Claims Issues

Blue Cross and Blue Shield of Alabama provides several tools to assist providers with member eligibility and benefits, claim status and remittances. Providers can access this information through their electronic Practice Management (e-PM) vendor, ProviderAccess found on our web site, www.bcbsal.com, and the Interactive Voice Response (IVR).

Our Customer Service Department is another resource for providers. When calling Customer Service, be sure to let the Representative know what information you have already accessed through one of the methods mentioned above. For example, if you need additional assistance with a claim that has rejected, provide specific information for the claim, such as the date of the remittance, the claim rejection code/definition and the date of service. If you contact Customer Service before researching the claim, you will be asked to access one of the methods given above.

Please do not give your National Provider Identifier (NPI), Tax ID number and/or provider location ID to the member to call Provider Customer Service. This telephone number is dedicated to providers. Members should call the telephone number listed on the back of their identification cards if they need assistance from Customer Service.

Additional Resource
For information regarding an explanation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) rejection codes, refer to www.wpc-edi.com.

Last Updated March 2010