During the Public Health Emergency (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered for eligible members and will be reimbursed with no member cost share based on the federal guidance. Business proposal request I am interested in one of eviCore's solutions Please select option. Precertification via Fax/Phone/Mail. Care Coordination. Phone Number * (555) 555-5555. Prior Authorization Forms; Provider Manual - Chapter 4 - Obtaining Prior Authorization; Hospitals Participating in PT Evaluations; Obstetrical (OB) Ultrasound Requests for Prior Authorization - FAQs - 12/9/16; Cardiology Prior Authorization - For Prior Approval of Nuclear Cardiology, Diagnostic Heart Catherization, Stress Echocardiography, Transesophageal, Echocardiography and Transthoracic . Where to Find Us. Your card opens the door to a large network of top doctors to care for you. BlueCard (out-of-area) members: Use the pre-service review tool in the BCBSAZ secure provider portal . Please contact FEP benefits at 800-482-3600. . EMPIRE BCBS Decides the pre certification requirements based on the prefix id. Please allow up to five business days for a response. Area code: 906 . Blue Cross and Blue Shield of Alabama offices will be closed the following days: Martin Luther King Jr. Day . 450 Riverchase Parkway East. and Blue Shield of Alabama or its pharmacy benefit manager(s) to dispense prescription drugs. Hearing Impaired. Tell us more. Find Drugs. Box 2227 Detroit, MI 48321-2227. In some cases, our contracts with . You will be contacted by an eviCore representative within 5 business days. Prior Authorization Forms; Provider Manual - Chapter 4 - Obtaining Prior Authorization; Hospitals Participating in PT Evaluations; Obstetrical (OB) Ultrasound Requests for Prior Authorization - FAQs - 12/9/16; Cardiology Prior Authorization - For Prior Approval of Nuclear Cardiology, Diagnostic Heart Catherization, Stress Echocardiography, Transesophageal, Echocardiography and Transthoracic . Here " A2A" is BCBS alpha numeric prefix. The patient's name and name of health . We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. Claim forms must be submitted to: Blue Cross and Blue Shield of Alabama. Columbia, SC 29219. Box 230589 Grand Rapids, MI 49523-0589. A. Check out how easy it is to complete and eSign documents online using fillable templates and a powerful editor. 800-955-5692 Option # 2. Box 660027 Dallas, TX 75266-0027. . Provider inquiries. For questions about a request or the ProviderPortal SM: Call 1-800-252-2021 or EMAIL OUR SUPPORT TEAM Business hours: 8:00 a.m. - 5:00 p.m. CST . FEP: 1-800-779-4602. Contact Provider Customer Service at 1-877-231-7239 . For services or drugs that require precertification, please call 1-800-ASK-BLUE and . pakistan wicket keeper 1992 world cup / da vinci surgery hysterectomy complications / bcbs of alabama precertification phone number . Blue Cross Blue Shield of Michigan precertification services are available 24 hours, 7 days a week to . FEP members: See the prior authorization requirements PDF or visit the FEP health plan brochures page. BCBS Alabama: 800-760-6852: Premera BCBS Alaska: 800-722-4714 (Select option 2) BCBS Arizona: 800-232-2345: . marks in the state of Alabama. Blue Cross Blue Shield of Michigan. Dental Expense Claim. Federal Employee Program providers and facilities: 1-800-840-4505. customized list - applies to group number 030313 (member ID prefixes SWB, SNK) . Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Provider Inquiry Blue Cross Blue Shield of Michigan P.O. If you have questions about claims payments, health and dental benefits or need to order insurance cards, please call Blue Cross and Blue Shield of Alabama at 1-800-760-6851. Precertification isn't a guarantee of payment. Coordination of Benefits/Blue Cross and Blue Shield of Alabama is Host Plan; Dental. Contact us 24 hours a day, seven days a week through our secure online inquiry form. 855-340-6297. Central, Eastern and Northeastern Regions: 1-866-731-8080. Area code: 906 . Phone: 1-800-859-5299. Box 230589 Grand Rapids, MI 49523-0589. The Right Care. Note: A separate authorization form must be completed by each individual (or his/her personal representative) who desires to request that Blue Cross and Blue Shield of Alabama and its business associate(s) on behalf of