bcbs of alabama dental claims addressst elizabeth family medicine residency utica, ny

Find your smile. 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. Node:bclrprvappp1001.corp.bcbsal.org:8080 Outside the United States. dental, vision, hearing and fitness benefits at no added cost . 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. In some cases, the plan requires that you or your treating provider precertify the medical necessity of your care. Heres everything you need to know about it. 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. If you want to stay on the Blue Cross website, click "Cancel.". function checkChatAvailability(userAction) { Business. Download the overseas medical claim form: A healthy smile is an important part of your family's overall health. }); *Subject to your Calendar Year Deductible. From October 1 through February 14, we are available 7 days a week. Some areas of our site may provide links to other external sites that we don't own, control or influence. if (userAction === 'onclick') { 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. If you have questions, please contact your local Blue Cross and Blue Shield company. contact your local Blue Cross and Blue Shield company. 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. Get Started If you want to stay on Blue Cross' website, click "Cancel.". $('#chat-available').hide(); Some areas of our site may provide links to other external sites that we don't own, control or influence. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. Birmingham, Alabama 35244-2858, Grace periods and claims pending policies during the grace period. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. **Dental Blue Plus is a Health Insurance Marketplace plan. } CPT codes, descriptions and data copyright 2022 American Medical Association. Questions? For more information, view our privacy policy. Phone Numbers. USLegal fulfills industry-leading security and compliance standards. 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. 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. Using this login enables you to manage the account for your organizations participating members. Blue Plus **. USLegal received the following as compared to 9 other form sites. The case number, contract number and/or accident date you've entered does not match our records. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. *Please do not contact LifePlans unless you have already contacted Blue Cross and Blue Shield of Alabama to start your claim. 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. } url: "/ChatAvailabilityService/getAvailability?queueName=CID" } 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 . 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 Get your online template and fill it in using progressive features. & Estates, Corporate - 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 We make completing any Dental Claim Form - Blue Cross And Blue Shield Of Alabama - Bcbsal easier. 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. window.open('https://cicqaaux.corp.bcbsal.org/I3Root/chatpopup.html?qname=cid_chat&fromUrl='+fromUrl, '', 'width=700, height=600'); Only available through. 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. All rights reserved. Us, Delete By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". Fax (provider credentialing applications and related documents): 205-220-9545. 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. 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. **Dental Blue Plus is a Health Insurance Marketplace plan. Emergency services are not covered out-of-network under our dental plans. 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. Claim entry screens are divided into five categories: Patient, Claim Information, LineInformation, Other Insurance and Adjustments. { An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. Three forms are also available to aid providers in preparing an appeal request. Need to submit a claim? 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 Blue Shield of Alabama CBAL1: W USA: Blue Cross Blue Shield of Alaska 47570: USA . If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace or outside the Health Insurance Marketplace. Lexington, KY 40512. var jsonStr = jQuery.parseJSON(data); Submit a separate claim for each patient. Box 14053 In some cases, your provider will initiate the precertification process for you. }. //show the chat available image 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. BCBS FEP Dental Claim Form View PDF. COB provisions determine which plan is primary and which is secondary. 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. Include the date to the document using the Date function. /* if(window.location.host==='qaibcbsal.bcbsal.org') Get access to thousands of forms. Please make sure you select the appropriate form to address your specific need. These guidelines, in addition to the editor will assist you through the entire procedure. 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Access a wealth of healthcare resources and tools with MyBlue. You should be sure to check with your provider to confirm whether precertification has been obtained. Child up to age 19. 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. 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. 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. What is the fax number for BCBS of Alabama claims? Information contained in the external sites is not endorsed by BCBSAL. Attorney, Terms of gives you access to exams, X-rays and routine cleaningsat no It's easy to protect your smile to the fullest with dental coverage that How to file a dental claim with Blue Cross Blue Shield Alabama? Blue Cross Blue Shield of Oregon -Regence FEP Claims TLW13 USA Blue Cross Blue Shield of Rhode Island: CB870 W: USA You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. var fromUrl =window.location.host; else Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan. What is the timely filing limit for BCBS of Alabama corrected claims? Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. Attach pharmacy receipts for covered prescriptions. Your member ID card is your key to using your medical plan benefits. Name and Address of Carrier . if (jsonStr.Availability === 'YES') { A Blue Cross representative from LifePlans will contact you to discuss your initial needs and to clarify any questions you have about your policy. Already a Blue Cross member and have questions about your current plan? Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Highest customer reviews on one of the most highly-trusted product review platforms. 2023 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue ShieldAssociation. If you have questions, please contact your local Blue Cross and Blue Shield company. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. */ 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. . 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? The plan will only pay for care that is medically necessary and not investigational, as determined by us. 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. Handbook, Incorporation Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. //show the chat un-available image 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. 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. 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 You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. In certain situations, a claim may be reprocessed and denied retroactively, even after it has been paid. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. Are you a provider?Click to be directed to our Providers area. Guarantees that a business meets BBB accreditation standards in the US and Canada. Claim submission is supported for primary, secondary and tertiarypayment. LLC, Internet The protection of your privacy will be governed by the privacy policy of that site. }).then(function(data) { All rights reserved. A retroactive denial is the reversal of a previously paid claim. For Indemnity policies - you will be paid your applicable Daily Benefit Amount. dentists throughout Alabama. 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. Print and complete the form according to instructions on the front. Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. 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. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. Not a provider, but want to search our network?Search for Providers. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. 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. extra cost. After determining your benefit eligibility, your Lifetime Waiting Period start date will be determined. Technology, Power of My Account, Forms in Box 3686, Scranton . English, Download the overseas retail prescription drugclaim form: 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. If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. Call 1-855-890-7416, 8 a.m. - 8 p.m. Central Time, Monday through Friday. The route you should take depends on your individual healthcare needs and financial situation. the range of plans available toyou. Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. Call Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. EST Monday - Friday, or Contact Us for further assistance. 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 I am a Broker or Blue Plan partner that wants to visit the Partner Portal. 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. EDI enrollment is NOT required for submission of electronic claims. With US Legal Forms the entire process of completing official documents is anxiety-free. 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. Start now! Select the Sign button and create a digital signature. 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 . To continue to the HealthEquity website, click "Accept." } Applicable FARS/DFARS apply. If you want to stay on Blue Cross' website, click "Cancel.". method: "GET", Here are the forms/documents to add locations and make changes to information and other requests. 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. 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 { We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. All rights reserved. Lastly mail the completed claim form to the address provided. To continue to this website, click "Accept." 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. Please attach any additional information and/or medical records at the time of filing the appeal for consideration. 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 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? CPT codes, descriptions and data copyright 2022 American Medical Association. If you purchased an individual plan through the health insurance marketplace and you are receiving advance payments of tax credits and/or cost sharing reductions in accordance with the Affordable Care Act, each of your monthly periodic payments is due on the first day of the month for that coverage period. Blue Cross Community Health Plans, c/o Provider Services, P.O. A secondary plan is one which takes into consideration the benefits of the primary plan before determining benefits available under its plan. Planning, Wills CDT codes, descriptions and data copyright 2022 American Dental Association. Thank you for your interest in our Short Term Plan. Claims Payment Policy & Other Information. In these cases, you are responsible for payment to the provider. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. What is the dental number for Blue Cross Blue Shield of Alabama? services, For Small Patient & Claim. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. We use cookies on this website to give you the best experience and measure website usage. Include proof that you paid a Medicare Part B premium. 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. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time.

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