Blue Cross and Blue Shield of Alabama
Alabama • Traditional Indemnity, EPO, High-Deductible Health Plan (HDHP)
Verified Aug 2026 · source
Depends on the plan type
Depends on your network status
Verified Aug 2026 · source
Verified Aug 2026 · source
Depends on the claim type
Depends on the claim stage
Other departments
Verified Aug 2026 · source
Depends on the plan type
Usually you do not send the claim to Blue Cross and Blue Shield of Alabama. Under the BlueCard program, a provider treating a member from another Blue plan submits the claim to their own local Blue Cross Blue Shield plan, which then routes it to Blue Cross and Blue Shield of Alabama for processing.
Arrangements vary by contract, and self-funded (ASO) accounts can differ — confirm with your local Blue plan before filing. See the BlueCard Program Provider Manual for the full rules.
Under this indemnity prefix, the member has fee-for-service coverage. There is no provider network, no referral requirement, and no primary care physician gatekeeper. Claims are processed based on the plan's fee schedule. While less common than managed care plans, indemnity coverage is still offered by some BCBS companies.
This is an Exclusive Provider Organization (EPO) prefix. EPO plans do not cover out-of-network care except in genuine emergencies. Members can see any in-network specialist without a referral from their primary care physician. Claims for out-of-network non-emergency services will be denied.
Under this HDHP prefix, the member's plan has a higher deductible than traditional coverage. This affects patient cost-sharing but does not change how claims are submitted or processed. Use the same payer ID, claims address, and filing procedures listed above. Verify the member's remaining deductible before estimating patient responsibility.
Nonprofit health insurance company providing coverage to over 3 million members in Alabama. Member of the Blue Cross Blue Shield Association since 1936.