PA Resources Portlet

Resources

CODING & DOCUMENTATION

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

HEALTHCARE INFORMATION & TECHNOLOGY

PATIENT HEALTH

PHARMACY

POLICIES & GUIDELINES

PRE-SERVICE REVIEW

PROGRAMS & INITIATIVES

PROVIDER NETWORKS & SPECIALTIES

PA Dynamic Rendering

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.