For personal medical guidance, please consult your dentist and/or physician. Vision and hearing providers: 1-800-482-4047 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. When a ZIP code is supplied, the city and state values are ignored. 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. You are going to a different website. Note:It can take up to 30 days for a claim to be processed. Blue Cross Blue Shield of Michigan Elevance Health, Inc. is an American health insurance provider. Monday through Friday. Register Now, Not registered? 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. Box 7355 Employers. Hospitals or facilities: 1-800-249-5103 You can write to us by matching your area code with the relevant mailing address. To view this file, you may need to install a PDF reader program. External link You are leaving this website/app (site). Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. Services from non -participating providers will be subject to the same allowable charges as those from participating . Take a class. If your General You can also talk to your provider consultant. 2022 BlueCare Dental PPO (Small Group) Plans. Not all Endodontists will provide endodontic services For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Find in-network dentists, too, in a few short steps. Deutsche, Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. You can use our automated system to reach a representative to discuss your claim's outcome. also provide more specialty services, like root canals, extractions, and dentures, 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). Step 5:Tell the system the date of service provided. Just use our online search. 232 S Capitol Ave You may access the Nondiscrimination and Accessibility notice For details on a provider's in-network status or your own policy's coverage, contact your Local Blue Plan and ask your provider before making an appointment. The search results will supply: Blue Cross NC Dental Products and Network Overview Register Now, Learn more about registering for our web tools. 1-800-482-4047 Some General Dentists Blue Cross Blue Shield of Michigan Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. P.O. Access Your Payment Options. 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. The above is a listing of common services available through your network of Participating Dentists. Monday through Friday 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. The content on the Dental Wellness Center website is provided by go2dental.com . Step 6:Tell the system the total amount charged. 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. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. sure to check your benefits before scheduling treatment. Many Periodontists also provide dental implant services. The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists (specialists in diseases of the nerve within the tooth) and periodontists (specialists in diseases of the gums and tissues). But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Monday through Friday, Care Management--Mail Code C355 DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Enroll year round. like alveoplasties or cleft lip/palate surgery. Gujarati, P.O. You can find yours by selecting your region: Not sure which region you're in? When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. 1-800-762-2382 For example, if you have questions about dental care, talk with your dentist. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Not sure which region you're in? The content on the Dental Wellness Center website is provided by go2dental.com. 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. The network has more than 5,600 locations within AZ and over 350,000 locations . Say "representative" to reach someone who can help. Register Now, Not registered? Detroit, MI 48231-2599, Blue Cross Complete claims Not Registered? Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Most PDF readers are a free download. 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. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Box 312599 view our International Directory. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. View our map (PDF). Hospitals or facilities: 1-800-249-5103. You should not think BCBSTX endorses all views you find on this other site. Use our search form to find a dentist quickly and easily. Enter your City and State or Zip Code and desired. 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 The information on this other site may not always state the views of BCBSTX. an appointment. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. To view this file, you may need to install a PDF reader program. There's no coverage when you see Blue Par Select or out-of-network dentists. Masshealth Dental Provider Login . Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Choose a dental network from the list below to search for a dentist. 1. The site may also contain non-Medicare related information. periodontal services, like deep cleanings (scaling and root planning), they will often refer 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, Providers (doctors, dentists, hospitals or other health care professionals). Step 5: Tell the system the date of service provided. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Say "another member" to inquire on another member. 8 a.m. to 5 p.m. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Blue Vision providers submit claims electronically directly toVSP. Over-the-Counter Tests Expand All | Collapse All 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. Looking for a specific dentist or clinic? 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. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Though General Dentists can often perform some Box 33248 To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Southfield, MI 48075, 1-877-293-2788 DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. It's just one more way that Florida Blue is with you. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. 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. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Hospitals or facilities: 1-800-249-5103 Automated information is available anytime. This is only a brief list of the plan benefits. Heres how they compare. How do I submit a prior authorization request? We provide health insurance in Michigan. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Physicians and professionals: 1-800-344-8525 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. Get access to your online account.Register Now, Not registered? Register Now. Oral health touches every aspect of our lives but is often taken for granted. Get access to your agent portal.Register Now. Contact the plan for more information. Periodontists specialize in gums and gum disease. 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. Most Pediatric Dentists provide different levels of sedation, when needed, and some even 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. Register Now, Not registered? Detroit, MI 48226. