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Box 33248 Check ereferrals.bcbsm.com for detailed prior authorization information. Box 312599 He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 1-888-826-8152 Click to view logins links, most visited site links, social handles and contact information etc. Say "fax or email" to receive a copy of your claim's status. Monday through Friday. TennCare's current dental benefits manager is DentaQuest. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Box 68753 For example, if you have questions about dental care, talk with your dentist. Our nationwide plans are available to almost anyone. 1-800-482-4047 Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Access Your Payment Options. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. 1-877-258-0167 Many Periodontists also provide dental implant services. General Dentists who don't provide denture services in their clinics may also refer patients Step 2: Answer the prompts about your patient and whether you provided care in Michigan. 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. ACCESS MANUALS. 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. 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. Sun Life Dental Login . The site may also contain non-Medicare related information. The search results will supply: The search may also provide their website, address and office hours. Blue Cross Blue Shield of Michigan DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. California Dental Network Provider Login . BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Automated information is available anytime. D/B/A Florida Blue. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Enter a partial or full name along with the Specialty and Location. Members. Say "another contract" to inquire on another contract. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Check to see if your dentist is in our network or choose from our many providers. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims 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. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California, [2 . Detroit, MI 48226. 1-800-344-8525 New Clinic Manager jobs added daily. 8:30 a.m. to noon and 1 to 5 p.m. Read our manuals to learn more about our programs, policies and 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). Facility and Special Programs Heres how they compare. 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. 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. You can find yours by selecting your region below. P.O. You can see dental providers in this network knowing your costs are the lowest. London, KY 40742. 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. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. More detailed searches are possible by clicking on More Search Options. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. BlueCare Dental (Traditional National PPO) * Take Action. The network has more than 5,600 locations within AZ and over 350,000 locations . 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Monday through Friday As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Say "date of service" to learn about a different claim. Fully Insured Small Group Summary of Dental Benefits. Southfield, MI 48075, 1-877-293-2788 Dental care is part of the head-to-toe coverage available for our members. You can write to us by finding your area code with the relevant mailing address. they will provide you with a referral. State and Federal Privacy laws prohibit unauthorized access to Member's private information. for all dentists in cities starting with "C," enter "C" for the city. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. 40 Years Experience. Your first stop will usually be a General Dentist. A General Dentist will refer patients to an Oral Pathologist for assistance in Most Pediatric Dentists provide different levels of sedation, when needed, and some even to this type of specialist. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. After you've enrolled, you can register for a provider portal account. BCBS FEP Dental has nearly half a million provider access points nationwide to receive in-network services, a customer service team dedicated to exceeding your expectations, online tools to make your life easier, and a variety of options and benefits to meet your needs. One option is Adobe Reader which has a built-in reader. If you don't have an account yet, you can check claims for with our automated system. For example, to search Monday through Friday 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 Providers | BlueCare Tennessee As a BlueCare Tennessee network provider dedicated to the health of your patients and our members, you'll find what you need here for your office or facility. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. 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). Think of it like a credit union -- exists to serve its membership - NOT for profit. Monday through Friday He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Contact the plan for more information. Birmingham, AL 35238-0518. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. P.O. Within the United States, to search for a dentist by location, supply your city (optional) and state. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Our automated interactive voice response system provides claims, benefit and cost-share information. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. and Prevention (CDC), and state and local public health departments. Referrals to a hospital also provide more specialty services, like root canals, extractions, and dentures, Calls will be returned the next business day. Use our search form to find a dentist quickly and easily. Just keep in mind you'll need to go through the prompts before you're connected to someone. BCBSOK and go2dental.com are separate companies. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Step 6:Tell the system the total amount charged. Individuals attempting unauthorized access will be prosecuted. Do keep in mind that as most A dentist may refer you If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. Monday through Friday. 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). Log In to the Shopping Cart, Need to Make a Payment? State and Federal Privacy laws prohibit unauthorized access to Member's private information. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Franais, HMO subsidiary Blue Care Network proposes a 6.9. . For plans with Part D Coverage: You may be able to get Extra Help to pay for your . 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. More detailed searches are possible by clicking on More Search Options. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. When a ZIP code is supplied, the city and state values are ignored. Individuals attempting unauthorized access will be prosecuted. with orofacial skin. You can write to us by matching your area code with the relevant mailing address. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Note:It can take up to 30 days for a claim to be processed. For personal medical guidance, please consult your dentist and/or physician. The search results will supply: Register Now. