P.O. Monday through Friday. The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. We look forward to working with you to provide quality service for our members. To make a quick, one-time payment visit us here. 0000002346 00000 n PDF Quick tips to filing a complete and correct professional claim Using an Anthem dental plan at a provider may require you to first satisfy an annual deductible and require copayments or coinsurance for remaining balances. stream Federal Employee Program providers and facilities: 1-800-840-4505. 1-800-482-4047 Use the Payor ID that Henry Schein ONE has listed for participation through our services. Monday through Friday, Care Management--Mail Code C355 FEP claims should NOT be submitter under this Payer ID - Please use Payer ID RIFEP Par Batch TRUE RT Tesia Detailed TRUE S TRUE To submit to Payors not on this list, use Payor ID "06126" and be sure to submit all required fields, including Payor Name and Complete Address. Reduce reimbursement time with electronic insurance claims. If you don't have an account yet, you can check claims for with our automated system. Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. We currently don't offer resources in your area, but you can select an option below to see information for that state. Provider ID #: Necessary when carriers assign unique numbers to providers that differ from the Social Security number or the tax payer identification number (T.I.N). If you no longer qualify, we can connect you to the right options for you and your family. Understand your care options ahead of time so you can save time and money. i|I:8B;OZcpZoW*0|d&2d!E%2e>w`<8}~x(C3(gm4_QT5 4qqpe.g^Eo2#||68JTr6gfm'Qi9+Sv77\ot32N$wV|Rzfu~ Our dental family PPO plans cover everyone children and adults, Instead of an annual benefit maximum, children have an out-of-pocket maximum: $375 per child ($750 per family) in a year*, There are no waiting periods on the services included in the Pediatric Dental Essential Health Benefit (EHB), Families will not be charged more than $375 for one child, and capped at $750 per family*, *In Connecticut, $350 per child and $750 per family, There are no annual or lifetime benefit limits for pediatric-age kids, You will not be charged premiums on more than three children. PDF Payer Identification Information Claims Information - Vyne Dental Does Anthem Medicare Cover SilverSneakers? A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . If the insurance company you work with isnt on the list or if they are on the list, but dont provide the service you want, tell us about it. We offer affordable health, dental, and vision coverage to fit your budget. Family Dental Insurance Plans | Anthem !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| For costs and complete details of the coverage, please contact your agent or the health plan. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). 2 0 obj We currently don't offer resources in your area, but you can select an option below to see information for that state. Step 6: Tell the system the total amount charged. Need to submit a claim? Anthem members may log into an online portal to find participating dentists, dental offices and more. Provider Inquiry Mail Code 0301 P.O. Monday through Friday, Care Management--Mail Code C355 Blue Cross Blue Shield of Michigan Step 5: Tell the system the date of service provided. Follow the steps to enroll as a trading partner. 0000001857 00000 n X ]]sF}OUC?M% y$*VE7D;E= n2N% 9qOw 7bgQZcqP%iT;LQ*.fYGM**R%{u$a,?J:'IYfQ[oW]o6_~/~G@3)iY4%uTu z6'Odq>'tk PDF Dental Claim Form - Rancho Santiago Community College District Blue Cross Blue Shield of Michigan (Special Enrollment). The automated system is available anytime. Find answers to all your questions with an Anthem representative in real time. Dentrix provides superior front office, clinical and business management tools to make your practice more efficient, Get the support you need the way you want it. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. There may or may not be a premium for the plan as a whole. Dental Provider Resources We provide health insurance in Michigan. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees. Say "another member" to inquire on another member. 0000010692 00000 n Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. Get access to your agent portal. 0000009101 00000 n 8:30 a.m. to noon and 1 to 5 p.m. Contact will be made by an insurance agent or insurance company. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Older adults with tooth loss often ask, "Does Medicare cover dentures?" 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. From pediatrics to adults, Anthems got you covered. 0000209289 00000 n P.O. Monday through Friday. Detroit, MI 48232-4248, Provider Inquiry Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 45. If you need additional guidance, read the Dentaquest Dental Manual (PDF). Our small business plans offer a full range of health insurance options for groups with 2 to 50 or 100 employees, depending on your state. Select the payer tile that corresponds to your market. Hospitals or facilities: 1-800-249-5103 You can find yours by selecting your region: Not sure which region you're in? Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. Get Started. Dental Provider Resources | Anthem.com Find information that's tailored for you. National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs. 1-877-258-0167 Lansing, MI 48933. 4 0 obj But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. Get access to your online account.Register Now, Not registered? 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claimsCOB = Coordination of Benefits; indicates secondary/COB claims accepted electronicallySmart Edits = Apply to electronic claims submissions; Not applicable to DSNP lines of business 2023 UnitedHealthcarePage 2 of 23/2/2023 You will see these in the sections marked with Enrollment i.e. Dental Prime & Complete Login EasyPay Forms Library . Healthcare Eligibility Benefit Inquiry and Response (270/271), Healthcare Services Prior Authorization (278), Healthcare Services Inpatient Admission and Discharge Notification (278N), Healthcare Claim Status Request and Response (276/277). P.O. Just keep in mind you'll need to go through the prompts before you're connected to someone. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Health equity means that everyone has the chance to be their healthiest. xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Upload files through secure file transfer protocol (SFTP) or through the Availity Portal. Not connected with or endorsed by the U.S. Government or the federal Medicare program. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Click on the and follow the instructions listed. 8 a.m. to 7 p.m. PDF Payer Connection Payer List Monday through Friday, 1-800-431-1059 Grand Rapids, MI 49516-8710, BCN Advantage Claims lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield Facility and Special Programs Blue Vision providers submit claims electronically directly toVSP. Step 6: You will then be transferred to the servicing center for assistance. Register Now, Not registered? Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Detroit, MI 48231-2599, Blue Cross Complete claims The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Find out if your dentist is in our network. Vision and hearing providers: 1-800-482-4047 PDF Availity Dental Payer List kC_2=PjoY(Xh7zn#c[,1BCCYK$hRLY4b@YTY(9d6;=Ds=!yN[*CopV:+$ Y5p^_3,P Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield If you call before 30 days, we may not be able to check your claim through our automated phone system. 1-888-803-4960 Quickly and easily submit out-of-network claims online. Anthem Life members can call 855-383-7247 to pay by phone. 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.