1-800-344-8525 The network has more than 5,600 locations within AZ and over 350,000 locations nationally. Do you have questions about dental benefits not answered here? Find a Dentist | Blue Cross and Blue Shield of Texas - BCBSTX PO Box 385018 Think of it like a credit union -- exists to serve its membership - NOT for profit. Periodontists specialize in gums and gum disease. The search results will supply: Provider Inquiry is for registered, nonregistered and out-of-state providers. You can also talk to your provider consultant. You can use our automated system to reach a representative to discuss your claim's outcome. 20500 Civic Center Drive To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Register Now. 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. 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. 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. 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. Best Dentists Near Me in Greensburg, PA | WebMD 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). though may also provide dental implants. You'll have access to reward programs that seek to transform health care. Check ereferrals.bcbsm.com for detailed prior authorization information. For example, if you have questions about dental care, talk with your dentist. Insurance policy - Wikipedia If youre an administrative office of a medical care group, you have access to a professional organization consultant. Blue Cross Blue Shield of Michigan Capital Blue Cross Dental Get access to your online account.Register Now, Not registered? 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. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Automated information is available anytime. Access Your Payment Options. 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. We offer resources to support your practice in serving patients covered by our dental plan. The content on the Dental Wellness Center website is provided by go2dental.com. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? The search results will supply: The search may also provide their website, address and office hours. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. The network is available through contracted general dentists and specialists throughout Arizona. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . . 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. 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. The full text or spelling is not required for the city and dentist name fields. view our International Directory. Most PDF readers are a free download. When you're contracted with us you have access to a provider consultant. Nominate your provider for inclusion in our network! List of Dental Care Websites - Page 1 | LoginsLink During this unprecedented time, we're taking action to support our members. All here in your neighborhood. Vision and hearing providers: 1-800-482-4047 Blue Cross Blue Shield Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Box 7355 Check to see if your dentist is in our network or choose from our many providers. What do I need to know about credentialing? California Dental Network Provider Login . Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Most Pediatric Dentists provide different levels of sedation, when needed, and some even To get credentialed, you'll need to visit CAQH.org. Say "date of service" to learn about a different claim. 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. 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. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Note:It can take up to 30 days for a claim to be processed. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. The site may also contain non-Medicare related information. Employers. Blue Cross Blue Shield of Michigan BlueCare Dental PPO SM * BlueCare Dental HMO SM * Portugus, What do I need to know about Blue Dental networks and costs? - BCBSM With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Monday through Friday. 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. 8:30 a.m. to noon and 1 to 5 p.m. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Blue Care Dental Connection | Blue Cross and Blue Shield of Illinois Federal Employee Program providers and facilities: 1-800-482-3600 What you need to know about the coronavirus, COVID-19. Our general dentists and pediatric specialists can serve as a Dental Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. As an alternative, you may enter a ZIP code. Monday through Friday You can write to us by finding your ZIP code with the relevant mailing address. Dental Care websites are listed below. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Register Now, Not registered? Blue Cross NC Dental Products and Network Overview NEW CLAIMS SUBMISSION MAILING ADDRESS. Attention: Claim Processing Find a Dentist | Blue Cross and Blue Shield of Oklahoma - BCBSOK Please Select Your State The resources on this page are specific to your state. 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 . Box 68710 Watch our videos to learn how specialty benefit plans offered by your employer may work for you so you can make informed decisions during open enrollment. P.O. We also offer two Dental PPO benefit structures. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Many Periodontists also provide dental implant services. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Monday through Friday, 1-800-431-1059 Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. BCN Provider Search - BCBSM If you don't have an account yet, you can check claims for BCBSM patients with our automated system. General Dentists who don't provide denture services in their clinics may also refer patients Register Now. Heres how they compare. It also verifies that you'll provide quality care to our members. Get access to your employer portal. 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. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Not all benefits are offered by all Plans mentioned above. Individuals attempting unauthorized access will be prosecuted. Monday through Friday Out-of-network dentists do not participate in any arrangement with Blue Cross. Learn more about eligibility and resources for uniformed service members transitioning to retirement. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Online tools provide you with information and support anytime. P.O. Florida Health Insurance Plans | Florida Blue Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Get access to your member portal. , Monday through Friday Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Facility and Special Programs If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Members may enroll in the plan only during specific times of the year. Fep Blue Dental Provider Login . The site may also contain non-Medicare related information. Agents. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Referrals to a hospital The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. Your first stop will usually be a General Dentist. Read our manuals to learn more about our programs, policies and procedures. Not registered? P.O. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Best Dental Insurance Providers of 2023 - The Balance [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. A General Dentist will refer patients to an Oral Pathologist for assistance in 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). Erectile Dysfunction ED treatment near Little Rock, AR | WebMD BlueCare Dental PPO | Blue Cross and Blue Shield of Texas - BCBSTX diagnosing oral abnormalities and disease. You may access the Nondiscrimination and Accessibility notice 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. Blue Dental PPO Plans 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. