Box 2227 Periodontists specialize in gums and gum disease. 8:30 a.m. to noon and 1 to 5 p.m. Blue Cross Blue Shield of Michigan Your first stop will usually be a General Dentist. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. , Dentist cannot provide the treatment you need, they may refer you to a specialist. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Dental care is part of the head-to-toe coverage available for our members. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . 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. 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. You can write to us by finding your ZIP code with the relevant mailing address. Blue Care Network Heres how they compare. The search results will supply: The search may also provide their website, address and office hours. 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. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Need help understanding our plans? All here in your neighborhood. 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. How can I learn more about my patients' eligibility? BCBSTX and go2dental.com are separate companies. like alveoplasties or cleft lip/palate surgery. Get health assessments, treatment support, and help understanding your plan. 415 S. McClellan Ave. External link You are leaving this website/app (site). Log In to Availity Don't have an Availity account? that insurance benefits for orthodontia can vary depending on the patient's age, so make 1-877-258-0167 To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Register Now, Not registered? You can find yours by selecting your region: Not sure which region you're in? Calls will be returned the next business day. You can write to us by finding your area code with the relevant mailing address. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Simply call a Patient Care Coordinator at (877) 872-0370 . 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. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Once you have located the . The network has more than 5,600 locations within AZ and over 350,000 locations . P.O. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Access Your Payment Options. What you need to know about the coronavirus, COVID-19. 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. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Call our customer service number on the back of your ID card to report information that is wrong. Monday through Friday Blue Cross and Blue Shield of Montana (BCBSMT) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. The content on the Dental Wellness Center website is provided by go2dental.com . Contact the plan for more information. Submit prior authorization requestselectronicallythrough CoverMyMeds. Find a dentist. Hospitals or facilities: 1-800-249-5103 Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 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. Get access to your online account.Register Now, Not registered? Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Passive plan options pay out-of-network dental services at U&C. Each account comes with tools that let you quickly and easily get your work done. Individuals attempting unauthorized access will be prosecuted. It also verifies that you'll provide quality care to our members. Where can I get dental costs and information? Monday through Friday. Members may enroll in the plan only during specific times of the year. Learn About Virtual Care Florida Blue Centers See a nurse. Note: The FEP phone system has a different set of prompts than the others. After you've enrolled, you can register for a provider portal account. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Dentists in the DPPO network have agreed to pre-determined fees for their services. 1-800-762-2382 Questions About Your Benefits? Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? For details on a provider's in-network status or your own policy's coverage, contact your Local Blue Plan and ask your provider before making an appointment. Box 68753 Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Oral health touches every aspect of our lives but is often taken for granted. Get access to your agent portal.Register Now. Register Now, Learn more about registering for our web tools. Register Now, Not registered? 8 a.m. to 4 p.m. There's no coverage when you see Blue Par Select or out-of-network dentists. 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. Detroit, MI 48226. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health In addition, some sites may require you to agree to their terms of use and privacy policy. BCBSTX assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center website; go2dental.com issolely responsible for the content and any advice given on its website. Though General Dentists can often perform some Fully Insured Small Group Summary of Dental Benefits. General Dentists who don't provide denture services in their clinics may also refer patients If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. 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. Out-of-network dentists do not participate in any arrangement with Blue Cross. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. 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. 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. Facility and Special Programs Coverage for treatments varies depending on the member's benefit plan. 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. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. 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. 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. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. 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. Hospitals or facilities: 1-800-249-5103. Dr. Michael J. Buckley, MD. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. TTY users should call 711. Whether you're interested in joining our network or have already partnered with us, we're here to help. The above is a listing of common services available through your network of Participating Dentists. HMO subsidiary Blue Care Network proposes a 6.9. . 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. Call DentaQuest (toll free) at 1-855-418-1622. Box 310166 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. Within the United States, to search for a dentist by location, supply your city (optional) and state. Log In to the Shopping Cart, Need to Make a Payment? If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Note:It can take up to 30 days for a claim to be processed. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. 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. Provider Inquiry is for registered, nonregistered and out-of-state providers. For example, to search 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 . Individuals attempting unauthorized access will be prosecuted. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. 20500 Civic Center Drive 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. NEW CLAIMS SUBMISSION MAILING ADDRESS. Box 33248 View our map (PDF). Dental Network Listing Augustyn, Mary TARA BOYLE DDS 10040 Woodland Rd Lenexa, KS 66220 (913) 768-6800 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: F Accepting new patients: Y Ayer, Dennis 2301 West 143rd St Leawood, KS 66224 (913) 246-3000 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: M Accepting new . State and Federal Privacy laws prohibit unauthorized access to Member's private information. Check to see if your dentist is in our network or choose from our many providers. Step 1: Say "claims" when the system asks why you're calling. A General Dentist will refer patients to an Oral Pathologist for assistance in As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Leverage your professional network, and get hired. