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  • Recredentialing Verification Form - Bcbsal

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Confidential ReCRedentialing VeRifiCation foRm An Independent Licensee of the Blue Cross and Blue Shield Association inStRUCtionS: Please PRINT or TYPE a response to each question below. Please attach.

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To request a provider application, check application status, add a new location or update provider information, please use one of the following methods: Access Enrollment and Credentialing online. Email Credentialing. Call the IVR: 205-220-6765. Fax (provider credentialing applications and related documents): 205-220-9545.

In order to serve you better you can email Blue Cross and Blue Shield of Alabama at bcbsalmedicare@bcbsal.org. It is fast, easy and always available. We look forward to answering your questions. Blue Advantage (PPO) members call 1-888-234-8266 (TTY 711), 8 a.m. to 8 p.m., seven (7) days a week.

FAX: 1-866-990-1385 PLEASE NOTE: If your other insurance or Medicare policy is primary, you must attach a copy of the Explanation of Benefits from that insurer. Your claim cannot be processed without this information.

The case number, contract number and/or accident date you've entered does not match our records. Please review your information to continue. If you do not know this information, please contact us at 205-220-7725 or fax your request to 205-220-6354. Are you reporting a new case?

Payer Name: Blue Cross Blue Shield of Alabama|Payer ID: 510|Professional (CMS1500)/Institutional (UB04)[Hospitals]

Provider Enrollment/Credentialing 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.

How to File a Claim Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us.

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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