bcbs of alabama dental claims address

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. Information on Explanations of Benefits (EOBs). Call the IVR: 205-220-6765. In most cases, you can prevent a retroactive denial by paying your premiums on time and/or by promptly notifying the plan or, if applicable, the marketplace of changes in your eligibility status for the plan. From Huntsville to Mobile, we have the best medicare plans Lastly mail the completed claim form to the address provided. 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 . Address: CHIP P.O. COB provisions determine which plan is primary and which is secondary. method: "GET", Applicable FARS/DFARS apply. Box 3686, Scranton . The route you should take depends on your individual healthcare needs and financial situation. else Submit a separate claim for each member. Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. Download the overseas medical claim form: 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. Blue Cross Blue Shield of Oregon -Regence FEP Claims TLW13 USA Blue Cross Blue Shield of Rhode Island: CB870 W: USA Some areas of our site may provide links to other external sites that we don't own, control or influence. If you want to stay on the Blue Cross website, click "Cancel.". (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. //show the chat available image Please make sure you select the appropriate form to address your specific need. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. **Dental Blue Plus is a Health Insurance Marketplace plan. Planning, Wills The case number, contract number and/or accident date you've entered does not match our records. Include itemized bills for covered services or supplies. 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. 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. The following documentation provides guidance regarding the process for appeals. #1 Internet-trusted security seal. Call 1-855-488-2515. Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . View the latest providernews. If you have questions, please contact your local Blue Cross and Blue Shield company. $129 /month. Call 1-855-488-2515. 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. Spanish, Localized 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. $('#chat-available').show(); Drug exceptions timeframes and enrollee responsibilities. . If you want to stay on Blue Cross' website, click "Cancel.". contact your local Blue Cross and Blue Shield company. Box 14053 By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". the page. Expenses will be applied against your Plan of Care and reimbursed accordingly. Are you reporting a new case? Member Services | Blue Cross Blue Shield Brush up on important dental plan details Download your FREE dental guide to learn more about the range of plans available to you. Print and complete the form according to instructions on the front. Business. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. 2023 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue ShieldAssociation. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Adults age 19+. Home - provider.bcbsal.org Get access to thousands of forms. Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. } Out-of-network liability and balance billing. 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. * Sign up today and get a plan that's accepted by over 1,700 I am a Broker or Blue Plan partner that wants to visit the Partner Portal. CPT codes, descriptions and data copyright 2022 American Medical Association. checkChatAvailability('onload'); How to File a Claim - Blue Cross and Blue Shield of Alabama Include proof that you paid a Medicare Part B premium. 13. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Dental Blue Plans - bcbsal.org PDF Dental Payers - Availity Resources - provider.bcbsal.org BCBS State by State | Blue Cross Blue Shield 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. 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 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. You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. 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. Using this login enables you to manage the account for your organizations participating members. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. 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 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. In some cases, your provider will initiate the precertification process for you. Thank you for your interest in our Short Term Plan. With US Legal Forms the entire process of completing official documents is anxiety-free. Family. Authorization to Release Information Form View PDF. 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 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. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. This function gets loaded when everything, including the portlets, is on 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. Not a provider, but want to search our network?Search for Providers. if (userAction === 'onclick') { Rev 3/2007 Blue Cross Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . Generally, if precertification is required and not obtained, no benefits will be payable under the plan. Some information on our siteis secure; log in to ensure youre seeingall the news. An application, from the Enrollment section, is needed for any provider in the following situations: Claims Payment Policy & Other Information. 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. Our representatives can answer your questions and help you navigate these choices. Contact Us | Alabama Department of Public Health (ADPH) 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. For more information, view our privacy policy. Contact Us | Credence Blue Cross and Blue Shield Health Insurance Three forms are also available to aid providers in preparing an appeal request. You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. $23 /month. Get your online template and fill it in using progressive features. */ } gives you access to exams, X-rays and routine cleaningsat no 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. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. }).then(function(data) { 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 Please review the terms of use and privacy policies of the new site you will be visiting. The following documentation provides guidance regarding the process for appeals. The plan will only pay for care that is medically necessary and not investigational, as determined by us. 2023 New Directions Behavioral Health. 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. You can use 3 available choices; typing, drawing, or uploading one. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. Resources - provider.bcbsal.org Please attach any additional information and/or medical records at the time of filing the appeal for consideration. (SLC mailing address ) 61473: USA Blue Cross Blue Shield of North Carolina (Winston Salem mailing addr 61473 . 