State and Federal Privacy laws prohibit unauthorized access to Member's private information. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Returning Shopper? Get access to your member portal. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. , You can use our automated system to reach a representative to discuss your claim's outcome. During this unprecedented time, we're taking action to support our members. 2023 BlueCare Dental PPO (Small Group) Plans. Fully Insured Small Group Summary of Dental Benefits. Individuals attempting unauthorized access will be prosecuted. The network is available through contracted general dentists and specialists throughout Arizona. Dr. Michael David Stout, MD. Today's top 32,000+ Clinic Manager jobs in United States. 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. 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. 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). Blue Cross and Blue Shield of Montana (BCBSMT) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Step 6:Tell the system the total amount charged. The network providers listed in this directory have agreed to provide you with your health care and dental services. When you're contracted with us you have access to a provider consultant. Detroit, MI 48226. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Think of it like a credit union -- exists to serve its membership - NOT for profit. Hospitals or facilities: 1-800-249-5103. To view this file, you may need to install a PDF reader program. The content on the Dental Wellness Center website is provided by go2dental.com. Find a Blue Distinction Center. 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. Note:It can take up to 30 days for a claim to be processed. 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. Physicians and professionals: 1-800-344-8525 Contact the plan for more information. Get access to your member portal. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. 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. Box 7355 One option is Adobe Reader which has a built-in reader. It is a NON-profit Health Plan -- has been around at least 50 years. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. What you need to know about the coronavirus, COVID-19. The automated system is available anytime. 1-800-344-8525 Essential Vision providerssubmit claims throughHeritage Vision Plan. Learn more >, 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. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. 8 a.m. to noon and 1 to 5 p.m. Get access to your online account. We provide health insurance in Michigan. State and Federal Privacy laws prohibit unauthorized access to Member's private information. If you have a health plan and a dental plan, keep in mind that dental plans and health plans have different networks and different benefits. View our map (PDF). Monday through Friday, Care Management--Mail Code C355 Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Adult Dental Services External link You are leaving this website/app (site). Kreyol Ayisien, 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. 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. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. More detailed searches are possible by clicking on More Search Options. 1-844-876-7917 If you don't have an account yet, you can check claims for BCBSM patients with our automated system. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * 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. 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. Orthodontists specialize in tooth and jaw positioning and alignment. Monday through Friday, Care Management--Mail Code C355 Online tools provide you with information and support anytime. Blue Cross Blue Shield of Michigan Calls will be returned the next business day. Blue Cross Blue Shield of Michigan 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. Do you have questions about dental benefits not answered here? Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. 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. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Over-the-Counter Tests Expand All | Collapse All 8:30 a.m. to 6 p.m. If you don't have an account yet, you can check claims for with our automated system. London, KY 40742. 54. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. that insurance benefits for orthodontia can vary depending on the patient's age, so make 8:30 a.m. to noon and 1 to 5 p.m. Anytime! Get access to your online account.Register Now, Not registered? Box 312599 , 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). 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. External link You are leaving this website/app (site). Enroll today and your coverage can start as soon as next month. Check to see if your dentist is in our network or choose from our many providers. Please consider an upgrade or using a different device. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. like alveoplasties or cleft lip/palate surgery. have privileges to provide services in a hospital setting. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. The site may also contain non-Medicare related information. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Access Your Payment Options. 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. The search results will supply: The search may also provide their website, address and office hours. Provider Inquiry Mail Code 0301 Monday through Friday an appointment. 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. Call DentaQuest (toll free) at 1-855-418-1622. Register Now, Not registered? 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 . Marquette, MI 49855, Employee Inquiry In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims All here in your neighborhood. Need help understanding our plans? Health Savings Accounts and Health Care Accounts, 2023 BlueCare Dental PPO (Small Group) Plans, 2022 BlueCare Dental PPO Small Group SBCs, savings for employers and their employees, out-of-network claims paid at SMA or usual and customary (U&C). Returning Shopper? Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. You can also talk to your provider consultant. A General Dentist will refer patients to an Oral Pathologist for assistance in Find yours in our list ofphysician organization consultants (PDF). 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). Vision and hearing providers: 1-800-482-4047. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. The above is a listing of common services available through your network of Participating Dentists. Polskie, ACCESS MANUALS. Blue Cross Blue Shield of Michigan Blue Cross and Blue Shield of Illinois (BCBSIL) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Pediatric Dentists specialize in dental treatment for young and special needs children. 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. Learn more about Blue Dental plans by calling the number on the back of your member ID card. If youre an administrative office of a medical care group, you have access to a professional organization consultant. If you need more information, you can transfer to a customer service representative during business hours. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. 28 Years Experience. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Please Select Your State The resources on this page are specific to your state. The search results will supply: How can I learn more about my patients' eligibility? Federal Employee Program providers and facilities: 1-800-840-4505. Hospitals or facilities: 1-800-249-5103 After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. You are going to a different website. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Gujarati, Register Now, Learn more about registering for our web tools. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Tagalog, Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. This new site may be offered by a vendor or an independent third party. provider(s) office is able to offer in support of the patient's specific needs under the Federal American To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 8 a.m. to 7 p.m. 