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. 8:30 a.m. to noon and 1 to 5 p.m. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. Your contact information will be accessible to millions of our members. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 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 . To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . London, KY 40742. Grand Rapids, MI 49523-0589, Provider Inquiry patients to a Periodontist when they are in need of more intensive treatment. 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 . Monday through Friday One option is Adobe Reader which has a built-in reader. have privileges to provide services in a hospital setting. After you've enrolled, you can register for a provider portal account. an appointment. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. TTY users: To reach any number listed here, dial 711. Take Action. View our map (PDF). You can use our automated system to reach a representative to discuss your claim's outcome. You'll have access to reward programs that seek to transform health care. Automated information is available anytime. They can also see any dental specialist within the network without a referral. Birmingham, AL 35238-0518. Call our Member Services department Monday - Friday from 8 am to 5 pm. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. If your General Do keep in mind that as most 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. Though many General Dentists provide dentures in their offices, patients who have unique You may access the Nondiscrimination and Accessibility notice Looking for a specific dentist or clinic? An independent licensee of the Blue Cross and Blue Shield Association. You can write to us by finding your ZIP code with the relevant mailing address. Monday through Friday also provide more specialty services, like root canals, extractions, and dentures, 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. Say "date of service" to learn about a different claim. Youll need to know what kind of dental plan you have; an individual plan, a plan through your employer or Medicare, or another public plan. 1-800-482-4047 2022 BlueCare Dental PPO (Small Group) Plans. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Need help understanding our plans? 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 . If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. 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. Kreyol Ayisien, Blue Cross Blue Shield of Michigan Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Exclusive Savings for Dental Network Providers Our Dental Provider Savings Program offers network providers discounts of up to 40% on in-demand products (PPE equipment, scanners), lab services (implants, clear aligners, dentures), and turnkey teledentistry solutions for your office. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Box 310166 Automated information is available anytime. Enroll year round. Vision and hearing providers: 1-800-482-4047 Monday through Friday Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Learn more >, Not registered? During this unprecedented time, we're taking action to support our members. 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). Get access to your agent portal. Online provider search bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. P, Where can I get dental costs and information? 8:30 a.m. to 4:30 p.m. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims 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. Physicians and professionals: 1-800-344-8525 Franais, If you don't have an account yet, you can check claims for with our automated system. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. that insurance benefits for orthodontia can vary depending on the patient's age, so make Quickly find a general dentist or specialist. External link You are leaving this website/app (site). Not registered? The network has more than 5,600 locations within AZ and over 350,000 locations nationally. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. You can register here. If you're not a Blue Vision provider, send claims to: VSP Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Federal Employee Program providers and facilities: 1-800-840-4505. here.Language Assistance Available: Espaol, 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. Simply call a Patient Care Coordinator at (877) 872-0370 . What you need to know about the coronavirus, COVID-19. Read our manuals to learn more about our programs, policies and procedures. Just keep in mind you'll need to go through the prompts before you're connected to someone. Monday through Friday, 1-800-431-1059 Individuals attempting unauthorized access will be prosecuted. Box 312599 oral structure or require other specialized denture services may be referred to a Prosthodontist. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Monday through Friday, Care Management--Mail Code C355 P.O. HMO subsidiary Blue Care Network proposes a 6.9. . Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. More detailed searches are possible by clicking on More Search Options. Our web portalpowered by Availitymakes doing business with Anthem even easier. view our International Directory. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control Step 6:Tell the system the total amount charged. Not Registered? Register Now, Not registered? How can I learn more about my patients' eligibility? Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. 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 need additional guidance, read the Dentaquest Dental Manual (PDF). 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? referring those over a certain age to continue their dental care with a General Dentist. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Use our search form to find a dentist quickly and easily. , 8 a.m. to 6 p.m. 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. 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. Register Now, Not registered? Many Periodontists also provide dental implant services. GEHA's mantra is PREVENTIVE HEALTH CARE. In a PPO plan, costs are typically reduced when members receive care from network providers. Today's top 32,000+ Clinic Manager jobs in United States. 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. Need more information? If you have an EPO plan, it only covers care you get from PPO in-network dentists. 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. Step 5: Tell the system the date of service. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. 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. 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? 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. Contact the plan for more information. Anytime! Most PDF readers are a free download. We provide health insurance in Michigan. 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. 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. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. 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. P.O. Returning Shopper? 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. Referrals to the University of Michigan Health System and Henry Ford Health System Referrals to these two health systems require using specialty group NPIs rather than referring to an individual practitioner. Register Now, Not registered? 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. 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. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. D/B/A Florida Blue. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Monday through Friday Step 5: Tell the system the date of service provided. Though General Dentists can often perform some L07B A dentist may refer you 1-888-803-4960 The automated system is available anytime. Find a dentist. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health 415 S. McClellan Ave. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. The site may also contain non-Medicare related information. Detroit, MI 48232-4248, Provider Inquiry Some of the features used to display this website may not function properly. 