anthem dental complete payer id

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. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. A green check box identifies which service is enabled for electronic participation for the payor you are searching for. If you will be submitting claims to a payor that has the Special Enrollment notation. Blue Cross Blue Shield of Michigan We offer flexible group insurance plans for any size business. Visit MedicareAdvantage.com to compare multiple Medicare Advantage plans, side by side. Blue Care Network Employers can manage their Anthem bill pay through EmployerAccess. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims For California residents, CA-Do Not Sell My Personal Info, Click here. Use the Payor ID that Henry Schein ONE has listed for participation through our services. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. UI(g!q-)po If youre a professional provider office, you have access to a provider consultant. endstream endobj 11619 0 obj <>/Size 11589/Type/XRef>>stream Our dental family PPO plans cover everyone children and adults, Instead of an annual benefit maximum, children have an out-of-pocket maximum: $375 per child ($750 per family) in a year*, There are no waiting periods on the services included in the Pediatric Dental Essential Health Benefit (EHB), Families will not be charged more than $375 for one child, and capped at $750 per family*, *In Connecticut, $350 per child and $750 per family, There are no annual or lifetime benefit limits for pediatric-age kids, You will not be charged premiums on more than three children. We provide health insurance in Michigan. ZeY6[+!LV/=C}J>O4L7 Hospitals or facilities: 1-800-249-5103. How do Medigap plans and Medicare Advantage plans differ? 11589 32 We currently don't offer resources in your area, but you can select an option below to see information for that state. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Monday through Friday, Care Management--Mail Code C355 P.O. Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. Detroit, MI 48232-4248, Provider Inquiry Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Understand your care options ahead of time so you can save time and money. Find yours in our list ofphysician organization consultants (PDF). If you're not a Blue Vision provider, send claims to: VSP 1-800-482-5982 Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. 0000165070 00000 n You can verify or update your address by logging in to your member account. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . endobj Older adults with tooth loss often ask, "Does Medicare cover dentures?" If your state isn't listed, check out bcbs.com to find coverage in your area. If you need additional guidance, read the Dentaquest Dental Manual (PDF). xref 1 0 obj The automated system is available anytime. You can sign up for Anthem dental plans at any time of the year and do not need to be enrolled in an Anthem health insurance plan in order to do so. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. If the insurance company you work with isnt on the list or if they are on the list, but dont provide the service you want, tell us about it. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Monday through Friday If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 0000209289 00000 n A third-party practice or revenue cycle management system capable of generating EDI batch files is required. Anthem makes it easy to find dental providers. When you're contracted with us you have access to a provider consultant. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. Business Profile Anthem Dental Dental Insurance Contact Information PO Box 659444 San Antonio, TX 78237 (866) 589-0578 Customer Complaints 1 complaints closed in last 3 years 1 complaints. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. The resources for our providers may differ between states. . Step 6: Tell the system the total amount charged. 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. 8:30 a.m. to noon and 1 to 5 p.m. Dental Insurance. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. Monday through Friday 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. P.O. EDI, including electronic remittance advices (ERAs) and electronic funds transfers (EFTs), allows for a faster, more efficient and cost-effective way for providers and employers to do business. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. It can also send you a copy of your claim's status. 2 0 obj Choose an administrator to register your organization. Monday through Friday, 1-800-431-1059 enrollsafe.payeehub.org to register and manage EFT account changes. Reviewing your options is the best way to ensure you enroll in a plan that suits the needs of your dental care and budget. 711. