Options for Accessing Electronic Data

There are three different ways to access electronic data with Blue Cross:

1. If you have a current practice management software package that handles your scheduling and billing, it may already have the ability to communicate with Blue Cross and Blue Shield of Alabama electronically. We work with a large number of State and National vendors to establish communications between their products and our medical information network. We maintain a list of all of the vendors that are validated to access our system and include the different functionality associated with their products. The list is called the Vendor Functionality Matrix (VFM). If you use a software vendor package but it is not on the VFM we would be happy to talk with them about becoming a validated vendor. Please ask them to give us a call to discuss the process at 1 205 220-6899 or e-mail EMC@bcbsal.org.
   
   
   • Check the Institutional Vendor Functionality Matrix
   • Check the Physician Vendor Functionality Matrix
   • Check the Dental Vendor Functionality Matrix
   
   
2. Blue Cross and Blue Shield has developed a software package called PCEMC+ that will allow access to the data listed above, however, it does not have the capability to communicate with other scheduling or billing systems or automatically post remittances (this may cause the need to "double-key" claims). PCEMC+ is Blue Cross and Blue Shield of Alabama's low cost billing software. This software allows providers to submit Blue Cross professional and/or Alabama Medicare Part B claims. It also offers access to e-Practice Management information such as eligibility and benefits, claim status, and payment history. This software can be used as a stand-alone product or may sometimes interface with your practice management software.
   
3. This web site also offers electronic access for some claim, eligibility, and status information. The applications, including WebClaims are maintained under the section of our website called ProviderAccess. Please note these applications are only for private business (no Medicare information is allowed via the Internet) and are also stand-alone products – they do not communicate with other vendor systems.