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  • Provider Post-Service Appeal Form - BCBSAL
    Bulk appeals will not be processed unless approved by your Provider Networks Consultant Where do I send my appeal request? All appeal correspondence should be submitted to the following: Blue Cross and Blue Shield of Alabama Appeals Post Office Box 10408 Birmingham, AL 35202-0408 Fax: 205-220-9562 What if I disagree with an initial appeal
  • BLUE CROSS AND BLUE SHIELD OF ALABAMA APPEALS
    To appoint and Authorized Representative, please call 1-800-292-8868 and request the Authorized Representative form L2013011 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association
  • Provider Post-Service Utilization Management Appeal Form - Explore My Plan
    Post Office Box 10408 • Birmingham, AL 35202-0408 • Fax 205 220-9562 Section I: Patient Information Alpha Prefix Contract Number (Copy from the member’s identification card) Patient Date of Birth (mm dd yyyy)
  • Provider Post-Service Appeal Form - Credence Blue
    Blue Cross and Blue Shield of Alabama action prompted this appeal (Please check one)
  • Blue Advantage: Complaints Appeals | Patrius Health
    For coverage or payment appeals, we must respond to your request within 60 calendar days after we receive your appeal You must make your appeal request within 60 calendar days from the date on the written notice we sent that tells you Blue Advantage's answer to your request for a payment decisions Expedited appeal
  • Alabama - Blue Cross and Blue Shields Federal Employee Program
    If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company Alabama Help Center: Important contact information for Blue Cross and Blue Shield of Alabama
  • Resources - provider. bcbsal. org
    Provider Post-Service Appeal Form: Use this form for all of your appeal requests including claims reconsideration, reimbursement and medical necessity Be sure to provide all of the required information as indicated, including a provider signature
  • Contact Us - Blue Cross and Blue Shield of Alabama
    Already a Blue Cross member and need help? Have questions about our plans or need help enrolling? Contact Blue Cross and Blue Shield of Alabama for information about health insurance coverage, medicare supplement plans and prescription drug coverage




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