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. have privileges to provide services in a hospital setting. Just use our online search. Coverage for treatments varies depending on the member's benefit plan. Blue Cross Blue Shield of Arizona. Tagalog, Grand Rapids, MI 49516-8710, BCN Advantage Claims Behavioral Health Services. You'll need to use e-referral for Medicare Plus Blue authorization requests. Grand Rapids, MI 49523-0589, Provider Inquiry Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Provider Finder Find a dentist in . Orthodontists specialize in tooth and jaw positioning and alignment. Today's top 32,000+ Clinic Manager jobs in United States. In addition, some sites may require you to agree to their terms of use and privacy policy. Physicians and professionals: 1-800-344-8525 If you need additional guidance, read the Dentaquest Dental Manual (PDF). Leverage your professional network, and get hired. If you need more information, you can transfer to a customer service representative during business hours. Monday through Friday BCBSIL and go2dental.com are separate companies. Call our Member Services department Monday - Friday from 8 am to 5 pm. 8 a.m. to 6 p.m. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. Dental Care websites are listed below. Monday through Friday, Care Management--Mail Code C355 here.Language Assistance Available: Espaol, 20500 Civic Center Drive He works in Olympia, WA and 4 other locations and specializes in Family Medicine. 20500 Civic Center Drive Sun Life Dental Login . Call our customer service number on the back of your ID card to report information that is wrong. The above is a listing of common services available through your network of Participating Dentists. 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 . Although every dentist will accept Blue Dental PPO plans, your coverage may vary based on their network participation with PPO in-network dentists providing the most savings, Blue Par Select dentist providing some savings and out-of-network dentist providing the least savings for you as a member. 1-877-258-0167 . He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Say "no" when asked if you have additional questions about the determination of a claim. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. The automated system is available anytime. Lansing, MI 48933. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Get access to your agent portal.Register Now. View our map (PDF). We provide health insurance in Michigan. 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. This other site may have information about: Please note that your health plan may not cover the items found on this other site. Free language assistance to people whose primary language is not English, such as: Calling Blue Cross Blue Shield FEP Dental at 1-855-504-BLUE (2583), dial 711 for TTY relay services. This new site may be offered by a vendor or an independent third party. Individuals attempting unauthorized access will be prosecuted. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM 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). In a PPO plan, costs are typically reduced when members receive care from 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. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. 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 . PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 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 can register here. BCBSTX and go2dental.com are separate companies. Enter your City and State or Zip Code and desired Radius. Physicians and professionals: 1-800-344-8525 You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. General Dentists who don't provide denture services in their clinics may also refer patients As an alternative, you may enter a ZIP code. Out-of-network dentists do not participate in any arrangement with Blue Cross. 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. 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. NEW CLAIMS SUBMISSION MAILING ADDRESS. 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 . Call DentaQuest (toll free) at 1-855-418-1622. Dentists in the DPPO network have agreed to pre-determined fees for their services. The site may also contain non-Medicare related information. . Monday through Friday. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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. BCBSOK and go2dental.com are separate companies. Referrals to a hospital
Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . Get access to your online account. Our nationwide plans are available to almost anyone. Monday through Friday. Do you have questions about dental benefits not answered here? Our plans include BlueCare SM, TennCare Select and CoverKids. 8:30 a.m. to noon and 1 to 5 p.m. 1-800-822-2761 Provider Inquiry is for registered, nonregistered and out-of-state providers. To get credentialed, you'll need to visit CAQH.org. Get access to your online account. External link You are leaving this website/app (site). Pediatric Dentists specialize in dental treatment for young and special needs children. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Step 1: Say "claims" when the system asks why you're calling. Members may enroll in the plan only during specific times of the year. , Individuals attempting unauthorized access will be prosecuted. Birmingham, AL 35238-0518. Simply call a Patient Care Coordinator at (877) 872-0370 . , Check to see if your dentist is in our network or choose from our many providers. A dentist may refer you Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic The content on the Dental Wellness Center website is provided by go2dental.com. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Log In to the Shopping Cart, Need to Make a Payment? If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Monday through Friday, 1-800-431-1059 . To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Register Now. Learn more about eligibility and resources for uniformed service members transitioning to retirement. Keep in mind 2021 BlueCare Dental PPO (Mid-Market) Plans. Dentist cannot provide the treatment you need, they may refer you to a specialist. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Are you unable to find your provider in the search results? Enter a partial or full name along with the Specialty and Location. Box 310166 with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. 415 S. McClellan Ave. For example, to search BlueCare Dental PPO SM * BlueCare Dental HMO SM * Say "date of service" to learn about a different claim. What you need to know about the coronavirus, COVID-19. Family Medicine. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. P, Get health assessments, treatment support, and help understanding your plan. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Please Select Your State The resources on this page are specific to your state. Returning Shopper? 8 a.m. to noon and 1 to 5 p.m. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. though may also provide dental implants. 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 They can also see any dental specialist within the network without a referral. 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. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Blue Care Network The network is available through contracted general dentists and specialists throughout Arizona. 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.
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