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Preadmission certification - Blue Cross and Blue Shield of Alabama - bcbsal

Preadmission certification - Blue Cross and Blue Shield of Alabama - bcbsal 2025

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The document outlines the Preadmission Certification process for Blue Cross and Blue Shield of Alabama, emphasizing the need for prior review of the medical necessity for inpatient hospital admissions. It requires healthcare providers to complete specific sections detailing patient and admission information, and certifies that inpatient care is necessary. Failure to obtain certification may lead to denial of benefits.

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How much is Blue Cross Blue Shield Alabama per month?

Blue Cross and Blue Shield of Alabama (BCBSAL) is a nonprofit health insurance company headquartered in Birmingham, Alabama. The company was founded in 1936, provides coverage to more than 3 million people and is a member of the Blue Cross and Blue Shield Association (BCBS).

Is BCBS the same as BCBS of Alabama?

BCBS companies are committed to making sure you have access to the health care you need. In order to apply or re-enroll in your Marketplace coverage, visit HealthCare.gov or call the Marketplace Call Center at 1-800-318-2596. TTY users can call 1-855-889-4325.

How to get appointed with BCBS Alabama?

Follow the steps below: Step 1 - Required Documents for All Providers/Specialties. There are several required documents that you must submit for enrollment. Step 2 - Provider Enrollment Application/Supporting Documents. Step 3 - Express Your Network Interest. Step 4 - Submit Your Applications/Supporting Documents.

Does BCBS of Alabama require referral?

All emergency room visits require a referral. The PCP determines the medical necessity of the ER visit prior to issuing the referral. If the member is admitted to the hospital, a referral is not required.

How do I speak to a representative at BCBS Alabama?

Contact Us Call 1-888-543-9212 (TTY 711), Monday Friday, 8 a.m. to 8 p.m. CST. From October 1 to March 31, the hours of operation are Monday Sunday, 8 a.m. 8 p.m. CST. Attend a meeting with your local Blue Cross representative.

What is the preferred specialty pharmacy for BCBS Alabama?

Blue Cross and Blue Shield of Alabama in-network specialty pharmacies are: Accredo Health Group, Inc. (1-888-608-9010), CVS/Caremark (1-800-237-2767) and AllianceRx Walgreens Prime (1-877-627-6337).

Preadmission certification - Blue Cross and Blue Shield of Alabama - bcbsal 2025

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Preadmission certification - Blue Cross and Blue Shield of Alabama - bcbsal 2025

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How to modify Preadmission certification - Blue Cross and Blue Shield of Alabama - bcbsal in PDF format online

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Got questions?

How much is Blue Cross Blue Shield Alabama per month?

Is BCBS the same as BCBS of Alabama?

How to get appointed with BCBS Alabama?

Does BCBS of Alabama require referral?

How do I speak to a representative at BCBS Alabama?

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What is the preferred specialty pharmacy for BCBS Alabama?

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