bcbs of alabama dental claims address

Blue Cross and Blue Shield of Alabama Blue Cross Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . Provider Enrollment You can use 3 available choices; typing, drawing, or uploading one. Blue Plus **. 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. Download the overseas medical claim form: After determining your benefit eligibility, your Lifetime Waiting Period start date will be determined. What is the fax number for BCBS of Alabama Dental Claims? 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. Some information on our site is secure; log in to ensure you're seeing all the news. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. There is a grace period of three months for all monthly premium payments after the initial premium payment. } An application, from the Enrollment section, is needed for any provider in the following situations: 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. 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. It is your responsibility to ensure that you or your provider obtains precertification. 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. Enjoy smart fillable fields and interactivity. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Provider Phone Numbers PEEHIP P.O. 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. Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. We make it easy to manage your healthcare finances, claims and health information. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. All rights reserved. Name and Address of Carrier . 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Call 1-855-488-2515. 450 Riverchase Parkway East Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity The case number, contract number and/or accident date you've entered does not match our records. Rev 3/2007 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. Thank you for your interest in our Short Term Plan. 13. All rights reserved. In some cases, your provider will initiate the precertification process for you. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN Address: CHIP P.O. Box 3686, Scranton . 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 certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. Generally, if precertification is required and not obtained, no benefits will be payable under the plan. Some areas of our site may provide links to other external sites that we don't own, control or influence. }).then(function(data) { //show the chat un-available image To continue to this website, click "Accept." Technology, Power of Select the Sign button and create a digital signature. 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 Each time Blue Cross processes a claim submitted by you or your healthcare provider, we send you an Explanation of Benefits (EOB). function checkChatAvailability(userAction) { 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? Provider. It's easy to protect your smile to the fullest with dental coverage that What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Questions? In the left-hand column, locate the state where services were rendered. if(window.location.host==='qaibcbsal.bcbsal.org') Us, Delete Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. Please review your information to continue. Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. In these cases, you are responsible for payment to the provider. 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. Blue Cross Community Health Plans, c/o Provider Services, P.O. & Estates, Corporate - Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". Out-of-network liability and balance billing. If you have questions, please contact your local Blue Cross and Blue Shield company. Someone will get back to you within two business days. A secondary plan is one which takes into consideration the benefits of the primary plan before determining benefits available under its plan. Already a Blue Cross member and have questions about your current plan? If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. Include itemized bills for covered services or supplies. This function gets loaded when everything, including the portlets, is on An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. method: "GET", If services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. 3. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". P.O. Complete the form following the instructions on the back. Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. 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. 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. You can view your personal EOBs through your MyBlue account. Find your plan. } Thank you for your interest in our Short Term Plan. *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. EDI enrollment is NOT required for submission of electronic claims. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. }. 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 . 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. If you have questions, please contact your local Blue Cross and Blue Shield company. 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. Not a provider, but want to search our network?Search for Providers. Guarantees that a business meets BBB accreditation standards in the US and Canada. the page. 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. All rights reserved. All rights reserved. Highest customer reviews on one of the most highly-trusted product review platforms. 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. checkChatAvailability('onload'); Providing us with your name and email address allows us to contactyou. If the out-of-network services are covered, in most cases, you will have to pay significantly more than what you would pay an in-network provider because of lower benefit levels and higher cost sharing. myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 TTY 711 . 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 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). USLegal received the following as compared to 9 other form sites. 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. . function() { Handbook, Incorporation 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. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. } Get your online template and fill it in using progressive features. 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. Family. What is the timely filing limit for BCBS of Alabama corrected claims? Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. 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. Please review the terms of use and privacy policies of the new site you will be visiting. From October 1 through February 14, we are available 7 days a week. 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 For more information, view our privacy policy. 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. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". 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 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield 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. I am a Broker or Blue Plan partner that wants to visit the Partner Portal. Thank you for your interest in our Short Term Plan. Print and complete the form according to instructions on the front. 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. 'allPortletsReady', services, For Small Find out More 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? MAIL US Corporate Office Address 450 Riverchase Parkway East Birmingham, Alabama 35244 You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. CDT codes, descriptions and data copyright 2022 American Dental Association. 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. url: "/ChatAvailabilityService/getAvailability?queueName=CID" Submit a separate claim for each patient. /* 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. gives you access to exams, X-rays and routine cleaningsat no 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. COB provisions determine which plan is primary and which is secondary. window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Are you reporting a new case? var fromUrl =window.location.host; Box 303017 Montgomery, AL 36130-3017. Three forms are also available to aid providers in preparing an appeal request. I authorize release of any information relating to this claim. the range of plans available toyou. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. Patient. 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. I have reviewed the following treatment plan. Please make sure you select the appropriate form to address your specific need. Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. 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. 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 may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. Fax (provider credentialing applications and related documents): 205-220-9545. var jsonStr = jQuery.parseJSON(data); $('#chat-available').hide(); } 2. My Account, Forms in Information contained in the external sites is not endorsed by BCBSAL. Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. CPT codes, descriptions and data copyright 2022 American Medical Association. Call the IVR: 205-220-6765. The following documentation provides guidance regarding the process for appeals. With US Legal Forms the entire process of completing official documents is anxiety-free. ); The plan will only pay for care that is medically necessary and not investigational, as determined by us. Blue Cross and Blue Shield of Alabama. 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. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. $42 /month. Phone Numbers. Get Started Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. 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. 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. 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. extra cost. A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. Applicable FARS/DFARS apply. USLegal fulfills industry-leading security and compliance standards. 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 Start now! You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. *Subject to your Calendar Year Deductible. CPT codes, descriptions and data copyright 2022 American Medical Association. 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. If you want to stay on the Blue Cross website, click "Cancel.". Choose between our 3 dental plans today! 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". We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. If you want to stay on the Blue Cross website, click "Cancel.". Download your FREE dental guide to learn more about 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. CDT codes, descriptions and data copyright 2022 American Dental Association. Outside the United States. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. To continue to the HealthEquity website, click "Accept." Only available through. I want to purchase services for my organization. What is the fax number for BCBS of Alabama claims? Access the most extensive library of templates available. A healthy smile is an important part of your family's overall health. Claim submission is supported for primary, secondary and tertiarypayment. This link takes you to another website. Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. (SLC mailing address ) 61473: USA Blue Cross Blue Shield of North Carolina (Winston Salem mailing addr 61473 . 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. Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . Questions? Our representatives can answer your questions and help you navigate these choices. Health . allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. Ensures that a website is free of malware attacks. Here are the forms/documents to add locations and make changes to information and other requests. English Espaol. 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. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. } To continue to this website, click "Accept." View the latest providernews. 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. Submit a separate claim for each member. Reimbursement will be sent to claimant; no claims are paid directly to provider. 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. All Rights Reserved. Information contained in the external sites is not endorsed by BCBSAL. $129 /month. 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: 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 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. Include the date to the document using the Date function. Please attach any additional information and/or medical records at the time of filing the appeal for consideration. Claims Payment Policy & Other Information. Service, Contact All rights reserved. Additional details about this and other exception review details can be found in the Claims and Appeals section of your benefit booklet. Include the date to the document using the. Find your smile. Mail original claims to the appropriate address as noted below. 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.
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bcbs of alabama dental claims address 2023