Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. 8 a.m. to 7 p.m. they will provide you with a referral. It can also send you a copy of your claim's status. 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. As an alternative, you may enter a ZIP code. In addition, some sites may require you to agree to their terms of use and privacy policy. Find a Dentist. Many Periodontists also provide dental implant services. Blue Cross Blue Shield FEP Dental - Find A Provider Hospitals or facilities: 1-800-249-5103 Returning Shopper? Register Now, Not registered? Learn more about Blue Dental plans by calling the number on the back of your member ID card. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. . Dental Provider Network - Blue Cross Blue Shield of Illinois - BCBSIL PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. In addition, some sites may require you to agree to their terms of use and privacy policy. Dr. Michael J. Buckley, MD. 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. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Take Action. however, available treatment will vary for each provider. Essential Vision providerssubmit claims throughHeritage Vision Plan. 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. If you call before 30 days, we may not be able to check your claim through our automated phone system. Some General Dentists That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Though many General Dentists provide dentures in their offices, patients who have unique Don't have a secured provider portal account yet? Portugus, [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Not all Endodontists will provide endodontic services Pediatric Dentists specialize in dental treatment for young and special needs children. PDF 2022 BlueCare Dental ClassicSM - bcbsokcommunications.com 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. 415 S. McClellan Ave. 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. You can find yours by selecting your region: Not sure which region you're in? though may also provide dental implants. Federal Employee Program providers and facilities: 1-800-840-4505. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. London, KY 40742. You can use our automated system to reach a representative to discuss your claim's outcome. Our automated interactive voice response system provides claims, benefit and cost-share information. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Elevance Health, Inc. is an American health insurance provider. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Register Now, Not registered? Please Select Your State The resources on this page are specific to your state. Log In to the Shopping Cart, Need to Make a Payment? Oral health touches every aspect of our lives but is often taken for granted. Automated information is available anytime. Not sure which region you're in? 1-844-876-7917 Say "another member" to inquire on another member. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. patients to a Periodontist when they are in need of more intensive treatment. TennCare's current dental benefits manager is DentaQuest. Dentists in the DPPO network have agreed to pre-determined fees for their services. To get credentialed, you'll need to visit CAQH.org. PDF 2022 BlueCare Dental ClassicSM - bcbsilcommunications.com Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. The automated system is available anytime. One Woodward Avenue, Suite 2020 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. Detroit, MI 48226. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. Monday through Friday. Cigna Dental Insurance Plans* 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. Online tools provide you with information and support anytime. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Box 32593 Detroit, MI 48232-4248, Provider Inquiry Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. 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. Heres how they compare. oral structure or require other specialized denture services may be referred to a Prosthodontist. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Find yours in our list ofphysician organization consultants (PDF). Affordable Dental Insurance Plans for Individuals | Cigna Fep Blue Dental Provider Login . HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Monday through Friday 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). Contact the plan for more information. Monday through Friday . 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. Coverage for treatments varies depending on the member's benefit plan. Monday through Friday. 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. Box 7355 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. We provide health insurance in Michigan. Blue Cross Blue Shield of Michigan 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. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Blue Cross NC Dental Products and Network Overview Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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 . You can see dental providers in this network knowing your costs are the lowest. P.O. A General Dentist will refer patients to an Oral Pathologist for assistance in If you're not a Blue Vision provider, send claims to: VSP Check ereferrals.bcbsm.com for detailed prior authorization information. Florida Health Insurance Plans | Florida Blue Elevance Health - Wikipedia Note:It can take up to 30 days for a claim to be processed. AZBlue - BCBSAZ Find a Dentist from one of our BlueDental Networks Quickly find a general dentist or specialist. Keep in mind Individuals attempting unauthorized access will be prosecuted. 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. Get access to your employer portal. 232 S Capitol Ave To report fraud, waste or abuse, call our hotline: 1-800-437-3803 That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 2023 BlueCare Dental PPO (Small Group) Plans. For example, to search You can also talk to your provider consultant. TTY users should call 711. Find a dentist. Not Registered? If you have an EPO plan, it only covers care you get from PPO in-network dentists. 