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Provider Manual

Thank you for browsing our online Provider Manual. If you have any questions or comments about the information found here, please contact us.

Helpful Contact Information and Other Valuable Resources

Claims Processing and Operational Information

Clinical and Health Improvement Information


Medical Policy

Precertifications and Reviews

Preferred Care and Participating Programs

Primary Care Network (PCN) Information

Special Instructions for Specialty Networks


The following disclaimer is applicable to all telephone inquiries and automated communications systems (i.e., telephone and fax) to Blue Cross and Blue Shield of Alabama:

The information provided is only general benefit information and is not a guarantee of payment. Benefits are always subject to the terms and limitations of the plan and no employee of Blue Cross and Blue Shield of Alabama has authority to enlarge or expand the terms of the plan. The availability of benefits is always conditioned upon the patient’s coverage and the existence of a contract for plan benefits as of the date of service. A loss of coverage, as well as contract termination, can occur under certain circumstances. There will be no benefits available if such circumstances occur.