8 a.m. to noon and 1 to 5 p.m. D/B/A Florida Blue. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. To get credentialed, you'll need to visit CAQH.org. Physicians and professionals: 1-800-344-8525 Portugus, You are going to a different website. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Because of this, Blue Cross and Blue Shield of Illinois is able to offer dental plans with: Members realize the most savings when care is received from PPO dentists. A General Dentist will refer patients to an Oral Pathologist for assistance in You can write to us by finding your ZIP code with the relevant mailing address. Automated information is available anytime. You can write to us by matching your area code with the relevant mailing address. Though General Dentists can often perform some BCBSTX and go2dental.com are separate companies. Just use our online search. Adult Dental Services . Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Monday through Friday. Individuals attempting unauthorized access will be prosecuted. Find yours in our list ofphysician organization consultants (PDF). 1-844-876-7917 Our plans include BlueCare SM, TennCare Select and CoverKids. You can register here. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Blue Cross Blue Shield of Michigan We offer two ways to find patient eligibility information by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. View our map (PDF). The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Box 230589 When you have a member selected and then go to select a provider, the system will indicate if the provider is "in" or "out" of network for that member. Passive plan options pay out-of-network dental services at U&C. Kreyol Ayisien, Detroit, MI 48226. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Quality Care That's Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. After you've enrolled, you can register for a provider portal account. Blue Cross Blue Shield of Michigan Fully Insured Small Group Summary of Dental Benefits. Say "another member" to inquire on another member. How do I submit a prior authorization request? If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Grand Rapids, MI 49516-8710, BCN Advantage Claims Say "no" when asked if you have additional questions about the determination of a claim. Pediatric Dentists specialize in dental treatment for young and special needs children. view our International Directory. If your the Blue Cross and Blue Shield of Oklahoma (BCBSOK) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Box 33248 Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? If you're practicing outside Michigan, use these documents to learn how to submit a prior authorization: 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Their online platform allows you to sign up in just a few clicks, find the right coach or therapist for your needs, and quickly book an appointment via live video or in-person. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Members may enroll in the plan only during specific times of the year. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . 20500 Civic Center Drive Call DentaQuest (toll free) at 1-855-418-1622. One Woodward Avenue, Suite 2020 Some General Dentists Our web portalpowered by Availitymakes doing business with Anthem even easier. What do I need to know about credentialing? 8 a.m. to 7 p.m. Register Now, Not registered? Physicians and professionals: 1-800-344-8525 Hospitals or facilities: 1-800-249-5103 Vision and hearing providers: 1-800-482-4047 Federal Employee Program providers and facilities: 1-800-840-4505 While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an account. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Enter a partial or full name along with the Specialty and Location. Don't have a secured provider portal account yet? The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, P.O. Monday through Friday The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists (specialists in diseases of the nerve within the tooth) and periodontists (specialists in diseases of the gums and tissues). Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Monday through Friday, Care Management--Mail Code C355 Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Learn more >, Not registered? MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). For Michigan Providers: Summary of Utilization Management Programs (PDF), Provider Prior Authorization and Precertification Requirements for BCBSM and Medicare Plus Blue, For Michigan Providers: BCN Referral and Prior Authorization Requirements (PDF), For Non-Michigan providers: Referral and Authorization Requirements (PDF), Important Information About MedicarePlans, Your 10-digit national provider identifier, BCBSM PIN or facility code, The members contract number, date of birth, the spelling of their first name and their ZIP code, Member liability, including deductible, coinsurance and copays. Tagalog, Step 6:Tell the system the total amount charged. Today's top 32,000+ Clinic Manager jobs in United States. 2021 BlueCare Dental PPO (Mid-Market) Plans. Free language assistance to people whose primary language is not English, such as: Calling Blue Cross Blue Shield FEP Dental at 1-855-504-BLUE (2583), dial 711 for TTY relay services. Step 6: Tell the system the total amount charged. Blue Care Network like alveoplasties or cleft lip/palate surgery. 8:30 a.m. to noon and 1 to 5 p.m. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. This other site may have information about: Please note that your health plan may not cover the items found on this other site. New Clinic Manager jobs added daily. BCBSOK and go2dental.com are separate companies. This trademark application was filed with the USPTO (United States Patent and Trademark Office) under the trademark classification: Medical, Beauty & Agricultural Services ; Insurance & Financial Services; The BLUE . State and Federal Privacy laws prohibit unauthorized access to Member's private information. When issuing a referral or outpatient authorization for a hospital, referring providers should enter the facility NPI in the e-referral Servicing Facility ID field. Log In to Availity Don't have an Availity account? You can also talk to your provider consultant. If your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Need help understanding our plans? When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Box 68753 It's just one more way that Florida Blue is with you. for all dentists in cities starting with "C," enter "C" for the city. 8:30 a.m. to 4:30 p.m. Periodontists specialize in gums and gum disease. