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VISION/HEARING CLAIM An Independent Licensee of the Blue Cross and Blue Shield Association. I VISION CLAIM I HEARING CLAIM 450 Riverchase Parkway East Birmingham, Alabama 35244-2858 TYPE OR PRINT.

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How to fill out the Bcbsal online

This guide provides user-friendly, step-by-step instructions for filling out the Bcbsal form online. Whether you are submitting a vision or hearing claim, this resource will help you navigate the process with ease.

Follow the steps to complete your Bcbsal form successfully.

  1. Press the ‘Get Form’ button to access the Bcbsal form and open it in your browser.
  2. In the patient and insured information section, enter the patient’s name, date of birth, and the insured’s name. Ensure that all fields are filled accurately.
  3. Provide the patient’s address, sex, and the insured’s identification number, including any letters. Indicate the patient’s relationship to the insured by selecting from the options provided.
  4. If applicable, indicate any other health insurance coverage by listing the policyholder's name, the insurance plan name, and the address, along with the policy or medical assistance number.
  5. In the service section, fill in the date of service, including the start and end dates. Specify if the condition was related to employment, an auto accident, or another accident.
  6. For billing, input the total charges, number of services, and diagnosis. Include the procedure code if necessary.
  7. Enter the details of the referring doctor or provider, including their UPIN number if applicable. Ensure the physician or supplier signs the form.
  8. Make a payment selection by indicating whether to pay the provider or the patient. Provide the physician's or supplier's name, address, and zip code.
  9. If submitting a lens purchase claim, ensure to include the lens prescription for reimbursement eligibility.
  10. Once all sections are completed and reviewed, save any changes made to the form. You may then download, print, or share the form as needed.

Start filling out your Bcbsal form online today for a streamlined claim submission process.

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Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association.

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.

The health insurance marketplace for California is called Covered California. ... In addition to buying coverage through Covered California, individuals and small businesses can purchase health care the way they do today through brokers and directly through insurance carriers like Blue Shield.

PEEHIP offers very good coverage if you need to visit a chiropractor. If you visit a Participating Chiropractor, covered services are paid at 80% of the allowed amount with no deductible. You will not have to file claims and you will never owe more than 20 percent of the allowed amount.

Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. There may be times when we use other companies to give our members and providers certain types of services, like Utilization Management or Case Management.

How much does health insurance cost in Alabama? Alabama residents can expect to pay an average of $642 per person* for a major medical individual health insurance plan. Prices will vary and premiums can be lower if you are in good health.

Learn more about Anthem's Medicare Advantage HMO plan: Anthem MediBlue HMO. Your PPO plan contracts with medical providers that include doctors and hospitals who are all in the same network. You'll save money by using those providers, although you can still use those that are out-of-network at an extra cost.

In broad terms, any type of health insurance coverage that isn't provided or maintained by a government-run program can be considered a type of commercial insurance. Most commercial health insurance plans are structured as either a preferred provider organization (PPO) or health maintenance organization (HMO).

Blue Cross Medicare Advantage plans offer all the same coverage as Original Medicare plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options.

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).

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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