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. 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. Detroit, MI 48231-2599, Blue Cross Complete claims The automated system is available anytime. 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. P.O. as well as treatment services, like fillings and crowns. Credentialing is a verification process you'll need to pass before you can join our provider network. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Automated information is available anytime. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Blue Care Network Blue Cross Blue Shield of Arizona. Questions About Your Benefits? This provides a quick, convenient way to get help in case of a dental emergency. As an alternative, you may enter a ZIP code. Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association NOT FOR DISTRIBUTION TO BENEFICIARIES, MEMBERS, OR PROSPECTS BlueCare Dental Classic Plans 1,2 BlueCare Dental Classic plans cover only one person per policy. oral structure or require other specialized denture services may be referred to a Prosthodontist. 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. Log In to Availity Don't have an Availity account? 1-800-249-5103 for all dentists in cities starting with "C," enter "C" for the city. This plan helps complete your health coverage with PPO in-network preventive dental care covered at 100 percent, and adult vision care with copays as low as $10. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. 1-888-803-4960 Get access to your agent portal. Or, you can call 1 (855) 352-1604 for a free quote, Mon-Fri, 8 am - 8 pm, ET When is Cigna Dental Insurance right for you? Southfield, MI 48075. 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. Find in-network dentists, too, in a few short steps. Masshealth Dental Provider Login . The content on the Dental Wellness Center website is provided by go2dental.com. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Southfield, MI 48075, 1-877-293-2788 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). If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 1-800-822-2761 Register Now. Florida Blue and Florida Combined Life Insurance Company, Inc. do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. HEALTH first - STAR Medicaid: 1-888-672-2277.Dental care If you're a STAR member age 20 and younger, or a CHIP or STAR Kids member, call your dental provider below to find a dentist near you: DentaQuest STAR or STAR Kids members: 1-800-516-0165 CHIP members: 1-800-508-6775 . 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. If your General This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Federal Employee Program providers and facilities: 1-800-482-3600 view our International Directory. 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. The site may also contain non-Medicare related information. 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. For personal medical guidance, please consult your dentist and/or physician. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services You can find yours by selecting your region below. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health Box 68753 Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Blue Cross Blue Shield is part of the Anthem family of brands, which features a vast network of dental providers located all over the U.S. Blue Cross Blue Shield Medicare Advantage (Medicare Part C) plans and Medicare plans from other Anthem brands can often cover a range of dental benefits. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Periodontists specialize in gums and gum disease. 2021 BlueCare Dental PPO (Mid-Market) Plans. 8:30 a.m. to noon and 1 to 5 p.m. Monday through Friday, 1-800-431-1059 Blue Cross NC wants to make sure you have the most accurate and up-to-date information. If you have an EPO plan, it only covers care you get from PPO in-network dentists. To get credentialed, you'll need to visit CAQH.org. They can also see any dental specialist within the network without a referral. 15. Out-of-network dentists do not participate in any arrangement with Blue Cross. We provide health insurance in Michigan. Blue Dental PPO Plans We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. Coverage for treatments varies depending on the member's benefit plan. The full text or spelling is not required for the city and dentist name fields. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Each account comes with tools that let you quickly and easily get your work done. Step 6: You will then be transferred to the servicing center for assistance. This helps us ensure you meet the state requirements for health care. Some General Dentists Register Now, Not registered? If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. This new site may be offered by a vendor or an independent third party. Box 68710 If you're not a Blue Vision provider, send claims to: VSP Most PDF readers are a free download. The network has more than 5,600 locations within AZ and over 350,000 locations . Get Emergency Care (Teledentistry) . 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. Our automated interactive voice response system provides claims, benefit and cost-share information. 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 Enter your City and State or Zip Code and desired. Attention: Claim Processing 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. Blue Care Network Vision and hearing providers: 1-800-482-4047 8 a.m. to 4 p.m. P, Provider Inquiry is for registered, nonregistered and out-of-state providers. Many specialists also 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. takes the health and well-being of our members, providers, our associates and our business partners seriously. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Heres how they compare. In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. 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. BlueCare Dental PPO SM * BlueCare Dental HMO SM * 1-877-258-0167 If you need additional guidance, read the Dentaquest Dental Manual (PDF). Say "representative" to reach someone who can help. Quickly find a general dentist or specialist. We offer resources to support your practice in serving patients covered by our dental plan. Services from non -participating providers will be subject to the same allowable charges as those from participating . with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Grand Rapids, MI 49516-8710, BCN Advantage Claims P.O. The content on the Dental Wellness Center website is provided by go2dental.com . Oral Surgeon / Oral & Maxillofacial Surgeon, Standard and High Option Plan Benefits and Premiums, Benefits when traveling outside the service area, Transferring care if your dentist is no longer part of the network. Provider Finder Find a dentist in . Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans 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. Most PDF readers are a free download. Detroit, MI 48232-4248, Provider Inquiry Dental | CareFirst BlueCross BlueShield Register Home Plans & Coverage Providers & Facilities Health & Wellness Insurance Basics New Member Updates & Information Members COVID-19 Vaccines Benefits Updates FAQs Contact Tracing Antibody Tests Need Care or Feel Sick? Register Now. 20500 Civic Center Drive Say "no" when asked if you have additional questions about the determination of a claim. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. One option is Adobe Reader which has a built-in reader. Portugus, Use our search form to find a dentist quickly and easily. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. and Prevention (CDC), and state and local public health departments. London, KY 40742. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. Register Now, Not registered? 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). 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. Monday through Friday External link You are leaving this website/app (site). If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Get access to your employer portal. How do I submit a prior authorization request? To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC)..