his/her Health Plan disclose his/her . Other Out of State BCBS Precerts may be obtained by calling 1-800-676-2583. All in-patient mental health stays 800-952-5906. Precertification. for bariatric surgery, use the BCBS Blue D istinction Facility Search. United States List BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) More Info At www.rcmguide.com . Not all contracts require precertification. the phone number that you or your child's provider should call. Providers are encouraged to utilize the AIM Provider Portal for the most efficient method to submit requests. phone number that you or your child's provider should call. Emergency room care Accident: 40% coinsurance Medical Emergency: 40% coinsurance Accident: 40% coinsurance CHS group members: Call the number on the back of the ID card or contact the group's TPA. Box 995 Birmingham, Alabama 35298-0001 Customer Service 1-800-760-6851 Preadmission Certification 205-988-2245 (in Birmingham) or 1-800-248-2342 toll-free Rapid Response 205-988-5401 (in Birmingham) 1-800-248-5123 toll-free . By Phone. . Customer Service. phone lin e and a separate online tool for prior authorization requests and status (access the tool in the secure provider portal at . Find your plan type listed below and that number will put you in touch with a product expert. An Independent Licensee of the Blue Cross and Blue Shield Association PRV20303-2201 I. Medical Policy and Precertification/Pre-authorization Information for Out-of-Area Members Area codes: 734, 810, 947, 989 or outside Michigan. 4) Intensive outpatient program. additional requirements may be needed prior to requesting a precertification. Pharmacy Claim. You can rely on the strength of the Cross and the protection of the Shield. For example: ABC12345678. BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) Use the forms at the bottom of this page to request precertification for the services listed or call the appropriate toll-free number to initiate precertification for these services via telephone: 1-844-594-6010 - Chiropractic and Physical/Occupational/Speech Therapy. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. 800-337-2204. Virginia Carefirst Blue Cross Blue Shield (800) 848-9766 (800) 553-8700 (800) 360-7654: Washington . Ordering Provider Information Ordering Provider Name (first and last) . BlueCard (out-of-area) members: Use the pre-service review tool in the BCBSAZ secure provider portal . Online: Log in to the AIM ProviderPortalSM. PLEASE READ: Members of some group health plans may have terms of coverage or benefits that differ from the information presented here. Federal Tax ID/Employer ID. Birmingham, Alabama 35244-2858. Our main address is: BlueCross BlueShield of South Carolina. Sales inquiries Precertification is required for many services, including the following outpatient hospital benefits, physician benefits and other covered services. Physicians and professionals: 1-800-344-8525. Blue Cross and Blue Shield of Alabama 450 Riverchase Parkway East . Please see your benefit booklet to determine what services require precertification under your plan. myBlueCross Member Login Contact Us: 1-888-543-9212 (TTY:711) myBlueCross Member Login Call 1-888-543-9212 . United States List BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) More Info At www.rcmguide.com . Care Management Programs. Your daytime phone number, including your area code. Welcome. precertification relates only to the medical necessity of care; it does not mean that your child's care will be . Hospitals or facilities: 1-800-249-5103. The dedicated Mental Health/Substance Abuse services phone number is available to parents and providers 24-hours a day, seven . . 1-800-851-7498. ET. Patient Information Name Date of Birth Contract Number (include prefix) Group Number II. All home health and hospice services 800-782-4437. Here " ABC" is BCBS alpha prefix. Fax. Vision/Hearing Claim. If you receive a call that appears to originate . For authorization, call New Directions at 1-877-801-1159. Alabama. The Signature Wizard will help you . please call the customer service number for your local Blue Cross and Blue Shield company . 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. Precertification. 6. . (225) 297-2727. 