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Physician Treating Members of Same Family/Household

Blue Cross and Blue Shield of Alabama has the following standard contract exclusion:

Services or expenses any provider renders to a family member who is related to the provider by blood or marriage or who regularly resides in the provider's household are excluded from coverage under Blue Cross and Blue Shield of Alabama benefits. Examples of a provider include, but are not limited to, a physician, a licensed registered nurse, a licensed practical nurse, or a licensed physical therapist. Any claims filed for services rendered to family members should indicate the services are non-covered.

If you are paid in error for a service that should be non-covered, use the Voluntary Check Return Transmittal System to return the payment. A separate check for each adjustment to be made should be included with the form. If necessary, refunds will be requested on any services identified as being paid in error.