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. Provider Inquiry Mail Code 0301 Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans 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. You can find yours by selecting your region below. 8 a.m. to 7 p.m. Enroll today and your coverage can start as soon as next month. Nominate your provider for inclusion in our network! Do you have questions about dental benefits not answered here? Get access to your member portal. Individuals attempting unauthorized access will be prosecuted. Just keep in mind you'll need to go through the prompts before you're connected to someone. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. 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. It's just one more way that Florida Blue is with you. Box 33248 We provide health insurance in Michigan. If youre a professional provider office, you have access to a provider consultant. Dental care is part of the head-to-toe coverage available for our members. 8:30 a.m. to noon and 1 to 5 p.m. 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. Say "representative" to reach someone who can help. Facility and Special Programs Get access to your online account. Blue Vision providers submit claims electronically directly toVSP. 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. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Choose a dental network from the list below to search for a dentist. Heres how they compare. Log In to the Shopping Cart, Need to Make a Payment? Within the United States, to search for a dentist by location, supply your city (optional) and state. DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. External link You are leaving this website/app (site). though may also provide dental implants. Learn more about eligibility and resources for uniformed service members transitioning to retirement. The site may also contain non-Medicare related information. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. Monday through Friday. Enter your City and State or Zip Code and desired. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Blue Cross Blue Shield of Michigan The automated system is available anytime. Lansing, MI 48933. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. 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. What do I need to know about credentialing? We offer resources to support your practice in serving patients covered by our dental plan. Blue Cross, Blue Shield and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Questions About Your Benefits? Fully Insured Small Group Summary of Dental Benefits. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Each account comes with tools that let you quickly and easily get your work done. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. however, available treatment will vary for each provider. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Our automated interactive voice response system provides claims, benefit and cost-share information. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Once you have located the . Blue Care Network 8 a.m. to noon and 1 to 5 p.m. P.O. This new site may be offered by a vendor or an independent third party. To view this file, you may need to install a PDF reader program. Submit prior authorization requestselectronicallythrough CoverMyMeds. Not Registered? Online tools provide you with information and support anytime. Register Now, Not registered? General Dentists can provide many preventive services, like exams and cleanings, as well as treatment services, like fillings and crowns. Monday through Friday, Care Management--Mail Code C355 In addition, some sites may require you to agree to their terms of use and privacy policy. TTY users should call 711. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Register Now, Not registered? the head, neck, face, and jaws. BCBSTX assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center website; go2dental.com issolely responsible for the content and any advice given on its website. Members. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Automated information is available anytime. BlueCare Dental (Traditional National PPO) * Leverage your professional network, and get hired. External link You are leaving this website/app (site). Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. BCBSTX and go2dental.com are separate companies. Note:It can take up to 30 days for a claim to be processed. Please Select Your State The resources on this page are specific to your state. Members pay less out-of-pocket and will not be balanced billed. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . If you need more information, you can transfer to a customer service representative during business hours. 1-800-344-8525 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). 1-844-876-7917 HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . , There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. provider(s) office is able to offer in support of the patient's specific needs under the Federal American 1-877-258-0167 Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. For more information, see: Online provider search bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. London, KY 40742. Dr. Michael J. Buckley, MD. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 8:30 a.m. to noon and 1 to 5 p.m. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Just use our online search. Find a Blue Distinction Center. How do I submit a prior authorization request? The search results will supply: Please consider an upgrade or using a different device. Note: The FEP phone system has a different set of prompts than the others. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. 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. 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. The content on the Dental Wellness Center website is provided by go2dental.com . Not sure which region you're in? Essential Vision providerssubmit claims throughHeritage Vision Plan. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. BCBSMT and go2dental.com are separate companies. Physicians and professionals: 1-800-344-8525 Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Federal Employee Program providers and facilities: 1-800-482-3600 State and Federal Privacy laws prohibit unauthorized access to Member's private information. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Credentialing is a verification process you'll need to pass before you can join our provider network. sure to check your benefits before scheduling treatment. Call our customer service number on the back of your ID card to report information that is wrong. Log In to Availity Don't have an Availity account? During surges in COVID-19, we've taken significant steps to remove barriers for members to receive care while streamlining certain necessary requirements for our providers. 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. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. From April 1 to September 30, on weekends and holidays you may be required to leave a message. California Dental Network Provider Login . Step 6: Tell the system the total amount charged. 1-877-258-0167 Polskie, To view this file, you may need to install a PDF reader program. Dental Network Listing Augustyn, Mary TARA BOYLE DDS 10040 Woodland Rd Lenexa, KS 66220 (913) 768-6800 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: F Accepting new patients: Y Ayer, Dennis 2301 West 143rd St Leawood, KS 66224 (913) 246-3000 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: M Accepting new . You can write to us by matching your area code with the relevant mailing address. 8:30 a.m. to noon and 1 to 5 p.m. Log In to the Shopping Cart, Need to Make a Payment? 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). 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. Box 32593 To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 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. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Say "claims" when the system asks why you're calling. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Elevance Health, Inc. is an American health insurance provider. 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.