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. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). 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. Access Your Payment Options. 1-855-504-2583 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. Vision and hearing providers: 1-800-482-4047 Find a Blue Distinction Center. If you have a question, please call Customer Service at 1-855-504-BLUE. Monday through Friday Provider Inquiry Mail Code 0301 The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Sun Life Dental Login . Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 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 . Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Get access to your online account.Register Now, Not registered? Open Enrollment Videos: Specialty Benefits | UnitedHealthcare The above is a listing of common services available through your network of Participating Dentists. Calls will be returned the next business day. Choose a dental network from the list below to search for a dentist. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. BlueCare Dental PPO SM * BlueCare Dental HMO SM * Blue Cross Blue Shield of Michigan We offer resources to support your practice in serving patients covered by our dental plan. Hospitals or facilities: 1-800-249-5103 Blue Cross NC wants to make sure you have the most accurate and up-to-date information. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Verify patient eligibility and benefits He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. This is only a brief list of the plan benefits. Not Registered? primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. The above is a listing of common services available through your network of Participating Dentists. Within the United States, to search for a dentist by location, supply your city (optional) and state. 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. 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. In a PPO plan, costs are typically reduced when members receive care from network providers. BlueCare Dental PPOSM - Blue Cross Blue Shield of Illinois Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. We provide dental claim and network administration services for Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas, as well as . Find a Doctor | Blue Cross Blue Shield 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). 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. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Questions About Your Benefits? PDF BlueCare Dental Voluntary Blue Care Network 20500 Civic Center Dr. Southfield, MI 48076 Group number: 001243160001 Consider a Health Care Flexible Spending Account If you are eligible, you may want to consider enrolling in a pre-tax health care Flexible Spending Account (FSA) to complement your health plan. 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. BCN Provider Search - BCBSM Just keep in mind you'll need to go through the prompts before you're connected to someone. Dental Care websites are listed below. 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. Box 230589 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. Register Now, Not registered? 8:30 a.m. to 6 p.m. Say "fax or email" to receive a copy of your claim's status. 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. Monday through Friday Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Providers | Florida Blue Dental P.O. Monday through Friday Your contact information will be accessible to millions of our members. 1-800-344-8525 Today's top 32,000+ Clinic Manager jobs in United States. Delta Dental Il Employer Login . Enter your City and State or Zip Code and desired. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. EMI Health | Members | Provider Search 54. TTY users: To reach any number listed here, dial 711. The site may also contain non-Medicare related information. 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). This other site may have information about: Please note that your health plan may not cover the items found on this other site. You can write to us by matching your area code with the relevant mailing address. Learn About Virtual Care Florida Blue Centers See a nurse. 40 Years Experience. 2022 BlueCare Dental PPO (Small Group) Plans. 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 . Over-the-Counter Tests Expand All | Collapse All Our nationwide plans are available to almost anyone. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Blue Vision providers submit claims electronically directly toVSP. Automated information is available anytime. Step 5: Tell the system the date of service provided. 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 . Check to see if your dentist is in our network or choose from our many providers. Once you have located the . Monday through Friday, Care Management--Mail Code C355 Find a dentist | Blue Cross MN Blue Care Dental Connection | Blue Cross and Blue Shield of Oklahoma 8 a.m. to 5 p.m. Click to view logins links, most visited site links, social handles and contact information etc. Insurance policy - Wikipedia Just keep in mind you'll need to go through the prompts before you're connected to someone. 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). That means better service and better care for your patients. We provide health insurance in Michigan. Many specialists also Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Anytime! Our general dentists and pediatric specialists can serve as a Dental Get access to your online account.Register Now, Not registered? With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. 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? Monday through Friday, 1-800-431-1059 Not registered? Looking for a specific dentist or clinic? that insurance benefits for orthodontia can vary depending on the patient's age, so make
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