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Italiano, 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. 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. Your contact information will be accessible to millions of our members. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. view our International Directory. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Members may enroll in the plan only during specific times of the year. 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. 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. 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. Online tools provide you with information and support anytime. Portugus, You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic 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. TennCare's current dental benefits manager is DentaQuest. You can also talk to your provider consultant. 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). Not sure which region you're in? Automated information is available anytime. You may access the Nondiscrimination and Accessibility notice Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan You are going to a different website. For example, to search Most Pediatric Dentists provide different levels of sedation, when needed, and some even Questions About Your Benefits? Get access to your online account.Register Now, Not registered? 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. Masshealth Dental Provider Login . To view this file, you may need to install a PDF reader program. . , , If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. P.O. You can write to us by matching your area code with the relevant mailing address. Orthodontists specialize in tooth and jaw positioning and alignment. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. takes the health and well-being of our members, providers, our associates and our business partners seriously. Say "date of service" to learn about a different claim. Blue Cross Blue Shield of Michigan Access Your Payment Options. Get Emergency Care (Teledentistry) . [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Returning Shopper? Our web portalpowered by Availitymakes doing business with Anthem even easier. 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. This provides a quick, convenient way to get help in case of a dental emergency. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. Monday through Friday. Automated information is available anytime. It can also send you a copy of your claim's status. Dentist cannot provide the treatment you need, they may refer you to a specialist. The site may also contain non-Medicare related information. Blue Vision providers submit claims electronically directly toVSP. Most PDF readers are a free download. Monday through Friday Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices If you call before 30 days, we may not be able to check your claim through our automated phone system. You can find yours by selecting your region: Not sure which region you're in? More detailed searches are possible by clicking on More Search Options. Gujarati, Hospitals or facilities: 1-800-249-5103 . NEW CLAIMS SUBMISSION MAILING ADDRESS. 8:30 a.m. to 4:30 p.m. In addition, some sites may require you to agree to their terms of use and privacy policy. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. 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. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims The information on this other site may not always state the views of BCBSTX. The content on the Dental Wellness Center website is provided by go2dental.com . For more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945. Box 7355 To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . 8:30 a.m. to noon and 1 to 5 p.m. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. BlueCare Dental (Traditional National PPO) * This other site may have information about: Please note that your health plan may not cover the items found on this other site. L07B 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. If your General Southfield, MI 48075. Federal Employee Program providers and facilities: 1-800-482-3600 Ting Vit, Verify patient eligibility and benefits Over-the-Counter Tests Expand All | Collapse All Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. 8:30 a.m. to noon and 1 to 5 p.m. Provider Finder Find a dentist in . California Dental Network Provider Login . 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. Say "another contract" to inquire on another contract. 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. We provide health insurance in Michigan. 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. This new site may be offered by a vendor or an independent third party. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Find yours in our list ofphysician organization consultants (PDF). A General Dentist will refer patients to an Oral Pathologist for assistance in Monday through Friday Register Now, Not registered? 8 a.m. to noon and 1 to 5 p.m. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health 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. 1-855-504-2583 Childers Orthodontics Patient Login . The network has more than 5,600 locations within AZ and over 350,000 locations . 2022 BlueCare Dental PPO (Small Group) Plans. From April 1 to September 30, on weekends and holidays you may be required to leave a message. , Our nationwide plans are available to almost anyone. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. with orofacial skin. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Check ereferrals.bcbsm.com for detailed prior authorization information. We also offer two Dental PPO benefit structures. 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. 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. PO Box 385018 here.Language Assistance Available: Espaol, Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Calls will be returned the next business day. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. 8:30 a.m. to noon and 1 to 5 p.m. Please consider an upgrade or using a different device. You are entitled to obtain a detailed understanding of additional services or assistance that the To view this file, you may need to install a PDF reader program. One option is Adobe Reader which has a built-in reader. 8:30 a.m. to noon and 1 to 5 p.m. Polskie, Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. an appointment. Box 551, Minneapolis, MN 55440-0551. What do I need to know about credentialing? Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Kreyol Ayisien, There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. 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). Step 6: You will then be transferred to the servicing center for assistance. P.O. To get credentialed, you'll need to visit CAQH.org. After you've enrolled, you can register for a provider portal account. Dr. Michael David Stout, MD. 1-888-803-4960 Attention: Claim Processing Most PDF readers are a free download. 