A retroactive denial is the reversal of a previously paid claim. 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. We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. Your member ID card is your key to using your medical plan benefits. 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. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. Get Started You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan. To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN 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. Contact Us | Alabama Department of Public Health (ADPH) Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal Mail original claims to the appropriate address as noted below. 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. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". If you have questions, please contact your local Blue Cross and Blue Shield company. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. Using this login enables you to manage the account for your organizations participating members. Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. The case number, contract number and/or accident date you've entered does not match our records. A secondary plan is one which takes into consideration the benefits of the primary plan before determining benefits available under its plan. $.ajax({ In that case, you will be responsible for all charges billed to you by the out-of-network provider. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. if(window.location.host==='qaibcbsal.bcbsal.org') By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". Resources - provider.bcbsal.org Some areas of our site may provide links to other external sites that we don't own, control or influence. Claim - provider.bcbsal.org Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. Patient. Double-check every area has been filled in correctly. 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 . Some areas of our site may provide links to other external sites that we don't own, control or influence. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. Dental Blue Plans - bcbsal.org Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. //show the chat available image Phone Numbers. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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. CLAIM.MD | Payer Information | AL BCBS Blue Cross Blue Shield FEP Dental - Forms 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). Claims Payment Policy & Other Information. Call the IVR: 205-220-6765. Find your plan. Our representatives can answer your questions and help you navigate these choices. 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. Reimbursement will be sent to claimant; no claims are paid directly to provider. We must follow the IROs decision. Heres everything you need to know about it. } In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. } function checkChatAvailability(userAction) { 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. It's easy to protect your smile to the fullest with dental coverage that Complete the form following the instructions on the back. PDF Dental Expense Claim - bcbsal.org $('#chat-available').hide(); Blue Cross Community Health Plans, c/o Provider Services, P.O. Dental Blue 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. Highest customer reviews on one of the most highly-trusted product review platforms. Resources - provider.bcbsal.org var jsonStr = jQuery.parseJSON(data); Blue Cross Blue Shield FEP Dental - Contact Us Access a wealth of healthcare resources and tools with MyBlue. }); Drug exceptions timeframes and enrollee responsibilities. The plan will only pay for care that is medically necessary and not investigational, as determined by us. We make it easy to manage your healthcare finances, claims and health information. 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 . We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. If you want to stay on the Blue Cross website, click "Cancel.". ProviderAccess Professional Claims Submission Help - bcbsal.org How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee We use cookies on this website to give you the best experience and measure website usage. CDT codes, descriptions and data copyright 2022 American Dental Association. **Dental Blue Plus is a Health Insurance Marketplace plan. 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 To determine your premium, call us 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. Adults age 19+. 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. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. //show the chat un-available image Thank you for your interest in our Short Term Plan. Blue Cross Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . Rev 3/2007 All rights reserved. /* Payer Name: Blue Cross Blue Shield of Alabama - thePracticeBridge Outside the United States. For Indemnity policies - you will be paid your applicable Daily Benefit Amount. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Child up to age 19. Print and complete the form according to instructions on the front. 3. 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. } Only available through. Member Services For general inquiries, you can reach us by calling the number below. Us, Delete Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. To continue to the HealthEquity website, click "Accept." For more information, view our privacy policy. What is the timely filing limit for BCBS of Alabama corrected claims? To continue to the HealthEquity website, click "Accept." 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. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. 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. Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. 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. Applicable FARS/DFARS apply. 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. Expenses will be applied against your Plan of Care and reimbursed accordingly. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. 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). */ Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. 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. The following documentation provides guidance regarding the process for appeals. Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. var fromUrl =window.location.host; Patient & Claim. Contact Us | Blue Cross Blue Shield Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. Find your smile. Spanish, Localized Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. 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. Choose between our 3 dental insurance plans today - bcbsal.org Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Don't have a User ID? Three forms are also available to aid providers in preparing an appeal request. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. If you want to stay on Blue Cross' website, click "Cancel.". Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama. 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. Thank you for your interest in our Short Term Plan. Are you a provider?Click to be directed to our Providers area. Patient Consent Form for Provider Submitted Appeals View PDF. Additional details about this and other exception review details can be found in the Claims and Appeals section of your benefit booklet. Dental Blue Medical necessity and prior authorization timeframes and enrollee responsibilities. 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? Ensures that a website is free of malware attacks. All rights reserved. Dental. Applicable FARS/DFARS apply. What is the fax number for BCBS of Alabama Dental Claims? If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. From Huntsville to Mobile, we have the best medicare plans extra cost. dentists throughout Alabama. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. 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 login - provider.bcbsal.org Box 14053 You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. Resources - provider.bcbsal.org In some cases, your provider will initiate the precertification process for you. Contact Us - bcbsal.org 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. the page. By continuing to use this website, you consent to these cookies. 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. All rights reserved. Providers - ndbh.com $42 /month. All rights reserved. English, Download the overseas retail prescription drugclaim form: Node:bclrprvappp1002.corp.bcbsal.org:8080 . 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. Please review the terms of use and privacy policies of the new site you will be visiting. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. Blue Plus **. Technology, Power of 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: It also tells you how much has been credited toward any required deductible and out-of-pocket maximums. An EOB is not a bill. Address: CHIP P.O. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. 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. Are you reporting a new case? 2023 New Directions Behavioral Health. 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. Please make sure you select the appropriate form to address your specific need. You can view your personal EOBs through your MyBlue account. 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. In these cases, you are responsible for payment to the provider. Providing us with your name and email address allows us to contactyou. 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 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 Some information on our siteis secure; log in to ensure youre seeingall the news. Questions? Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. Check out the changes and updates to our plan in 2023. gives you access to exams, X-rays and routine cleaningsat no Information contained in the external sites is not endorsed by BCBSAL. 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? To continue to this website, click "Accept." All rights reserved. #1 Internet-trusted security seal. Include proof that you paid a Medicare Part B premium. You should be sure to check with your provider to confirm whether precertification has been obtained. Include the date to the document using the Date function. If you want to stay on Blue Cross' website, click "Cancel.". Fax (provider credentialing applications and related documents): 205-220-9545. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Choose between our 3 dental plans today! 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. Instructions: 1. To continue to this website, click "Accept." 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. 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. After determining your benefit eligibility, your Lifetime Waiting Period start date will be determined. Submit a separate claim for each member. function() { Applicable FARS/DFARS apply. checkChatAvailability('onload'); Node:bclrprvappp1001.corp.bcbsal.org:8080 Claims Payment Policy & Other Information - bcbsal.org if (jsonStr.Availability === 'YES') { If you want to stay on the Blue Cross website, click "Cancel.". Print and mail the form to your local Blue Cross and Blue Shield company by December 31 of the year following the year you received service. 13. Contact Us | Blue Cross and Blue Shield of Alabama - bcbsal.org Box 3686, Scranton . Someone will get back to you within two business days. CPT codes, descriptions and data copyright 2022 American Medical Association. * Sign up today and get a plan that's accepted by over 1,700 $('#chat-available').show(); 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. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". (You can fill the form in electronically or complete it by hand.). . 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. Email the Sales Call Center (AdviseMe@bcbsal.org) anytime. Some information on our site is secure; log in to ensure you're seeing all the news. 'allPortletsReady', 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. Choose a state to see how Blue Cross Blue Shield is working in your community. Claims Administrator dental, vision, hearing and fitness benefits at no added cost .