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services The search results will supply: Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Get access to your agent portal. Access Your Payment Options. Note:It can take up to 30 days for a claim to be processed. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Free aids and services for people with disabilities to communicate effectively with us, such as: Written information in other formats (such as accessible electronic formats). It's important to understand your dental plan and what coverage you have as it may impact which dentists you can see and your costs when using them. 2022 BlueCare Dental PPO (Small Group) Plans. Coverage for treatments varies depending on the member's benefit plan. 1-888-826-8152 Provider Finder Find a dentist in . Elevance Health, Inc. is an American health insurance provider. 1. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. If you are a BCBSTX member and have questions about your health care plan benefits, check with your group benefits administrator or contact Customer Service at the number listed on your BCBSTX member ID card. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Federal Employee Program providers and facilities: 1-800-840-4505. For more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945. Get access to your online account. We offer resources to support your practice in serving patients covered by our dental plan. For services from dentists who are not in the BlueDental PPO (BluePreferred Dental) Network, What You Need to Know About the BlueDental PPO (BluePreferred Dental) Network, Those who purchased ACA plans through HealthCare.gov and need to access out-of-Arizona pediatric dental coverage. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. an appointment. 1-855-504-2583 Gujarati, One option is Adobe Reader which has a built-in reader. Nominate your provider for inclusion in our network! Your contact information will be accessible to millions of our members. Blue Cross and Blue Shield of Texas (BCBSTX) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Although every dentist will accept Blue Dental PPO plans, your coverage may vary based on their network participation with PPO in-network dentists providing the most savings, Blue Par Select dentist providing some savings and out-of-network dentist providing the least savings for you as a member. Most PDF readers are a free download. Not all Endodontists will provide endodontic services 8 a.m. to noon and 1 to 5 p.m. To view this file, you may need to install a PDF reader program. P.O. Physicians and professionals: 1-800-344-8525 8:30 a.m. to 6 p.m. We provide health insurance in Michigan. Important Information About Medicare Plans, whether the dentist offers evening or weekend hours, what languages are spoken by the dentist and staff, what experience they've had with physical or developmental disabilities, and more. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Enroll year round. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. Hospitals or facilities: 1-800-249-5103 Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental 8:30 a.m. to noon and 1 to 5 p.m. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). For example, to search 1-877-258-0167 An independent licensee of the Blue Cross and Blue Shield Association. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Leverage your professional network, and get hired. Essential Vision providerssubmit claims throughHeritage Vision Plan. Register Now, Not registered? Dentist cannot provide the treatment you need, they may refer you to a specialist. External link You are leaving this website/app (site). BlueCare TennCare health care plan for many lower income pregnant women, parents or caretaker relatives of minor children, children, seniors and Tennesseans with disabilities See more TennCare Select Quality Care That's Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Determine approximate dental fees in the marketplace with the Dental Cost Advisor SM; Log in to Blue Access for Employers SM and visit the Health and Wellness tab within the Employer Resources section, or contact your Blue Cross and Blue Shield representative to find out more about how BlueCare Dental Connection can add value to your group's . Monday through Friday Box 32593 Monday through Friday Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Get access to your online account.Register Now, Not registered? Vision and hearing providers: 1-800-482-4047 If you visit a provider or location that is not in your network, you will pay more of the cost. 1-800-482-4047 Call our Member Services department Monday - Friday from 8 am to 5 pm. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Blue Cross NC Dental Products and Network Overview . Just keep in mind you'll need to go through the prompts before you're connected to someone. General Dentistry, Oral & Maxillofacial Surgery. . Register Now. Read our manuals to learn more about our programs, policies and procedures. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . BlueCare Dental PPO offers an expansive local network of dentists with more than 13,000 access points in Illinois, and more than 378,000 nationwide. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. All here in your neighborhood. Blue Cross Blue Shield FEP Dental , Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. periodontal services, like deep cleanings (scaling and root planning), they will often refer If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. There's no coverage when you see Blue Par Select or out-of-network dentists. This new site may be offered by a vendor or an independent third party. Note: The FEP phone system has a different set of prompts than the others. Delta Dental Il Employer Login . We have several tools and resources available to help you make informed decisions about your plan and make the most of your BCBS FEP Dental coverage. Providers in the network are not available to provide dental services that are available under medical plans, such as, dental accidents and pediatrics dental services. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Register Now. When you enroll, you'll partner with us to care for a large and diverse membership. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Once you have located the provider, you need to log in to e-referral to submit the referral request using the provider's name or NPI. takes the health and well-being of our members, providers, our associates and our business partners seriously.
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