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. Monday through Friday. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. State and Federal Privacy laws prohibit unauthorized access to Member's private information. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. 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. Automated information is available anytime. Online tools provide you with information and support anytime. , 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. More detailed searches are possible by clicking on More Search Options. The network is available through contracted general dentists and specialists throughout Arizona. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Italiano, Get access to your member portal. The search results will supply: Attention: Claim Processing 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 . The above is a listing of common services available through your network of Participating Dentists. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . ACCESS MANUALS. Sun Life Dental Login . 20500 Civic Center Drive have privileges to provide services in a hospital setting. Detroit, MI 48232-0593, UB-04 claims A dentist may refer you Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Enter a partial or full name along with the Specialty and Location. The content on the Dental Wellness Center website is provided by go2dental.com. 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). Monday through Friday 8 a.m. to 7 p.m. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Most Pediatric Dentists provide different levels of sedation, when needed, and some even If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Provider Finder Find a dentist in . Some General Dentists We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Register Now. It is a NON-profit Health Plan -- has been around at least 50 years. Essential Vision providerssubmit claims throughHeritage Vision Plan. Detroit, MI 48231-2599, Blue Cross Complete claims Though General Dentists can often perform some Automated information is available anytime. Grand Rapids, MI 49516-8710, BCN Advantage Claims Blue Cross Blue Shield of Michigan Individuals attempting unauthorized access will be prosecuted. patients to a Periodontist when they are in need of more intensive treatment. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. In addition, some sites may require you to agree to their terms of use and privacy policy. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims You can register here. 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. Not sure which region you're in? They can also see any dental specialist within the network without a referral. Many Periodontists also provide dental implant services. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Register Now, Not registered? If you have a question, please call Customer Service at 1-855-504-BLUE. P.O. When a ZIP code is supplied, the city and state values are ignored. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Individuals attempting unauthorized access will be prosecuted. Anytime! Leverage your professional network, and get hired. takes the health and well-being of our members, providers, our associates and our business partners seriously. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Periodontists specialize in gums and gum disease. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues Click to view logins links, most visited site links, social handles and contact information etc. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. It's just one more way that Florida Blue is with you. Your contact information will be accessible to millions of our members. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 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. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Grand Rapids, MI 49523-0589, Provider Inquiry Get fast, easy access to everything you need when you log in to the secured provider portal. Individuals attempting unauthorized access will be prosecuted. 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 head, neck, face, and jaws. More detailed searches are possible by clicking on More Search Options. 1-888-803-4960 Hospitals or facilities: 1-800-249-5103 Dental Care websites are listed below. 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. Automated information is available anytime. 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. Get access to your employer portal. 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. Monday through Friday 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 . This helps us ensure you meet the state requirements for health care. Blue Vision providers submit claims electronically directly toVSP. Register Now. Check to see if your dentist is in our network or choose from our many providers. Providers. You can find yours by selecting your region: Not sure which region you're in? Step 4: Say "no" when asked if you have additional questions about the determination of a claim. 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. 1-800-344-8525 When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. 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). We have several tools and resources available to help you make informed decisions about your plan and make the most of your BCBS FEP Dental coverage. Access Your Payment Options. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. however, available treatment will vary for each provider. Monday through Friday Monday through Friday. Log In to the Shopping Cart, Need to Make a Payment? ---OR---------------------------------------------------------, ---OR-------------------------------------------. Free aids and services for people with disabilities to communicate effectively with us, such as: Written information in other formats (such as accessible electronic formats). We provide health insurance in Michigan. You can write to us by matching your area code with the relevant mailing address. 40 Years Experience. Blue Cross Blue Shield of Arizona. 1-877-258-0167 Coverage for treatments varies depending on the member's benefit plan. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Get access to your agent portal. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Get access to your online account. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. For example, if you have questions about dental care, talk with your dentist. Tagalog, Each account comes with tools that let you quickly and easily get your work done. Box 33248 Credentialing is a verification process you'll need to pass before you can join our provider network. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Fep Blue Dental Provider Login . 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. The automated system is available anytime. Elevance Health, Inc. is an American health insurance provider. One option is Adobe Reader which has a built-in reader. BCBSMT and go2dental.com are separate companies. 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. It can also send you a copy of your claim's status. 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. also provide more specialty services, like root canals, extractions, and dentures, External link You are leaving this website/app (site). 8 a.m. to noon and 1 to 5 p.m. To view this file, you may need to install a PDF reader program. Blue Cross NC Dental Products and Network Overview If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. Register Now, Learn more about registering for our web tools. Monday through Friday Childers Orthodontics Patient Login . Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. they will provide you with a referral. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. You'll have access to reward programs that seek to transform health care. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Members. You can write to us by finding your ZIP code with the relevant mailing address. 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. How do I submit a prior authorization request? 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. In a PPO plan, costs are typically reduced when members receive care from network providers. Dr. Michael J. Buckley, MD. Whether you're interested in joining our network or have already partnered with us, we're here to help. 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. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Facility and Special Programs One Woodward Avenue, Suite 2020 That means better service and better care for your patients. Blue Dental PPO Plans Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Just use our online search. