Blue Plus **. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. English Espaol. This login is for your Employer Account. ALL Kids. Each time Blue Cross processes a claim submitted by you or your healthcare provider, we send you an Explanation of Benefits (EOB). Node:bclrprvappp1002.corp.bcbsal.org:8080 . 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". For Indemnity policies - you will be paid your applicable Daily Benefit Amount. Reimbursement will be sent to claimant; no claims are paid directly to provider. You can file your expenses for reimbursement as frequently as you want. 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 . Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit 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. 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. The following documentation provides guidance regarding the process for appeals. Find out More 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 For claim status, eligibility, remittances and referrals, use one of the following methods: Access through your practice management software, Log in to our website, or Call the appropriate number listed below: In-State General Provider Inquiry Participating hospitals: 1-800-760-6852 Participating providers: 1-877-231-7239 Our representatives can answer your questions and help you navigate these choices. ProviderAccess Professional Claims Submission Help - bcbsal.org Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. 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. To continue to the HealthEquity website, click "Accept." Dental Blue { 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. (You can fill the form in electronically or complete it by hand.). To continue to this website, click "Accept." 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. Please make sure you select the appropriate form to address your specific need. By continuing to use this website, you consent to these cookies. window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Please attach any additional information and/or medical records at the time of filing the appeal for consideration. 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. 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. Service, Contact 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. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. the page. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. 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. Planning, Wills All Rights Reserved. *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. 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. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. If you receive services from an out-of-network provider, these services may not be covered at all under the plan. In the left-hand column, locate the state where services were rendered. Blue Cross and Blue Shield of Alabama Start now! Applicable FARS/DFARS apply. Dental. Get access to thousands of forms. 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. 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. Blue Cross Blue Shield of Alabama. Thank you for your interest in our Short Term Plan. Some information on our siteis secure; log in to ensure youre seeingall the news. Blue Cross Blue Shield of Oregon -Regence FEP Claims TLW13 USA Blue Cross Blue Shield of Rhode Island: CB870 W: USA Claim - provider.bcbsal.org Access a wealth of healthcare resources and tools with MyBlue. 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? All rights reserved. Authorization to Release Information Form View PDF. Include the date to the document using the. 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. 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. 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. CLAIM.MD | Payer Information | AL BCBS Select the Sign button and create a digital signature. If you want to stay on the Blue Cross website, click "Cancel.". Only available through. Box 3418, Scranton, PA 18505; Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. All rights reserved. Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. For more information, view our privacy policy. PDF Provider Phone Numbers If you have questions, please contact your local Blue Cross and Blue Shield company. Information contained in the external sites is not endorsed by BCBSAL. services, For Small $('#chat-available').show(); Choose a state to see how Blue Cross Blue Shield is working in your community. Child up to age 19. 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. Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! CPT codes, descriptions and data copyright 2022 American Medical Association. View the latest providernews. All rights reserved. Enjoy smart fillable fields and interactivity. Three forms are also available to aid providers in preparing an appeal request. Technology, Power of Find your smile. 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. This function gets loaded when everything, including the portlets, is on Choose between our 3 dental plans today! Submit a separate claim for each patient. Include the date to the document using the Date function. 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. 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. Experience a faster way to fill out and sign forms on the web. Someone will get back to you within two business days. }).then(function(data) { I authorize release of any information relating to this claim. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. It also tells you how much has been credited toward any required deductible and out-of-pocket maximums. 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.