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. 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 BlueCare Dental PPO | Blue Cross and Blue Shield of Illinois - BCBSIL BCBSTX and go2dental.com are separate companies. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Not all Endodontists will provide endodontic services Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. In addition, some sites may require you to agree to their terms of use and privacy policy. Say "claims" when the system asks why you're calling. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. 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. The content on the Dental Wellness Center website is provided by go2dental.com. Step 1: Say "claims" when the system asks why you're calling. 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. Need more information? You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. It's important to understand your dental plan and what coverage you have as it may impact which dentists you can see and your costs when using them. Register Now, Not registered? Enroll year round. Box 551, Minneapolis, MN 55440-0551. 8:30 a.m. to noon and 1 to 5 p.m. You are going to a different website. Important Information About Medicare Plans, whether the dentist offers evening or weekend hours, what languages are spoken by the dentist and staff, what experience they've had with physical or developmental disabilities, and more. Physicians and professionals: 1-800-344-8525 Just keep in mind you'll need to go through the prompts before you're connected to someone. 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. Detroit, MI 48231-0166, Federal Employee Program claims like alveoplasties or cleft lip/palate surgery. One option is Adobe Reader which has a built-in reader. Polskie, DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. General Dentistry, Oral & Maxillofacial Surgery. The information on this other site may not always state the views of BCBSTX. Blue Cross Blue Shield FEP Dental ---OR---------------------------------------------------------, ---OR-------------------------------------------. . 8 a.m. to 7 p.m. Provider Finder Find a dentist in . Blue Cross Blue Shield of Michigan sure to check your benefits before scheduling treatment. BlueCare Dental (Traditional National PPO) * If you don't have an account yet, you can check claims for with our automated system. D/B/A Florida Blue. Members pay less out-of-pocket and will not be balanced billed. It can also send you a copy of your claim's status. Get access to your agent portal.Register Now. The content on the Dental Wellness Center website is provided by go2dental.com . Here's what you need to know. If you are an actively working federal Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. 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. Once you have located the . Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Learn more >, Not registered? Blue Vision providers submit claims electronically directly toVSP. P.O. 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. Find yours in our list ofphysician organization consultants (PDF). From April 1 to September 30, on weekends and holidays you may be required to leave a message. Get fast, easy access to everything you need when you log in to the secured provider portal. BCBSTX and go2dental.com are separate companies. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. If you need additional guidance, read the Dentaquest Dental Manual (PDF). 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). You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. also provide more specialty services, like root canals, extractions, and dentures, Grand Rapids, MI 49516-8710, BCN Advantage Claims 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 . on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Returning Shopper? You can find yours by selecting your region below. 8 a.m. to noon and 1 to 5 p.m. 415 S. McClellan Ave. Blue Cross Blue Shield of Michigan 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. The network providers listed in this directory have agreed to provide you with your health care and dental services. 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. they will provide you with a referral. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), How can I learn more about my patients' eligibility? Automated information is available anytime. 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. Looking for a specific dentist or clinic? MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Box 68753 BlueCare Dental PPO | Blue Cross and Blue Shield of Illinois - BCBSIL Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. 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. U-M Premier Care | Human Resources University of Michigan Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services 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. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * 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. Find a Dentist. P.O. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Register Now, Not registered? Monday through Friday. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Find a Dentist | Blue Cross and Blue Shield of New Mexico - BCBSNM Step 6: You will then be transferred to the servicing center for assistance. Family Medicine. Say "no" when asked if you have additional questions about the determination of a claim. an appointment. To view this file, you may need to install a PDF reader program. 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. BCBSIL and go2dental.com are separate companies. London, KY 40742. The information on this other site does not replace professional health care. Call DentaQuest (toll free) at 1-855-418-1622. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. The above is a listing of common services available through your network of Participating Dentists. It's more than just business when you join the Blue Cross network. If your General Not Registered? When a ZIP code is supplied, the city and state values are ignored. Blue Cross Blue Shield of Michigan Not Registered? Locate a dentist or dental specialist in the BCBS FEP Dental network. Step 6:Tell the system the total amount charged. 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. Find a Doctor | Blue Cross Blue Shield Your contact information will be accessible to millions of our members. More detailed searches are possible by clicking on More Search Options. Find a Dentist | Florida Blue Dental Our automated interactive voice response system provides claims, benefit and cost-share information. Get access to your online account. provider(s) office is able to offer in support of the patient's specific needs under the Federal American In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . 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. Submit prior authorization requestselectronicallythrough CoverMyMeds. BLUE GLOBAL SOLUTIONS Trademark of Blue Cross and Blue Shield , Just keep in mind you'll need to go through the prompts before you're connected to someone. 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. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Our Networks | BCBS of Tennessee Blue Care Network Calls will be returned the next business day. PDF BlueCare Dental Voluntary
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