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Don't have a secured provider portal account yet? There's no coverage when you see Blue Par Select or out-of-network dentists. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 415 S. McClellan Ave. Register Now, Not registered? ---OR---------------------------------------------------------, ---OR-------------------------------------------. Not all Endodontists will provide endodontic services Your contact information will be accessible to millions of our members. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Lansing, MI 48933. View our map (PDF). 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. Marquette, MI 49855, Employee Inquiry Dentist cannot provide the treatment you need, they may refer you to a specialist. Quickly find a general dentist or specialist. Monday through Friday, Care Management--Mail Code C355 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. 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). oral structure or require other specialized denture services may be referred to a Prosthodontist. Dental Care websites are listed below. Agents. 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. If you visit a provider or location that is not in your network, you will pay more of the cost. You can also talk to your provider consultant. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Hospitals or facilities: 1-800-249-5103 20500 Civic Center Drive Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). You can write to us by finding your ZIP code with the relevant mailing address. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . To view this file, you may need to install a PDF reader program. One Woodward Avenue, Suite 2020 If youre an administrative office of a medical care group, you have access to a professional organization consultant. View our map (PDF). 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. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. 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. The automated system is available anytime. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Not sure which region you're in? Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Periodontists specialize in gums and gum disease. 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. 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. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Not Registered? What you need to know about the coronavirus, COVID-19. 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. Enter your City and State or Zip Code and desired. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Step 5:Tell the system the date of service provided. You may access the Nondiscrimination and Accessibility notice The network is available through contracted general dentists and specialists throughout Arizona. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Box 310166 If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Returning Shopper? , Vision and hearing providers: 1-800-482-4047 Once you have located the . 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. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Log In to the Shopping Cart, Need to Make a Payment? P.O. Though many General Dentists provide dentures in their offices, patients who have unique 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. Online tools provide you with information and support anytime. The content on the Dental Wellness Center website is provided by go2dental.com. Endodontists specialize in the treatment of dental pulp and perform services like root canals, After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. The content on the Dental Wellness Center website is provided by go2dental.com . 8 a.m. to 5 p.m. Anytime! Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Access Your Payment Options. The site may also contain non-Medicare related information. 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 P, 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. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 20500 Civic Center Drive Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Enroll today and your coverage can start as soon as next month. Step 6: Tell the system the total amount charged. Box 7355 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 . Federal Employee Program providers and facilities: 1-800-840-4505. Childers Orthodontics Patient Login . Automated information is available anytime. We provide health insurance in Michigan. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. The content on the Dental Wellness Center website is provided by go2dental.com . 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 230589 You can register here. 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Get access to your member portal. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Monday through Friday. Not all benefits are offered by all Plans mentioned above. 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. 28 Years Experience. Pediatric Dentists specialize in dental treatment for young and special needs children. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. The above is a listing of common services available through your network of Participating Dentists. Most PDF readers are a free download. Please consider an upgrade or using a different device. Automated information is available anytime. Choose a dental network from the list below to search for a dentist. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. You'll need to use e-referral for Medicare Plus Blue authorization requests. 1-844-876-7917 Out-of-network dentists do not participate in any arrangement with Blue Cross. PO Box 385018 In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Detroit, MI 48232-4248, Provider Inquiry DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Adult Dental Services an appointment. Learn more about eligibility and resources for uniformed service members transitioning to retirement. Not registered? . Portugus, Get fast, easy access to everything you need when you log in to the secured provider portal. Find in-network dentists, too, in a few short steps. Just use our online search. Find a Blue Distinction Center. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Blue Cross Blue Shield of Michigan Monday through Friday, Care Management--Mail Code C355 Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. If you're not a Blue Vision provider, send claims to: VSP Employers. P.O. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Please Select Your State The resources on this page are specific to your state. If youre a professional provider office, you have access to a provider consultant. Essential Vision providerssubmit claims throughHeritage Vision Plan. 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. Southfield, MI 48075. HEALTH first - STAR Medicaid: 1-888-672-2277.Dental care If you're a STAR member age 20 and younger, or a CHIP or STAR Kids member, call your dental provider below to find a dentist near you: DentaQuest STAR or STAR Kids members: 1-800-516-0165 CHIP members: 1-800-508-6775 .
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