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PMD Providers in Contiguous Counties/Out-of-State Members

Blue Cross and Blue Shield of Alabama has claims processing rules for providers in contiguous counties to validate whether or not a member lives in Alabama.

  • Claims for members residing outside of Alabama will deny with instructions to file the claim to the Blue Cross Plan in the state in which the services were rendered.
  • The contiguous county claims filing process has not changed for members who live within Alabama.
  • If a member's address on our system is incorrect, the member should update his or her address information immediately.