450 Riverchase Parkway East. Call the appropriate number listed below: In-State General Provider Inquiry. Step Therapy Program Criteria Summary and Fax Form List. anthem blue cross blue shield phone number, Bcbs phone number, blue cross blue shield phone number, empire bcbs phone number, . 800-821-7231. Bcbs Member Log In Tx . 6. . Medicare Advantage HMO: 1-866-517-8585. Vision and hearing providers: 1-800-482-4047. I-20 East at Alpine Rd. Individual Customer Care Center. Log in to get a more personalized experience. Members of the Federal Employee Blue Cross/Blue Shield Service Benefit Plan (FEP) are subject to different prior authorization requirements. See helpful answers to frequently asked questions and quickly naviga The Individual Who is The Subject of The Protected Health Information. If you experience difficulties or need additional information, please contact 1-800-676-2583 (BLUE). Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. Pre-certification required. Contact Blue Cross and Blue Shield of Alabama for information about health insurance coverage, medicare supplement plans and prescription drug coverage. Contact Us. Note: If you have pharmacy coverage through your employer with a provider other than Prime Therapeutics, check . Contact Anthem Blue Cross and Blue Shield Member Services. BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama (800) 248-2342 (800) 248-2342 (800) 821-7231: Alaska (800) 562-1011 (800) 562-1011 (800) 622-1379: . Anthem Bcbs Georgia Customer Service Phone Number . All in-patient medical stays (requires secure login with Availity) 800-782-4437. E-Mail*. Facilities and other health care providers must verify patient eligibility and benefits prior to making . Assessment Form For Blue Cross commercial members other than Precertification . Already a member? They must be sent hard copy. Anthem Bcbs Georgia Customer Service Phone . TTY Callers (TTY) BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; TAA: Pennsylvania: . Dental Expense Claim. For example: A2A12345678. Go to your local Plan's provider portal to initiate pre-service review (Electronic Provider Access) for these services for out-of-area members. Area codes: 734, 810, 947, 989 or outside Michigan. If a referring physician fails to obtain a precertification or if the precertification is not approved due to lack of medical necessity, the claim from the imaging provider will be denied . Case Management. . Blue Cross Blue Shield of Michigan P.O. For both outpatient procedures and treatment requiring an inpatient stay, call (800) 633-4581 to obtain prior authorization. ET. er'sThe memb contract number, date of birth, the spelling of theirfirst name and ZIPcode Area codes: 231, 269, 616. intermittent hot water from combi boiler; madelaine petsch website. Anthem Blue Cross and Blue Shield Member Services: Monday thru Friday, 8:00 a.m. to 8:00 p.m. ETNurseLine: 24 hours a day/7 days per weekFraud Hotline: . Name Date of Birth Policy number Phone number Address City State ZIP Code PRECERTIFICATION . Use PCP HMO online request tool -844263 2272 . Blue Cross Blue Shield of Alabama and some Blue Cross Blue Shield Out of State precertifications may be initiated by calling AIM at 1-866-803-8002 or online at the Blue Cross Blue Shield of Alabama website/AIM portal. How to Determine Requirements: Telephone: Call the BlueCard Eligibility line at 1-800-676-2583 and ask to be transferred to the Medical Management Department. Tell us more. Complete all of the necessary fields (these are yellow-colored). AlabamaBlue.com is operated by Blue Cross and Blue Shield of Alabama and all Blue Cross' privacy and security . Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). For precertification, call 1-866-803-8002 (toll free). . _____ Practice Address Physician NPI City State Ofce Phone Ofce Fax Zip Provider Number - REQUEST TYPE (please check one) Initial Authorization . If you do not hear back from us within 5 business days, please call 800-792-8744, option4. Precertification of Advanced Imaging Services. 