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The document is a General Prescription Drug Coverage Authorization Request Form used to request authorization for prescription drug benefits. It requires detailed patient and physician information, the type of request (such as prior authorization or appeal), treatment information including drug details and medical rationale, and a certification of accuracy by the physician. The completed form can be submitted via fax or mail to the Pharmacy Review department.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is BCBS different in each state?

BCBS is a federation of 36 independent health insurance companies, each serving specific states or regions. While BCBS-affiliated insurers offer health plans nationwide, the details of coverage, including plan types, premiums, and benefits, can differ by state due to local regulations and market conditions.

What is the number for Blue Advantage prior authorization?

Use the Precertification Lookup Tool accessed through Payer Spaces in Availity. Call Provider Services at 1-844-421-5662.

How to submit medical records to BCBS AL?

Records must be mailed to the P.O. Box listed on the medical record request. Records can also be faxed. The fax information is listed on the Medical Request Letter. Blue Cross does not prepay for medical records.

What are prior authorization forms?

A prior authorization form will include information about you, your medical conditions, and your health care needs. Its important to fill out the form completely and accurately. Incomplete or incorrect information could delay your request or result in a denial.

Can I use Blue Cross Blue Shield of Alabama in another state?

Yes, you can usually use your Blue Cross Blue Shield of Alabama (BCBSAL) insurance in another state. BCBS Alabama is part of the Blue Cross Blue Shield network, which provides access to healthcare providers and services nationwide through its BlueCard program.

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Is Anthem Blue Cross Blue Shield the same as Blue Cross Blue Shield of Alabama?

Even though Anthem and Blue Cross and Blue Shield of Alabama are both part of the Blue Cross and Blue Shield System, we are completely separate companies. Anthem is an Indianapolis-based company that operates Blue Cross and Blue Shield plans in 14 states, but not in Alabama.

Is BCBS the same as BCBS of Alabama?

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).

What is Blue Cross Blue Shield called now?

BCBS Companies STATE/TERRITORYAVAILABLE COMPANIES California Anthem Blue Cross Blue Shield of California Colorado Anthem Blue Cross and Blue Shield Colorado Connecticut Anthem Blue Cross and Blue Shield Connecticut Delaware Highmark Blue Cross Blue Shield Delaware48 more rows

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