Enroll today and your coverage can start as soon as next month. Say "another member" to inquire on another member. Our nationwide plans are available to almost anyone. Check ereferrals.bcbsm.com for detailed prior authorization information. 8:30 a.m. to noon and 1 to 5 p.m. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. P.O. Step 6: Tell the system the total amount charged. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). Detroit, MI 48232-0593, UB-04 claims google drive shared folder empty The Blue Cross Blue Shield of Georgia Premier Plus PPO health care plans offer the highest level of benefits available. 1-800-762-2382 When a ZIP code is supplied, the city and state values are ignored. ACCESS MANUALS. Register Now. 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. Adult Dental Services Log In to the Shopping Cart, Need to Make a Payment? Register Now, Not registered? The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California, [2 . Grand Rapids, MI 49523-0589, Provider Inquiry Access Your Payment Options. In addition, some sites may require you to agree to their terms of use and privacy policy. To view this file, you may need to install a PDF reader program. Box 312599 Box 32593 External link You are leaving this website/app (site). During this unprecedented time, we're taking action to support our 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 you don't have an account yet, you can check claims for BCBSM patients with our automated system. You'll need to know what kind of dental plan you have; an individual plan, a plan through your employer or Medicare, or another public plan. You'll have access to reward programs that seek to transform health care. also provide more specialty services, like root canals, extractions, and dentures, Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices , With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. an appointment. You'll need to use e-referral for Medicare Plus Blue authorization requests. Passive plan options pay out-of-network dental services at U&C. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Quickly find a general dentist or specialist. Learn About Virtual Care Florida Blue Centers See a nurse. We provide health insurance in Michigan. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. NEW CLAIMS SUBMISSION MAILING ADDRESS. Dental Provider Services Contact our dental team to report changes to your practice or for questions about Blue Cross NC dental contracts, policies and procedures. Masshealth Dental Provider Login . Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Box 7355 Log In to Availity Don't have an Availity account? Looking for a specific dentist or clinic? Not Registered? 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. , Not all benefits are offered by all Plans mentioned above. Physicians and professionals: 1-800-344-8525 Take Action. Not all Endodontists will provide endodontic services Individuals attempting unauthorized access will be prosecuted. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Monday through Friday. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). New Clinic Manager jobs added daily. and Prevention (CDC), and state and local public health departments. Monday through Friday, Care Management--Mail Code C355 PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage. Note: The FEP phone system has a different set of prompts than the others. Box 7355 Both benefit plan options pay network dentist at SMA; however, one plan pays out-of-network dentists at SMA and the other pays at U&C. BCBSIL and go2dental.com are separate companies. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. 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. with orofacial skin. Elevance Health, Inc. is an American health insurance provider. P.O. Gujarati, Lansing, MI 48933. Returning Shopper? Members. The network providers listed in this directory have agreed to provide you with your health care and dental services. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. Many specialists also Monday through Friday Blue Cross Blue Shield of Michigan Welcome to DNoA Connect, a provider self-service tool where dental offices can conveniently connect to patient information for members serviced by Dental Network of America (DNoA). Enroll year round. One option is Adobe Reader which has a built-in reader. 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 . The automated system is available anytime. An independent licensee of the Blue Cross and Blue Shield Association. Detroit, MI 48231-2599, Blue Cross Complete claims Periodontists specialize in gums and gum disease. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Just use our online search. Blue Cross Blue Shield of Michigan Don't have a secured provider portal account yet? 8 a.m. to 7 p.m. 1-888-826-8152 Behavioral Health Services. Detroit, MI 48226. PO Box 385018 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 Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. however, available treatment will vary for each provider. How can I learn more about my patients' eligibility? 1. , You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Over-the-Counter Tests Expand All | Collapse All If your General Dentist feels that you require a specialist, If your General Birmingham, AL 35238-0518. 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. Get access to your agent portal.Register Now. Monday through Friday 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. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Ask A Dentist Ask licensed dentist questions about dental care. Vision providers who can't access their account or need more information can read the Blue Vision Provider Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments Monday through Friday The content on the Dental Wellness Center website is provided by go2dental.com . Say "claims" when the system asks why you're calling. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Use our search form to find a dentist quickly and easily. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Individuals attempting unauthorized access will be prosecuted. 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. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . 8:30 a.m. to noon and 1 to 5 p.m. . 232 S Capitol Ave Nominate your provider for inclusion in our network! Monday through Friday. Enter your City and State or Zip Code and desired. BlueCare Dental (Traditional National PPO) * GEHA's mantra is PREVENTIVE HEALTH CARE. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. Our web portalpowered by Availitymakes doing business with Anthem even easier. Just keep in mind you'll need to go through the prompts before you're connected to someone. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. Monday through Friday, 1-800-431-1059 TrademarkElite is the U.S. #1 Trademark Search and Registration Service :: BLUE GLOBAL SOLUTIONS is a trademark and brand of Blue Cross and Blue Shield Association, Chicago, IL . Whether you're interested in joining our network or have already partnered with us, we're here to help. Watch our videos to learn how specialty benefit plans offered by your employer may work for you so you can make informed decisions during open enrollment. You may access the Nondiscrimination and Accessibility notice The network has more than 5,600 locations within AZ and over 350,000 locations . Say "no" when asked if you have additional questions about the determination of a claim. P.O. 8 a.m. to 6 p.m. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Get access to your employer portal. for all dentists in cities starting with "C," enter "C" for the city. Blue Cross Blue Shield of Michigan Providers | BlueCare Tennessee As a BlueCare Tennessee network provider dedicated to the health of your patients and our members, you'll find what you need here for your office or facility. Hospitals or facilities: 1-800-249-5103 Today's top 32,000+ Clinic Manager jobs in United States. Say "another contract" to inquire on another contract. Provider Finder Find a dentist in . Verify patient eligibility and benefits Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Southfield, MI 48075. State and Federal Privacy laws prohibit unauthorized access to Member's private information. If you need additional guidance, read the Dentaquest Dental Manual (PDF). This provides a quick, convenient way to get help in case of a dental emergency. For Providers: Contact Us If you're a provider who needs to contact us about one of our Blue Cross Blue Shield of Michigan, Blue Care Network or our Medicare products, start here. Access Your Payment Options. Take a class. Do you have questions about dental benefits not answered here? The site may also contain non-Medicare related information. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Find a dentist. You can write to us by matching your area code with the relevant mailing address. When you have a Blue Dental PPO plan, you have coverage from three networks of dental professionals: PPO in-network dentists are contracted to fully accept Blue Dental coverage. London, KY 40742. provider(s) office is able to offer in support of the patient's specific needs under the Federal American to this type of specialist. BCBSTX and go2dental.com are separate companies. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? TennCare's current dental benefits manager is DentaQuest. . Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. P.O. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. BCBSTX and go2dental.com are separate companies. BCBSMT and go2dental.com are separate companies. 20500 Civic Center Drive Physicians and professionals: 1-800-344-8525 Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Agents. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Blue Dental Personal plans for individuals and families, Important Information About Medicare Plans. Box 69436, Harrisburg, PA 17106-9436. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. 1-800-482-4047 Blue Dental SM PPO Plus 80/60/50 With Vision This plan offers coverage for in- or out-of-network dentists for the entire family, plus adult vision coverage. Dentist cannot provide the treatment you need, they may refer you to a specialist. Once you have located the . Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from use of . As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Hospitals or facilities: 1-800-249-5103. 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. Get access to your member portal. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Coverage for treatments varies depending on the member's benefit plan. Just keep in mind you'll need to go through the prompts before you're connected to someone. 20500 Civic Center Drive images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Well use the estimated cost of a filling based on prices in Southeast Michigan and a member who has a Blue Dental plan that covers fillings at 50 percent. Learn more about eligibility and resources for uniformed service members transitioning to retirement. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Family Medicine. It can also send you a copy of your claim's status. Choose a dental network from the list below to search for a dentist. 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. 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. Members may enroll in the plan only during specific times of the year. 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. sure to check your benefits before scheduling treatment. Anytime! It also verifies that you'll provide quality care to our members. Essential Vision providerssubmit claims throughHeritage Vision Plan. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, When the plan pays non-PPO dentists at U&C, the employer savings are less, employees are balanced billed and their out-of-pocket costs are slightly higher. 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. As an alternative, you may enter a ZIP code. If you need more information, you can transfer to a customer service representative during business hours. If you call before 30 days, we may not be able to check your claim through our automated phone system. It is a NON-profit Health Plan -- has been around at least 50 years. Step 5: Tell the system the date of service. Your first stop will usually be a General Dentist. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. Step 6: You will then be transferred to the servicing center for assistance. Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. BlueCare Dental PPO SM * BlueCare Dental HMO SM * You are entitled to obtain a detailed understanding of additional services or assistance that the BCBS FEP Dental has nearly half a million provider access points nationwide to receive in-network services, a customer service team dedicated to exceeding your expectations, online tools to make your life easier, and a variety of options and benefits to meet your needs. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Get access to your agent portal.Register Now. Simply call a Patient Care Coordinator at (877) 872-0370 . Fully Insured Small Group Summary of Dental Benefits. 2023 BlueCare Dental PPO (Small Group) Plans. patients to a Periodontist when they are in need of more intensive treatment. You can also talk to your provider consultant. One option is Adobe Reader which has a built-in reader. Federal Employee Program providers and facilities: 1-800-482-3600 BCBSTX is not liable or responsible for damage or injury to persons or property that result from the use of anything found on this other site such as: BCBSTX cannot guarantee the accuracy of any statements made on other websites. Need help understanding our plans? But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Just keep in mind you'll need to go through the prompts before you're connected to someone. 8 a.m. to 7 p.m. Attention: Claim Processing When you enroll, you'll partner with us to care for a large and diverse membership. 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. Though many General Dentists provide dentures in their offices, patients who have unique Please consider an upgrade or using a different device. Vision and hearing providers: 1-800-482-4047 As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. that insurance benefits for orthodontia can vary depending on the patient's age, so make Automated information is available anytime. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. General Dentists who don't provide denture services in their clinics may also refer patients Kreyol Ayisien, Leverage your professional network, and get hired. Many Periodontists also provide dental implant services. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist.
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