to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. 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. P.O. More detailed searches are possible by clicking on More Search Options. 54. Call our customer service number on the back of your ID card to report information that is wrong. 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. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. The network has more than 5,600 locations within AZ and over 350,000 locations . Welcome to DNoA Connect, a provider self-service tool where dental offices can conveniently connect to patient information for members serviced by Dental Network of America (DNoA). 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. Blue Vision providers submit claims electronically directly toVSP. Vision and hearing providers: 1-800-482-4047 It can also send you a copy of your claim's status. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. 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. 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 . Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Box 7355 If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Tagalog, and Prevention (CDC), and state and local public health departments. Individuals attempting unauthorized access will be prosecuted. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. 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. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Box 32593 Blue Cross NC Dental Products and Network Overview The automated system is available anytime. This new site may be offered by a vendor or an independent third party. 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. Get fast, easy access to everything you need when you log in to the secured provider portal. Get access to your agent portal.Register Now. 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). the head, neck, face, and jaws. Access Your Payment Options. Get access to your online account.Register Now, Not registered? Dental care is part of the head-to-toe coverage available for our members. that insurance benefits for orthodontia can vary depending on the patient's age, so make You are entitled to obtain a detailed understanding of additional services or assistance that the When you enroll, you'll partner with us to care for a large and diverse membership. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Step 6:Tell the system the total amount charged. Some of the features used to display this website may not function properly. Get access to your online account. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Dentist cannot provide the treatment you need, they may refer you to a specialist. Ting Vit, Behavioral Health Services. When you're contracted with us you have access to a provider consultant. You are going to a different website. The site may also contain non-Medicare related information. referring those over a certain age to continue their dental care with a General Dentist. You can see dental providers in this network knowing your costs are the lowest. Facility and Special Programs Box 7355 Find a Dentist. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Members pay less out-of-pocket and will not be balanced billed. Fep Blue Dental Provider Login . Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Register Now, Not registered? ---OR---------------------------------------------------------, ---OR-------------------------------------------. As an alternative, you may enter a ZIP code. Questions About Your Benefits? Monday through Friday From April 1 to September 30, on weekends and holidays you may be required to leave a message. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Detroit, MI 48232-0593, UB-04 claims 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 . Most PDF readers are a free download. Blue Cross Blue Shield of Michigan P.O. Most Pediatric Dentists provide different levels of sedation, when needed, and some even You may access the Nondiscrimination and Accessibility notice 8 a.m. to noon and 1 to 5 p.m. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. 1-844-876-7917 We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control Attention: Claim Processing We provide health insurance in Michigan. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. 8 a.m. to 7 p.m. Automated information is available anytime. California Dental Network Provider Login . Out-of-network dentists do not participate in any arrangement with Blue Cross. You can write to us by matching your area code with the relevant mailing address. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Franais, Some General Dentists The search results will supply: 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. Step 5: Tell the system the date of service. Looking for a specific dentist or clinic? To get credentialed, you'll need to visit CAQH.org. If you have a question, please call Customer Service at 1-855-504-BLUE. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Fully Insured Small Group Summary of Dental Benefits. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Box 69436, Harrisburg, PA 17106-9436. 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. Though many General Dentists provide dentures in their offices, patients who have unique This new site may be offered by a vendor or an independent third party. 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. Not all benefits are offered by all Plans mentioned above. Contact customer service, Heritage Provider service: 1-800-252-2053. 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. Don't have a secured provider portal account yet? Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. If you call before 30 days, we may not be able to check your claim through our automated phone system. During this unprecedented time, we're taking action to support our members. GEHA's mantra is PREVENTIVE HEALTH CARE. External link You are leaving this website/app (site). . Blue Cross Blue Shield of Arizona. 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. NEW CLAIMS SUBMISSION MAILING ADDRESS. 8:30 a.m. to 4:30 p.m. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. 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. TennCare's current dental benefits manager is DentaQuest. 8 a.m. to noon and 1 to 5 p.m. 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. If your General Just use our online search. 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. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Dr. Michael J. Buckley, MD. This helps us ensure you meet the state requirements for health care. 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). The site may also contain non-Medicare related information. 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. 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. P, Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 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. 15. General Dentistry, Oral & Maxillofacial Surgery. Lansing, MI 48933. Register Now, Not registered? In addition, some sites may require you to agree to their terms of use and privacy policy. an appointment. Step 6: Tell the system the total amount charged. It's more than just business when you join the Blue Cross network. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). BCBSIL and go2dental.com are separate companies. The automated system is available anytime. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. 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. 8:30 a.m. to noon and 1 to 5 p.m. Say "claims" when the system asks why you're calling. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Dentists in the DPPO network have agreed to pre-determined fees for their services. 8 a.m. to 7 p.m. Register Now, Not registered? 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). HMO subsidiary Blue Care Network proposes a 6.9. . Dr. Michael David Stout, MD. 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). Not sure which region you're in? , 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 network providers listed in this directory have agreed to provide you with your health care and dental services. Provider Finder Find a dentist in . Referrals to a hospital DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Monday through Friday Call our Member Services department Monday - Friday from 8 am to 5 pm. Box 551, Minneapolis, MN 55440-0551. The above is a listing of common services available through your network of Participating Dentists. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Monday through Friday, Care Management--Mail Code C355 PO Box 385018 This provides a quick, convenient way to get help in case of a dental emergency. