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  • Al Bcbs Primary Care Network Retro-referral Form 2010

Get Al Bcbs Primary Care Network Retro-referral Form 2010-2025

Al method and then fax this completed form explaining the circumstances to 1-800-303-8930 or 205 220-5763 To enter a referral through the VRU, please call 1-888-881-1416. For assistance in entering the referral, call Customer Service at 1-877-231-7239. Primary Care Physician Information Physician Name Middle Initial Last Name Individual NPI Unique Provider Identification Number (UPIN) Office Contact (National Provider Identifier) Hospital/Clinic Address City State Office Telephone Zip.

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Precertification is required for many services, including the following outpatient hospital benefits, physician benefits and other covered services.

Call the IVR: 205-220-6765. Fax (provider credentialing applications and related documents): 205-220-9545.

Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.

About Blue Cross and Blue Shield of Alabama Connect with us on Facebook, check out our videos on YouTube and follow us on Twitter for more up-to-date information. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association.

Referrals and precertifications are mutually exclusive of each other. It is possible that a patient does not need a referral but does need a precertification. A predetermination may be obtained from Medical Review for certain proposed treatment plans.

CALL US Already a Blue Cross member and need help?Individual & Family Products1-888-267-2955Monday through Friday, 9:00 a.m. to 5:00 p.m. Central TimeBusiness & Employer Plans1-855-525-7283Monday through Friday, 8:00 a.m. to 4:30 p.m. Central Time5 more rows

Call 205-220-6899.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232