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? 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). P.O. The content on the Dental Wellness Center website is provided by go2dental.com. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 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. 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. BCBSIL and go2dental.com are separate companies. Log In to Availity Don't have an Availity account? Do keep in mind that as most The site may also contain non-Medicare related information. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. We also offer two Dental PPO benefit structures. 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. The search results will supply: The search may also provide their website, address and office hours. In addition, some sites may require you to agree to their terms of use and privacy policy. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Cigna Dental Insurance Plans* During this unprecedented time, we're taking action to support our members. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. We provide health insurance in Michigan. Enter your City and State or Zip Code and desired. Get access to your member portal. Blue Care Network Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Referrals to a hospital One option is Adobe Reader which has a built-in reader. Box 68710 Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. P.O. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting If you have an EPO plan, it only covers care you get from PPO in-network dentists. You are entitled to obtain a detailed understanding of additional services or assistance that the Though many General Dentists provide dentures in their offices, patients who have unique You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. 8 a.m. to noon and 1 to 5 p.m. 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. Register Now, Not registered? Monday through Friday, Care Management--Mail Code C355 Delta Dental Il Employer Login . Calls will be returned the next business day. Box 310166 If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Just keep in mind you'll need to go through the prompts before you're connected to someone. Monday through Friday. 8:30 a.m. to noon and 1 to 5 p.m. BCBSOK and go2dental.com are separate companies. If youre a professional provider office, you have access to a provider consultant. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. The content on the Dental Wellness Center website is provided by go2dental.com . diagnosing oral abnormalities and disease. For services from dentists who are not in the BlueDental PPO (BluePreferred Dental) Network, What You Need to Know About the BlueDental PPO (BluePreferred Dental) Network, Those who purchased ACA plans through HealthCare.gov and need to access out-of-Arizona pediatric dental coverage. 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. Enroll today and your coverage can start as soon as next month. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. You can write to us by finding your area code with the relevant mailing address. referring those over a certain age to continue their dental care with a General Dentist. Box 551, Minneapolis, MN 55440-0551. 415 S. McClellan Ave. 8:30 a.m. to noon and 1 to 5 p.m. 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. Some of the features used to display this website may not function properly. Franais, Register Now, Not registered? 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. 8 a.m. to 5 p.m. P.O. TennCare's current dental benefits manager is DentaQuest. Health Savings Accounts and Health Care Accounts, 2023 BlueCare Dental PPO (Small Group) Plans, 2022 BlueCare Dental PPO Small Group SBCs, savings for employers and their employees, out-of-network claims paid at SMA or usual and customary (U&C). Returning Shopper? Hospitals or facilities: 1-800-249-5103. 2023 BlueCare Dental PPO (Small Group) Plans. 1-888-826-8152 Physicians and professionals: 1-800-344-8525 Hospitals or facilities: 1-800-249-5103 Vision and hearing providers: 1-800-482-4047 Federal Employee Program providers and facilities: 1-800-840-4505 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. It's more than just business when you join the Blue Cross network. Box 7355 Box 7355 Note: The FEP phone system has a different set of prompts than the others. Behavioral Health Services. Blue Cross Blue Shield of Michigan Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Services from non -participating providers will be subject to the same allowable charges as those from participating . Hospitals or facilities: 1-800-249-5103 State and Federal Privacy laws prohibit unauthorized access to Member's private information. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), 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. 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 . BCBSTX and go2dental.com are separate companies. Get access to your online account. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Not Registered? Box 68753 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). As an alternative, you may enter a ZIP code. To view this file, you may need to install a PDF reader program. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Submit prior authorization requestselectronicallythrough CoverMyMeds. When you're contracted with us you have access to a provider consultant. Individuals attempting unauthorized access will be prosecuted. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Please Select Your State The resources on this page are specific to your state. Register Now, Not registered? If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. 1-855-504-2583 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. Employers. If you're not a Blue Vision provider, send claims to: VSP You can use our automated system to reach a representative to discuss your claim's outcome. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. 28 Years Experience. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Step 1: Say "claims" when the system asks why you're calling. , Say "date of service" to learn about a different claim. 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. 1-800-482-4047 After you've enrolled, you can register for a provider portal account. Orthodontists specialize in tooth and jaw positioning and alignment. 232 S Capitol Ave sure to check your benefits before scheduling treatment. For example, to search Your first stop will usually be a General Dentist. This is only a brief list of the plan benefits. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. All here in your neighborhood. P.O. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. , If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Step 5: Tell the system the date of service provided. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. General Dentists can provide many preventive services, like exams and cleanings, The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Call DentaQuest (toll free) at 1-855-418-1622. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Don't have a secured provider portal account yet? Say "another contract" to inquire on another contract. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Box 230589 8 a.m. to 6 p.m. Note:It can take up to 30 days for a claim to be processed. The content on the Dental Wellness Center website is provided by go2dental.com . HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Southfield, MI 48075. Box 69436, Harrisburg, PA 17106-9436. There's no coverage when you see Blue Par Select or out-of-network dentists. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. 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. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. that insurance benefits for orthodontia can vary depending on the patient's age, so make Log In to the Shopping Cart, Need to Make a Payment? Not Registered? When you enroll, you'll partner with us to care for a large and diverse membership. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. google drive shared folder empty The Blue Cross Blue Shield of Georgia Premier Plus PPO health care plans offer the highest level of benefits available. . Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Box 312599 NEW CLAIMS SUBMISSION MAILING ADDRESS. To view this file, you may need to install a PDF reader program. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 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.