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Non-members can choose their state and see a directory of participating dental providers in their state and zip code. Anthem dental coverage can be found as a benefit of certain group or individual dental plans, or as part of an Anthem Medicare Advantage plan. It looks like you're in . Contact will be made by an insurance agent or insurance company. 1-844-876-7917 You also must be enrolled in both Medicare Part A and Part B and be at least 65 years old for most (but not all) plans. Get access to your online account.Register Now, Not registered? Check ereferrals.bcbsm.com for detailed prior authorization information. Say "representative" to reach someone who can help. Accept the User Agreement (once every 365 days). A premium is the amount you pay to Anthem to keep your coverage active. Call our Customer Service number, (TTY: 711). Anthem members may log into an online portal to find participating dentists, dental offices and more. For dental coverage through a Medicare Advantage plan, you must enroll during certain times of the year such as when you first become eligible for Original Medicare or during the Annual Enrollment Period that takes place each fall. Read more in the Communications section below. . Plus, you may qualify for financial help to lower your health coverage costs. Dentist's Social Security number or T.I.N. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Southfield, MI 48075. Provider ID #: Necessary when carriers assign unique numbers to providers that differ from the Social Security number or the tax payer identification number (T.I.N). The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Box 32593 0000005966 00000 n After you apply: 0000110519 00000 n 1-800-482-4047 kC_2=PjoY(Xh7zn#c[,1BCCYK$hRLY4b@YTY(9d6;=Ds=!yN[*CopV:+$ Y5p^_3,P [/PDF /Text /ImageB /ImageC /ImageI] Pay online. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. 837- Dental Claims 835- Electronic Remittance Advice . c7M'0@[v;m6 EU. Use Availity to register and manage ERA account changes with these easy steps: Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. Work with your vendor to ensure connection to the Availity EDI Gateway. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . Use the companys online search tool to find Anthem dental providers near you. Physicians and professionals: 1-800-344-8525 Make your mental health a priority. ; How Anthem dental decides on maximum allowed costs For services from an out-of-network dentist, the maximum allowed cost is determined in one of the following ways: Out-of-network dental fee schedule/rate developed by Anthem, which may be updated based on such things as reimbursement amounts 8:30 a.m. to 6 p.m. Dental providers who can't able to access their account can read the Dental Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments . Understand your care options ahead of time so you can save time and money. dw?XY/A::L2}at\h@MeD@EeP$n;fyX k~rzf;jf2kP `OT_u=^=Sp lPYTx Bv5lub .F-vmY- :O2u(N$E&p=([w|H(a~_7{rYU5l[M6\):GLu> 8:30 a.m. to noon and 1 to 5 p.m. A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, Availity EDI Connection Services Startup Guide, Anthem Blue Cross and Blue Shield Healthcare Solutions. 1-888-826-8152 Blue Cross Complete claims P.O. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Anthem Dental Family PPO Insurance Plans. <]>> Federal Employee Program providers and facilities: 1-800-482-3600 Or The resources on this page are specific to your state. Automated information is available anytime. View our map (PDF). 0000017759 00000 n CX083 Anthem Health Plans of Kentucky - OSB High & Low (Admin by LIBERTY Dental Plan) Par Batch CX083 Anthem Health Plans of Kentucky - PPOB & PPOD (Admin by LIBERTY Dental Plan) Par Batch . Step 5: Tell the system the date of service. Log in to your member account to access your payment options. Payer 835 List Payer ID Payer Name 59069 21st Century Health (MedsavUSA)(NJ) 74237 32 Dental (PO Box 9150, Austin, TX) 20413 3P Administrators (Onalaska, WI) 37283 AAG-American Administrative Group (Lubbock, TX) AARP1 AARP Dental Insurance Plan (Mechanicsburg, PA) 52133 ACEC Health Plans (SLC, UT) 61425 ACEC-Healthplan Contact will be made by an insurance agent or insurance company. Available for iOS and Android devices. 11620 0 obj <>stream The Payor Search Tool helps you identify the electronic connectivity for the Payors/Insurance companies you work with. Blue Care Network 4 0 obj Finding a dentist is easy. Health care professionals, billing services and clearinghouses who are new to the EDI space can register to exchange 27x self-service and 837 claims electronic transactions with Anthem in Availity. Attention: Claim Processing The purpose of this communication is the solicitation of insurance. Grand Rapids, MI 49523-0589, Provider Inquiry

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