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Check ereferrals.bcbsm.com for detailed prior authorization information. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Monday through Friday 20500 Civic Center Drive Southfield, MI 48075. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. An independent licensee of the Blue Cross and Blue Shield Association. P.O. Not registered? Our plans include BlueCare SM, TennCare Select and CoverKids. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. 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. If you call before 30 days, we may not be able to check your claim through our automated phone system. Enter your City and State or Zip Code and desired. 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). 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. Step 5: Tell the system the date of service. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Do keep in mind that as most P.O. It's just one more way that Florida Blue is with you. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. 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. Provider Inquiry Mail Code 0301 One Woodward Avenue, Suite 2020 to this type of specialist. 8:30 a.m. to noon and 1 to 5 p.m. Detroit, MI 48232-4248, Provider Inquiry After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Services from non -participating providers will be subject to the same allowable charges as those from participating . Learn more about eligibility and resources for uniformed service members transitioning to retirement. You'll have access to reward programs that seek to transform health care. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Grand Rapids, MI 49523-0589, Provider Inquiry The content on the Dental Wellness Center website is provided by go2dental.com. Blue Cross Blue Shield of Michigan Hospitals or facilities: 1-800-249-5103 When issuing a referral or outpatient authorization for a hospital, referring providers should enter the facility NPI in the e-referral Servicing Facility ID field. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. The above is a listing of common services available through your network of Participating Dentists. Learn more >, Not registered? This other site may have information about: Please note that your health plan may not cover the items found on this other site. 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. 15. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). 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. In a PPO plan, costs are typically reduced when members receive care from network providers. As an alternative, you may enter a ZIP code. 232 S Capitol Ave 8 a.m. to noon and 1 to 5 p.m. Our nationwide plans are available to almost anyone. Online tools provide you with information and support anytime. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. 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. Returning Shopper? To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Detroit, MI 48231-0166, Federal Employee Program claims BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. BCBSMT and go2dental.com are separate companies. P.O. Monday through Friday. It is a NON-profit Health Plan -- has been around at least 50 years. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Providers. Step 6: You will then be transferred to the servicing center for assistance. Deutsche, 8 a.m. to 7 p.m. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Say "another contract" to inquire on another contract. The automated system is available anytime. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. 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. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. 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. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. 1-888-826-8152 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. L07B Monday through Friday, Care Management--Mail Code C355 1-800-249-5103 Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. P.O. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. If you have a question, please call Customer Service at 1-855-504-BLUE. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. 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). To view this file, you may need to install a PDF reader program. When a ZIP code is supplied, the city and state values are ignored. Monday through Friday Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. 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. We offer resources to support your practice in serving patients covered by our dental plan. Blue Cross Blue Shield of Michigan Just keep in mind you'll need to go through the prompts before you're connected to someone. Employers. Just keep in mind you'll need to go through the prompts before you're connected to someone. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues 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. Log In to the Shopping Cart, Need to Make a Payment? Box 69436, Harrisburg, PA 17106-9436. We provide health insurance in Michigan. Federal Employee Program providers and facilities: 1-800-482-3600 One option is Adobe Reader which has a built-in reader. Just use our online search. 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. The site may also contain non-Medicare related information. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBSOK and go2dental.com are separate companies. Gujarati, GEHA's mantra is PREVENTIVE HEALTH CARE. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Step 6: Tell the system the total amount charged. , Returning Shopper? With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Not Registered? Verify patient eligibility and benefits Use our search form to find a dentist quickly and easily. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? This helps us ensure you meet the state requirements for health care. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control an appointment. Essential Vision providerssubmit claims throughHeritage Vision Plan. 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. California Dental Network Provider Login . The network has more than 5,600 locations within AZ and over 350,000 locations nationally. 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. Our web portalpowered by Availitymakes doing business with Anthem even easier. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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). 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. One option is Adobe Reader which has a built-in reader. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Box 68710 Tagalog, The content on the Dental Wellness Center website is provided by go2dental.com . The information on this other site does not replace professional health care. During this unprecedented time, we're taking action to support our members. To view this file, you may need to install a PDF reader program. Enter your City and State or Zip Code and desired Radius.