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Dental

Information for Dentists

If you are an Alabama dentist, log in to ProviderAccess to submit primary, secondary and corrected electronic claims to Blue Cross and Blue Shield of Alabama. A link to "Claim Entry (eClaims)" can be found under Patient & Claim in the main menu. You may submit electronic claims through your practice management software, clearinghouse or our online eClaims application.

Electronic remittances are available through your practice management software or clearinghouse. Online remittances are available each Monday prior to the Thursday payroll date and can be printed or saved to your computer as a PDF file.

To view your online remittances, log in to ProviderAccess. A link to "Remittance" can be found under Payment & Refund in the main menu.

For more information about our electronic offerings, click on Resources, and select "Healthcare Information and Technology." Refer to the Dental Resources page for information about our policies, procedures, and a variety of topics important to dentists." 

To view the Timely Topics Webcast and learn about Dental Program updates, click on Resources, select Education & Events, and click on "Timely Topics Webcast."

If you have any questions, contact Healthcare Information and Technology at 205-220-6899 or Ask-EDI@bcbsal.org.

 

Predetermination of Benefits for Anterior Veneers and Anterior Crowns
X-rays should never be submitted with a claim for service. If Blue Cross determines x-rays are required, a request will be made at that time.
Accessing Online Remittance Notice
Online remittances are an exact image of paper remittances and offer real advantages, including faster and easier access. The current week’s remittances are available on our website each Monday and remain available for up to 12 months, with options to view, print and save.
eClaims Dental Quick Reference Guide
eClaims Secondary Dental Quick Reference Guide
How to View Audit Reports
An audit report is generated by Blue Cross and confirms the receipt of your electronic claims. This report specifies whether the submitted claims were accepted for processing or rejected due to an error.
In-State Dental Provider Application Form
This is the application form for Alabama-based dental providers as well as those in contiguous counties.
Information for Out-of-State Dentists
Notification of Noncovered Dental Services
Pediatric Dental Essential Health Benefits
Pediatric dental coverage is an Affordable Care Act (ACA) essential health benefit that must be offered to families buying health insurance in the federal and state-facilitated marketplaces for the individual and small-group insurance markets. Essential health benefits include pediatric dental benefits for children up to age 19.