bcbs of alabama dental claims address

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. The route you should take depends on your individual healthcare needs and financial situation. Not a provider, but want to search our network?Search for Providers. Node:bclrprvappp1001.corp.bcbsal.org:8080 Questions? Some areas of our site may provide links to other external sites that we don't own, control or influence. Health . If your ID card is not available, you may use one of the Customer Service telephone numbers below. 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. 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. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Providing us with your name and email address allows us to contactyou. FSAFEDS (Reimbursement Options) Form Visit Page. 13. Access the most extensive library of templates available. Name and Address of Carrier . Only available through. Please make sure you select the appropriate form to address your specific need. 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. 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 . Provider Enrollment The following documentation provides guidance regarding the process for appeals. 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. } Dental. **Dental Blue Plus is a Health Insurance Marketplace plan. Select the Sign button and create a digital signature. 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. Forms, Real Estate By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". Us, Delete We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. Submit a separate claim for each patient. function checkChatAvailability(userAction) { 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 . Don't have a User ID? 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. In some cases, your provider will initiate the precertification process for you. Find your smile. Lexington, KY 40512. **Dental Blue Plus is a Health Insurance Marketplace plan. CDT codes, descriptions and data copyright 2022 American Dental Association. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Start now! To continue to the HealthEquity website, click "Accept." CPT codes, descriptions and data copyright 2022 American Medical Association. if (jsonStr.Availability === 'YES') { Patient Consent Form for Provider Submitted Appeals View PDF. Submit a separate claim for each patient. Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. Planning, Wills You should be sure to check with your provider to confirm whether precertification has been obtained. Ensures that a website is free of malware attacks. COB provisions determine which plan is primary and which is secondary. 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? Node:bclrprvappp1001.corp.bcbsal.org:8080, Pre-Service Review for Out-of-Area Members. 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. * Sign up today and get a plan that's accepted by over 1,700 Medical necessity and prior authorization timeframes and enrollee responsibilities. Drug exceptions timeframes and enrollee responsibilities. }. In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. It also tells you how much has been credited toward any required deductible and out-of-pocket maximums. Call 1-855-488-2515. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. Brush up on important dental plan details Download your FREE dental guide to learn more about the range of plans available to you. allows healthcare providers to submit claims electronically to Blue Crossand Blue Shield of Alabama. Box 3686, Scranton . A healthy smile is an important part of your family's overall health. Thank you for your interest in our Short Term 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. $('#chat-available').hide(); Get access to thousands of forms. All rights reserved. *Subject to your Calendar Year Deductible. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. Three forms are also available to aid providers in preparing an appeal request. What is the fax number for BCBS Alabama appeals? Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. An assessment will be scheduled and performed by a Blue Cross representative to determine if your situation and health needs meet claims benefit eligibility. Blue Plus **. extra cost. Authorization to Release Information Form View PDF. 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. 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. Overseas members must file claim forms for any covered medical or pharmacy servicesreceived outside of the United States. 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. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. 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. Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. 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. All rights reserved. Applicable FARS/DFARS apply. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. { Someone will get back to you within two business days. If you have questions, please contact your local Blue Cross and Blue Shield company. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. With US Legal Forms the entire process of completing official documents is anxiety-free. Applicable FARS/DFARS apply. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. } Please attach any additional information and/or medical records at the time of filing the appeal for consideration. Access a wealth of healthcare resources and tools with MyBlue. We must follow the IROs decision. An employee or dependent who loses coverage under Medicaid or a State Children's. 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. It is your responsibility to ensure that you or your provider obtains precertification. 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. function() { 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. Expenses will be applied against your Plan of Care and reimbursed accordingly. myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 TTY 711 . Choose between our 3 dental plans today! Rev 3/2007 To continue to this website, click "Accept." Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. P.O. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. Child up to age 19. We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". . Are you reporting a new case? A retroactive denial is the reversal of a previously paid claim. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. dentists throughout Alabama. Service, Contact 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 can view your personal EOBs through your MyBlue account. 