bcbs of alabama dental claims address

} else { Providers - ndbh.com 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. 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. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. The plan will only pay for care that is medically necessary and not investigational, as determined by us. Preservice and concurrent appeals should continue to be submitted to the member's Home Plan. 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. 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. If you receive services from an out-of-network provider, these services may not be covered at all under the plan. 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. All rights reserved. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits. Blue Cross and Blue Shield of Alabama We must follow the IROs decision. By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". if (userAction === 'onclick') { 3. Submit a separate claim for each member. 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. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. Provider Enrollment 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. 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. Include proof that you paid a Medicare Part B premium. }. Lastly mail the completed claim form to the address provided. Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. ProviderAccess Provider News View the latest provider news. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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. 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. The following documentation provides guidance regarding the process for appeals. Providing us with your name and email address allows us to contactyou. Call 1-855-488-2515. A healthy smile is an important part of your family's overall health. Mail original claims to the appropriate address as noted below. Phone Numbers. } Reimbursement will be sent to claimant; no claims are paid directly to provider. You can take the Blue Health Assessment, check drug costs, change your address, request a member ID card and more. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". 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. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. 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. For Indemnity policies - you will be paid your applicable Daily Benefit Amount. 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. 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". Brush up on important dental plan details Download your FREE dental guide to learn more about the range of plans available to you. All rights reserved. Find your smile. Information contained in the external sites is not endorsed by BCBSAL. Heres everything you need to know about it. This login is for your Employer Account. The route you should take depends on your individual healthcare needs and financial situation. Our representatives can answer your questions and help you navigate these choices. Applicable FARS/DFARS apply. CDT codes, descriptions and data copyright 2022 American Dental Association. the range of plans available toyou. You can view your personal EOBs through your MyBlue account. 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. The protection of your privacy will be governed by the privacy policy of that site. Claims Payment Policy & Other Information - bcbsal.org 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. If you want to stay on Blue Cross' website, click "Cancel.". 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). Blue Cross and Blue Shield of Alabama enrolls and credentials all individual providers as well as ancillary and facility providers. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. 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. 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. Are you reporting a new case? Name and Address of Carrier . 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. To determine your premium, call us **Dental Blue Plus is a Health Insurance Marketplace plan. Features expanded pediatric benefits for children up to the end of the month in which the member turns 19. 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. HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. Your member ID card is your key to using your medical plan benefits. In some cases, your provider will initiate the precertification process for you. Follow the simple instructions below: The days of distressing complex legal and tax forms have ended. Select the Sign button and create a digital signature. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. 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. Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. 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. Submit a separate claim for each patient. Member Services | Blue Cross Blue Shield Claim submission is supported for primary, secondary and tertiarypayment. Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! Applicable FARS/DFARS apply. All rights reserved. Resources - provider.bcbsal.org . Node:bclrprvappp1001.corp.bcbsal.org:8080 Review Blue Cross and Blue Advantage medical and pharmacy policiesor comment on draft policies. From Huntsville to Mobile, we have the best medicare plans From October 1 through February 14, we are available 7 days a week. Here are the forms/documents to add locations and make changes to information and other requests. Please review the terms of use and privacy policies of the new site you will be visiting. 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. //show the chat available image I am a Broker or Blue Plan partner that wants to visit the Partner Portal. Choose between our 3 dental plans today! at 1-855-488-2515 or click the "Get Started" link to compare your plans today. Emergency services are not covered out-of-network under our dental plans. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums.

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