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. Technology, Power of . 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. There is a grace period of three months for all monthly premium payments after the initial premium payment. Three forms are also available to aid providers in preparing an appeal request. contact your local Blue Cross and Blue Shield company. Applicable FARS/DFARS apply. Us, Delete { 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 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. var fromUrl =window.location.host; 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. By continuing to use this website, you consent to these cookies. If you receive services from an out-of-network provider, these services may not be covered at all under the plan. Failure to timely pay premium payments is not a special open enrollment event for later coverage under the plan. If you are a contracted health plan partner, then you have a dedicated account manager you can call upon at any time for any reason. If services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. You may access the Nondiscrimination and Accessibility notice, Navigate & Connect: Simplifying access to behavioral healthcare. 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. 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. $42 /month. If you want to stay on Blue Cross' website, click "Cancel.". Here are the forms/documents to add locations and make changes to information and other requests. 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. Get Started Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. 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. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review.
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