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. //show the chat available image Generally, if precertification is required and not obtained, no benefits will be payable under the plan. CPT codes, descriptions and data copyright 2022 American Medical Association. $.ajax({ Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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 services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. 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. Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. Complete the form following the instructions on the back. services, For Small Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. } Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. Claim submission is supported for primary, secondary and tertiarypayment. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. the range of plans available toyou. Register With Form - AFP Annual Conference - Association For - An17 Afponline, Identity By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". In these cases, you are responsible for payment to the provider. 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 What is the fax number for BCBS of Alabama claims? HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. 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. gives you access to exams, X-rays and routine cleaningsat no 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). 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. All Rights Reserved. Thank you for your interest in our Short Term Plan. Blue Cross Community Health Plans, c/o Provider Services, P.O. Three forms are also available to aid providers in preparing an appeal request. if(window.location.host==='qaibcbsal.bcbsal.org') Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. Shop On Exchange Shop Off Exchange HOW TO BUY AN AFFORDABLE CARE ACT (ACA) PLAN To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. 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? All rights reserved. From October 1 through February 14, we are available 7 days a week. This function gets loaded when everything, including the portlets, is on Some information on our site is secure; log in to ensure you're seeing all the news. Using this login enables you to manage the account for your organizations participating members. Choose a state to see how Blue Cross Blue Shield is working in your community. LLC, Internet This link takes you to another website. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. 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. Box 14053 If you want to stay on Blue Cross' website, click "Cancel.". Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. USLegal received the following as compared to 9 other form sites. Find your plan. The case number, contract number and/or accident date you've entered does not match our records. This login is for your Employer Account. 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. CPT codes, descriptions and data copyright 2022 American Medical Association. (SLC mailing address ) 61473: USA Blue Cross Blue Shield of North Carolina (Winston Salem mailing addr 61473 . The following documentation provides guidance regarding the process for appeals. What is the fax number for BCBS of Alabama Dental Claims? Here are the forms/documents to add locations and make changes to information and other requests. 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. contact your local Blue Cross and Blue Shield company. }); } 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 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 This link takes you to another website. Home - provider.bcbsal.org Patient & Claim Payment & Refund Visit our COVID-19 Provider Update Center for the latest information about testing, treatment and telehealth coverage. Provider Phone Numbers PEEHIP P.O. 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. Call the IVR: 205-220-6765. All rights reserved. Blue Cross and Blue Shield of Alabama To continue to the HealthEquity website, click "Accept." 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. 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. 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. Attach pharmacy receipts for covered prescriptions. Claim forms must be submitted to: 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. else Patient Eligibility and Benefits; Pre-Service Review; Pre-Service Review for Out-of-Area Members . Liferay.on( Technology, Power of What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 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. I want to purchase services for my organization. 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 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. 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. You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. If you receive services from an out-of-network provider, these services may not be covered at all under the 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). //show the chat un-available image $23 /month. 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. Node:bclrprvappp1002.corp.bcbsal.org:8080 . I have reviewed the following treatment plan. 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". if (userAction === 'onclick') { Double-check every area has been filled in correctly. 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 Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. Phone Numbers. In the left-hand column, locate the state where services were rendered. BCBS FEP Dental Claim Form View PDF. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. Theft, Personal You may also visit them online at BCBSAL. 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. Include proof that you paid a Medicare Part B premium. dental, vision, hearing and fitness benefits at no added cost . 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". Blue Cross Blue Shield of Oregon -Regence FEP Claims TLW13 USA Blue Cross Blue Shield of Rhode Island: CB870 W: USA 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. Experience a faster way to fill out and sign forms on the web. Submit a separate claim for each member. var jsonStr = jQuery.parseJSON(data); var fromUrl =window.location.host; My Account, Forms in window.open('https://cicchat.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); It's easy to protect your smile to the fullest with dental coverage that Register Now. Information contained in the external sites is not endorsed by BCBSAL.

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