855-641-4862 (TTY 711) www.anthem . Blue Cross Blue Shield of Michigan P.O. BCBSIL BH Unit. Below is the list of specific services in these categories that require precertification. PO Box 660240. Out-of-area providers Anthem Bcbs Georgia Customer Service Phone Number . Request precertification for advanced imaging services online through Eligibility and Benefits or by calling AIM Specialty Health toll-free at 1-866-803-8002. Box 33248 Detroit, MI 48232-4248. Please note that this number is used solely to receive calls from BCBS members seeking assistance and never to make calls to BCBS members. National Information Center 1 (800) 411-BLUE; Contact your local Blue Plan for more information on how to access this functionality in your local provider portal. Shop Our Plans Account Login. Call 1-888-288-2738. Contact Last Name: Telephone Number: Fax Number: Street Address: City: State: Zip: Rendering Provider/Facility Rendering Facility/Physician . Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Blue Cross Blue Shield of Texas Medical Care Management P. O. to Credence. Click on the Get form key to open it and move to editing. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; AAA: Alabama: Blue-Cross Blue-Shield of Alabama: AAB: Michigan: Blue-Cross Blue-Shield of Michigan: AAC: Illinois: Blue-Cross Blue-Shield of Illinois: AAD: South Carolina: Exceptions for 1) prescription drug fertility treatments, 2) dosages in excess of the plan's quantity limits, 3) step therapy, and 4) drugs . BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. Log in to find contact information specific to your area and plan. If you must submit a telephonic request, call the appropriate phone number below to reach Medical Management & Policy: Western Region: 1-800-547-3627. Fill out Bcbs Of Alabama Precertification Forms within a couple of moments by following the instructions listed below: Choose the template you will need in the collection of legal forms. help@bcbsla.com. Mental Health/Substance Use Disorder Precertification. Medical Review Institute of America data breach. Highmark's mission is to be the leading health and wellness company in the communities we serve. However, fax submission is allowed at the ollowing fax numbers: 866-365-5504 or 303-764- 7123 for BCBS OF CA AND BCBS OF CO. In Alabama, out-of-network not covered; precertification may be required Physician/surgeon fees 40% coinsurance 50% coinsurance Precertification may be required for outpatient surgery . Anthem Blue Cross and Blue Shield Member Services: Monday thru Friday, 8:00 a.m. to 8:00 p.m. Blue Cross and Blue Shield of Alabama is not acting as an agent of the Dallas, TX 75266-0240. In some cases, our contracts with . Box 2227 Detroit, MI 48321-2227. Birmingham, Alabama 35244-2858. Your health care provider can use any of the following ways to request prior review and certification: By phone: Blue Cross NC Utilization Management at 1-800-672-7897 Monday to Friday, 8 a.m. 5 p.m. P.O. If you have questions or concerns regarding these programs, please call Prime Therapeutics at 1-800-289-1525. Review the prior authorization/step therapy program overview list to help you determine which prior authorization form is used for the medication being prescribed. Alabama: Blue-Cross Blue-Shield of Alabama: TCB: Ohio: Anthem Blue-Cross Blue-Shield of Ohio: TCC: Illinois: Blue-Cross Blue-Shield of Illinois: TCD-Unallocated/Not Assigned: TCE: If you are or believe you may be experiencing a medical emergency, please dial 911 for emergency services. Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. Blue Cross of NEPA Precertification (FPLIC Traditional, Special Care and FEP) - . Blue Cross and Blue Shield of Alabama has been made aware that a small number of our members have been impacted by the data breach at the Medical Review Institute of America, an organization that conducts certain clinical reviews for three external Blue Cross vendors that help administer our members' health plans. Online. State of Alabama (Group 13000): 1-800-551-2294; Local Government (Group 30000): 1-800-551-2294 . Dental Provider Application; Out-of-State Dental; Notification of Noncovered Dental Services; Provider Enrollment Pharmacy Claim. Box 33248 Detroit, MI 48232-4248. For . If your ID card is not available . While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an . Shop plans for Medicare, Medical, Dental, Vision & Employers. If the website is unavailable, call the precertification toll-free phone line at 1-866-803-8002 to initiate or verify a . Anthem Blue Cross Blue Shield Timely filing limit - BCBS TFL List; Ambetter Timely Filing Limit; Workers Compensation. Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 611328.1120 . tool. Bcbs Member Log In Tx . Blue Cross Blue Shield of Michigan P.O. Area codes: 231, 269, 616. If you need immediate medical attention . What if the website is not available? 800-248-2342 205-988-2245. If you or a family member needs immediate assistance, please contact one of our representatives at 800-528-5763. The following information describes the general policies of BlueAdvantage Administrators of Arkansas and is provided . For Medicare Advantage Members, call: FreedomBlue PPO: 1-866-588-6967. Contact Anthem Blue Cross and Blue Shield Customer Support in Missouri by phone or Live Chat. Monday - Friday, 6 a.m. to 6 p.m. CT, Saturdays, Sundays and Holidays, 9 a.m. to noon CT. Fax: 1-800-610-0050. Individuals & Family . Asthma Chronic Obstructive Pulmonary Disease . BLUE CROSS AND BLUE SHIELD OF ALABAMA MKT371_1810 Blue Cross and Blue Shield of Alabama 450 Riverchase Parkway East P.O. Our general phone number is: 803-788-0222. Claim forms must be submitted to: Blue Cross and Blue Shield of Alabama. Fax: 877-361-76561. Blue Cross Blue Shield of Michigan P.O. Blue Cross Blue Shield of Alabama Prior Authorization Form 2008-2022. Members. Toll-free: 800-288-2227. jenae wallick instagram; beaches restaurant menu yeppoon; how to spot a fake western union money order Learn about insurance options for Individuals & Families or Employers, or get connected with your local Blue Cross Blue Shield company by calling 888.630.2583. FEP members: See the prior authorization requirements PDF or visit the FEP health plan brochures page. Shield of Alabama, PO Box 10485, Birmingham, Alabama 35202-0485. You may also visit them online at BCBSAL. To submit a prior authorization online, please click the button below to use the web form. This includes certain injectable and infusion specialty drugs that are administered by providers and eligible for coverage under the medical benefit. If you have any questions or comments about the forms, please contact us. Blue Cross Blue Shield Federal Phone Number. By fax: Request form. Care Management Programs. . Box 44407. I'm looking for subpoena or HIPAA-compliant information. Certain services require precertification from Independence Blue Cross (Independence) prior to being performed. Contact; bcbs of alabama precertification phone number. Participating hospitals: 1-800-760-6852 . 800-492-8872 . As a PPO/POS, HMO or Traditional contracted provider with Blue Cross and Blue Shield of Texas, you are responsible for the completion of the prior authorization process for BlueCard members. Anthem Bcbs Georgia Customer Service Phone . 1-800-846-5277. Coordination of Benefits. Warning. Detroit, MI 48244. Secure Online Contact Form. Submit completed forms to: BCBSTX Behavioral Health Unit PO Box 660241 Dallas, TX 75266-0241 Call Blue Cross and Blue Shield of Alabama's precertification toll-free phone line at 1-866-803-8002 (available Monday through Friday, 8 a.m. - 5 p.m. Central time). Transplants with the exception of cornea and kidney 800-432-0272. Available 24/7/365. Provider Inquiry Blue Cross Blue Shield of Michigan P.O. Thank you for browsing our provider forms. Vision/Hearing Claim. You are about to leave the Blue Cross and Blue Shield of Alabama Medicare products website and go to AlabamaBlue.com. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. Our vision is to ensure that all members of the community have access to affordable . Thank you for submitting. please call the customer service number for your local Blue Cross and Blue Shield company. Explore now. Blue cross Blue Shield association cannot accept Guest Membership claims electronically. Pharmacy prior authorization: Please contact CVS Caremark at 877-433-2973 (Monday Friday from 8 a.m. 6 p.m. CST) to request approval for a prescription drug that requires a prior authorization. CHS group members: Call the number on the back of the ID card or contact the group's TPA. When you write to us, please include the following: The contract number on your subscriber ID card, also known as enrollee ID. Does Blue Cross Blue Shield of Alabama Cover Rehab Treatment? Fraud or abuse. Many of the mental health and substance use treatment options require precertification before the insurance will help with the costs.