Thank you for your interest in our Short Term Plan. Expenses will be applied against your Plan of Care and reimbursed accordingly. Not a provider, but want to search our network?Search for Providers. contact your local Blue Cross and Blue Shield company. **Dental Blue Plus is a Health Insurance Marketplace plan. CDT codes, descriptions and data copyright 2022 American Dental Association. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Authorization to Release Information Form View PDF. Blue Cross and Blue Shield of Alabama Please review the terms of use and privacy policies of the new site you will be visiting. var jsonStr = jQuery.parseJSON(data); If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. You can view your personal EOBs through your MyBlue account. Some areas of our site may provide links to other external sites that we don't own, control or influence. 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. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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. You may also visit them online at BCBSAL. Forms, Real Estate Providers - ndbh.com Download your FREE dental guide to learn more about Our representatives can answer your questions and help you navigate these choices. 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. All rights reserved. From October 1 through February 14, we are available 7 days a week. $23 /month. Enroll as a Blue Cross provider, update provider information, or begin the credentialing/recredentialing process. url: "/ChatAvailabilityService/getAvailability?queueName=CID" if(window.location.host==='qaibcbsal.bcbsal.org') What is the fax number for BCBS of Alabama claims? Patient. How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee 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. Equal Opportunity Employer AA M/F/Vet/Disability, We are excited to announce that New Directions and Tridiuum have joined forces to become Lucet! Choose between our 3 dental insurance plans today - bcbsal.org MAIL US Corporate Office Address 450 Riverchase Parkway East Birmingham, Alabama 35244 Box 14053 Call 1-855-890-7416, 8 a.m. - 8 p.m. Central Time, Monday through Friday. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield 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. Provider Appeals Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. An application, from the Enrollment section, is needed for any provider in the following situations: All rights reserved. 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. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace. 2023 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue ShieldAssociation. Thank you for your interest in our Short Term Plan. Blue Plus **. 'allPortletsReady', Find your smile. For questions about claims payments, health, and dental benefits, or to order insurance cards, please call Blue Cross and Blue Shield of Alabama at 1-800-760-6851. Highest customer reviews on one of the most highly-trusted product review platforms. Call 1-855-488-2515. Instructions: 1. In that case, you will be responsible for all charges billed to you by the out-of-network provider. Attorney, Terms of Address: CHIP P.O. }).then(function(data) { PDF Dental Expense Claim - bcbsal.org 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. 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 page. Choose a state to see how Blue Cross Blue Shield is working in your community. The following documentation provides guidance regarding the process for appeals. } else { Print and complete the form according to instructions on the front. } We use cookies on this website to give you the best experience and measure website usage. 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. Applicable FARS/DFARS apply. 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. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us. Box 3836, Scranton, PA 18505; Blue Cross Medicare Advantage, c/o Provider Services, P.O. Experience a faster way to fill out and sign forms on the web. the range of plans available toyou. What is the fax number for BCBS of Alabama Dental Claims? If services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. 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. Find your plan. Complete the form following the instructions on the back. Lastly mail the completed claim form to the address provided. 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. 2023 New Directions Behavioral Health. & Estates, Corporate - The following documentation provides guidance regarding the process for appeals. LLC, Internet Additional details about this and other exception review details can be found in the Claims and Appeals section of your benefit booklet. For more information, view our privacy policy. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 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. 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. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Name and Address of Carrier . 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. 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. 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. 2023, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Choose between our 3 dental plans today! Box 302150 Montgomery, AL 36130 or 135 South Union Street Montgomery, AL www.rsa.state.al.us Customer Service Handbook, Incorporation 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. 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. Upon completion of your Waiting Period, you will be eligible to begin receiving reimbursement of your benefits.

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