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer One option is Adobe Reader which has a built-in reader. Monday through Friday. 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. , Step 1: Say "claims" when the system asks why you're calling. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Provider Inquiry is for registered, nonregistered and out-of-state providers. Periodontists specialize in gums and gum disease. Blue Care Network 8 a.m. to noon and 1 to 5 p.m. P.O. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. P.O. though may also provide dental implants. Just use our online search. 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. The automated system is available anytime. D/B/A Florida Blue. Get Emergency Care (Teledentistry) . , Just keep in mind you'll need to go through the prompts before you're connected to someone. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. patients to a Periodontist when they are in need of more intensive treatment. It is a NON-profit Health Plan -- has been around at least 50 years. Dental | CareFirst BlueCross BlueShield Register Home Plans & Coverage Providers & Facilities Health & Wellness Insurance Basics New Member Updates & Information Members COVID-19 Vaccines Benefits Updates FAQs Contact Tracing Antibody Tests Need Care or Feel Sick? e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Find yours in our list ofphysician organization consultants (PDF). Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Many specialists also L07B 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. P.O. BlueCare Dental Classic Basic3 In Network Out of Network In Network Out of Network In Network Out of Network Monthly Rates for BlueCare Dental Classic 6 Region 1 7 Region 2 8 Region 1 7 Region 2 8 Region 1 7 Region 2 8 Individual Member $59.64 $54.98 $34.76 $31.85 $21.55 $19.27 Diagnostic Evaluations 100% 4100% 80% 80% 100% 4100% Anytime! 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. 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. 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. Calls will be returned the next business day. Blue Cross Blue Shield of Michigan 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. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 8:30 a.m. to 6 p.m. It's just one more way that Florida Blue is with you. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. You can write to us by finding your area code with the relevant mailing address. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Deutsche, 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 . Get access to your online account. It can also send you a copy of your claim's status. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Click to view logins links, most visited site links, social handles and contact information etc. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. It also verifies that you'll provide quality care to our members. 40 Years Experience. Our plans include BlueCare SM, TennCare Select and CoverKids. Box 2227 You'll need to know what kind of dental plan you have; an individual plan, a plan through your employer or Medicare, or another public plan. 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. Register Now. Hospitals or facilities: 1-800-249-5103. Find a dentist. Need help understanding our plans? 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. 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 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. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Box 230589 Returning Shopper? The network has more than 5,600 locations within AZ and over 350,000 locations nationally. We provide health insurance in Michigan. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. 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. 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 . If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Detroit, MI 48231-0166, Federal Employee Program claims More detailed searches are possible by clicking on More Search Options. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. That means better service and better care for your patients. What do I need to know about credentialing? With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. 8 a.m. to 5 p.m. For example, to search For personal medical guidance, please consult your dentist and/or physician. Automated information is available anytime. Blue Care Network 20500 Civic Center Dr. Southfield, MI 48076 Group number: 001243160001 Consider a Health Care Flexible Spending Account If you are eligible, you may want to consider enrolling in a pre-tax health care Flexible Spending Account (FSA) to complement your health plan. 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. Orthodontists specialize in tooth and jaw positioning and alignment. also provide more specialty services, like root canals, extractions, and dentures, Not Registered? You can register here. BlueCare Dental PPO SM * BlueCare Dental HMO SM * In a PPO plan, costs are typically reduced when members receive care from network providers. Adult Dental Services Learn more >, Not registered? Automated information is available anytime. 2023 BlueCare Dental PPO (Small Group) Plans. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. P.O. If you don't have an account yet, you can check claims for with our automated system. Get health assessments, treatment support, and help understanding your plan. 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. Gujarati, Learn About Virtual Care Florida Blue Centers See a nurse. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. External link You are leaving this website/app (site). The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Log In to Availity Don't have an Availity account? You can use our automated system to reach a representative to discuss your claim's outcome. Say "representative" to reach someone who can help. Call DentaQuest (toll free) at 1-855-418-1622. For example, if you have questions about dental care, talk with your dentist. The network is available through contracted general dentists and specialists throughout Arizona. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. How can I learn more about my patients' eligibility? Step 6: You will then be transferred to the servicing center for assistance. Members may enroll in the plan only during specific times of the year. The content on the Dental Wellness Center website is provided by go2dental.com. Portugus, primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, The information on this other site may not always state the views of BCBSTX. You'll need to use e-referral for Medicare Plus Blue authorization requests. Our web portalpowered by Availitymakes doing business with Anthem even easier. Say "no" when asked if you have additional questions about the determination of a claim. 1-800-762-2382 Register Now, Not registered? Simply call a Patient Care Coordinator at (877) 872-0370 . Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Oral health touches every aspect of our lives but is often taken for granted. Get access to your employer portal. The content on the Dental Wellness Center website is provided by go2dental.com . 1-855-504-2583 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. 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 . TTY users: To reach any number listed here, dial 711. 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. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. 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. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. Endodontists specialize in the treatment of dental pulp and perform services like root canals, Nominate your provider for inclusion in our network! Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Register Now, Learn more about registering for our web tools. If youre a professional provider office, you have access to a provider consultant. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Where can I get dental costs and information? 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. Locate a dentist or dental specialist in the BCBS FEP Dental network. London, KY 40742. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. We offer resources to support your practice in serving patients covered by our dental plan. 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. Do keep in mind that as most Log In to the Shopping Cart, Need to Make a Payment? Southfield, MI 48075. Ask A Dentist Ask licensed dentist questions about dental care. You'll have access to reward programs that seek to transform health care. 232 S Capitol Ave Find a Blue Distinction Center. 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.
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