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Blue Cross and Blue Shield of Alabama has an established appeals process for providers and physicians. The following documentation provides guidance regarding the process for appeals. A form is also available to aid providers in preparing an appeal request.
Providers are required to file all post-service appeals to their local Blue Cross Plan regardless of the member's Home Plan. For example, if an Alabama physician provides services to a member with Blue Cross and Blue Shield of Kansas coverage and a post-service appeal is needed, the physician should complete the Provider Post-Service Appeal Form and submit it to Blue Cross and Blue Shield of Alabama.
Please attach any additional information and/or medical records at the time of filing the appeal for consideration.
Preservice and concurrent appeals should continue to be submitted to the member's Home Plan.