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. 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. 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. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. In these cases, you are responsible for payment to the provider. All rights reserved. Attach pharmacy receipts for covered prescriptions. Double-check every area has been filled in correctly. Call 1-855-890-7416, 8 a.m. - 8 p.m. Central Time, Monday through Friday. 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. We make it easy to manage your healthcare finances, claims and health information. Payer Name: Blue Cross Blue Shield of Alabama - thePracticeBridge English Espaol. Attorney, Terms of 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. Forms, Real Estate Download your FREE dental guide to learn more about Health . Handbook, Incorporation 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. Ensures that a website is free of malware attacks. If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. 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. Member Services For general inquiries, you can reach us by calling the number below. Claims Administrator To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. Contact Us - bcbsal.org 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. Select the Sign button and create a digital signature. Blue Cross Blue Shield FEP Dental - Contact Us Information contained in the external sites is not endorsed by BCBSAL. Access a wealth of healthcare resources and tools with MyBlue. Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. 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. var jsonStr = jQuery.parseJSON(data); Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal An employee or dependent who loses coverage under Medicaid or a State Children's. To continue to the HealthEquity website, click "Accept." Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. Find your plan. . 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. My Account, Forms in at 1-855-488-2515 or click the "Get Started" link to compare your plans today. 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. This login is for your Employer Account. services, For Small An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. ); $.ajax({ } What is the fax number for BCBS of Alabama claims? MAIL US Corporate Office Address 450 Riverchase Parkway East Birmingham, Alabama 35244 You can file your expenses for reimbursement as frequently as you want. 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 [email protected] or call 888-611-6285 < Back It's easy to protect your smile to the fullest with dental coverage that By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". Blue Cross Blue Shield Heres everything you need to know about it. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 3. Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! Applicable FARS/DFARS apply. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. To continue to the HealthEquity website, click "Accept." Providers - ndbh.com Contact Us | Blue Cross Blue Shield Claim forms must be submitted to: 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. & Estates, Corporate - 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 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. function() { }); In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. Child up to age 19. Blue Cross and Blue Shield of Alabama. I have reviewed the following treatment plan. Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan. 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). 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. We use cookies on this website to give you the best experience and measure website usage. Fax (provider credentialing applications and related documents): 205-220-9545. Node:bclrprvappp1002.corp.bcbsal.org:8080 . Name and Address of Carrier . Information contained in the external sites is not endorsed by BCBSAL. (You can fill the form in electronically or complete it by hand.). Dental. A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. This link takes you to another website. Resources - provider.bcbsal.org BCBS Provider Phone Number list updated (2023) CDT codes, descriptions and data copyright 2022 American Dental Association. 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. Blue Cross Community Health Plans, c/o Provider Services, P.O. 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. 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 Reimbursement will be sent to claimant; no claims are paid directly to provider. Claim Submission | Blue Cross and Blue Shield of Illinois - BCBSIL All rights reserved. Theft, Personal { allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. After determining your benefit eligibility, your Lifetime Waiting Period start date will be determined. Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. If you have questions, please contact your local Blue Cross and Blue Shield company. Don't have a User ID? FSAFEDS (Reimbursement Options) Form Visit Page. 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. 2. 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. 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. 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. This link takes you to another website. Submit a separate claim for each patient. 'allPortletsReady', HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. CDT codes, descriptions and data copyright 2022 American Dental Association. 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. Patient. Claim submission is supported for primary, secondary and tertiarypayment. Please note that precertification relates only to the medical necessity of care; it does not mean that your care will be covered under the plan. What is the fax number for BCBS of Alabama Dental Claims? 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). CDT codes, descriptions and data copyright 2022 American Dental Association. 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: A retroactive denial is the reversal of a previously paid claim. Provider. Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service 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. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. ProviderAccess Provider News View the latest provider news. Resources - provider.bcbsal.org 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. Please review your information to continue. if(window.location.host==='qaibcbsal.bcbsal.org') Three forms are also available to aid providers in preparing an appeal request. If services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. 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. Find out More If your ID card is not available, you may use one of the Customer Service telephone numbers below. Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians.

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