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. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Step 5: Tell the system the date of service. 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 . Though many General Dentists provide dentures in their offices, patients who have unique External link You are leaving this website/app (site). 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 site may also contain non-Medicare related information. Step 5: Tell the system the date of service provided. 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 . P.O. have privileges to provide services in a hospital setting. Franais, Blue Care Network Call our Member Services department Monday - Friday from 8 am to 5 pm. P.O. A dentist may refer you 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. Detroit, MI 48231-2599, Blue Cross Complete claims If you are a member with either employer-offered dental benefits or employer-offered medical and dental benefits, you can go to BlueCare Dental Connection by logging in to Blue Access for MembersSM. Not all benefits are offered by all Plans mentioned above. Hospitals or facilities: 1-800-249-5103 Box 312599 P.O. You should not think BCBSTX endorses all views you find on this other site. They can also see any dental specialist within the network without a referral. 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. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Detroit, MI 48231-0166, Federal Employee Program claims 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 network is available through contracted general dentists and specialists throughout Arizona. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. One Woodward Avenue, Suite 2020 Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. If you need more information, you can transfer to a customer service representative during business hours. GEHA's mantra is PREVENTIVE HEALTH CARE. 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. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. What you need to know about the coronavirus, COVID-19. 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. It's just one more way that Florida Blue is with you. Ask A Dentist Ask licensed dentist questions about dental care. Physicians and professionals: 1-800-344-8525 Check to see if your dentist is in our network or choose from our many providers. Southfield, MI 48075, 1-877-293-2788 ACCESS MANUALS. Agents. Out-of-network dentists do not participate in any arrangement with Blue Cross. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. Step 1: Say "claims" when the system asks why you're calling. Fully Insured Small Group Summary of Dental Benefits. to this type of specialist. If you don't have an account yet, you can check claims for with our automated system. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. 1-888-826-8152 If you're not a Blue Vision provider, send claims to: VSP 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). 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. In addition, some sites may require you to agree to their terms of use and privacy policy. It also verifies that you'll provide quality care to our members. You can register here. Click to view logins links, most visited site links, social handles and contact information etc. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. 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. Enroll year round. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Detroit, MI 48232-0593, UB-04 claims Looking for a specific dentist or clinic? The content on the Dental Wellness Center website is provided by go2dental.com . Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Some General Dentists State and Federal Privacy laws prohibit unauthorized access to Member's private information. For example, if you have questions about dental care, talk with your dentist. New Clinic Manager jobs added daily. 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 . Detroit, MI 48232-4248, Provider Inquiry Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Blue Cross Blue Shield of Arizona. Box 68753 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Submit prior authorization requestselectronicallythrough CoverMyMeds. Not all Endodontists will provide endodontic services Box 69436, Harrisburg, PA 17106-9436. Grand Rapids, MI 49523-0589, Provider Inquiry 232 S Capitol Ave If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Are you unable to find your provider in the search results? BlueCare Dental PPO SM * BlueCare Dental HMO SM * Each account comes with tools that let you quickly and easily get your work done. Get fast, easy access to everything you need when you log in to the secured provider portal. We offer resources to support your practice in serving patients covered by our dental plan. like alveoplasties or cleft lip/palate surgery. The full text or spelling is not required for the city and dentist name fields. sure to check your benefits before scheduling treatment. The information on this other site does not replace professional health care. In addition, some sites may require you to agree to their terms of use and privacy policy. Blue Cross Blue Shield of Michigan Dental Care websites are listed below. Employers. Register Now, Not registered? Step 6: Tell the system the total amount charged. Individuals attempting unauthorized access will be prosecuted. If youre an administrative office of a medical care group, you have access to a professional organization consultant. If you visit a provider or location that is not in your network, you will pay more of the cost. 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. 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. 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. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Step 6:Tell the system the total amount charged. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. One option is Adobe Reader which has a built-in reader. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. All here in your neighborhood. Blue Dental PPO Plans When a ZIP code is supplied, the city and state values are ignored. Locate a dentist or dental specialist in the BCBS FEP Dental network. 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). Tagalog, Sun Life Dental Login . , Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Step 7:Listen to your claim's status, which includes the following information: Step 8: After listening to the claim's status, you'll have the following choices: The automated system is available anytime. 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 . Find in-network dentists, too, in a few short steps. It can also send you a copy of your claim's status. The automated system is available anytime. 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. General Dentists who don't provide denture services in their clinics may also refer patients 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.