Understand your care options ahead of time so you can save time and money. If you don't have an account yet, you can check claims for with our automated system. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. Among the most popular extra benefits is dental coverage. Talk to a licensed agent: Select a state to update this screen with information more relevant to you. %%EOF Find out if your dentist is in our network. You'll need to use e-referral for Medicare Plus Blue authorization requests. Grand Rapids, MI 49523-0589, Provider Inquiry 0000165417 00000 n Our automated interactive voice response system provides claims, benefit and cost-share information. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 8 a.m. to 4 p.m. Check Your Anthem Benefits . Get access to your agent portal.Register Now. Anthem Dental Complete Voluntary Active Plan Dental coverage you can count on Anthem dental lets you visit any licensed dentist or specialist you want - with costs that are normally lower when you choose one within the extensive network. Say "fax or email" to receive a copy of your claim's status. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 0000001729 00000 n You can find yours by selecting your region: Not sure which region you're in? 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. If you will be submitting claims to a payor that has the Special Enrollment notation. Monday through Friday Or To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Admin should check email to verify account. 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. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> Phone: 1-877-268-3384. We also . 8:30 a.m. to noon and 1 to 5 p.m. 837- Dental Claims 835- Electronic Remittance Advice . Our web portalpowered by Availitymakes doing business with Anthem even easier. }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x Reduce reimbursement time with electronic insurance claims. endobj Health equity means that everyone has the chance to be their healthiest. If you're not a Blue Vision provider, send claims to: VSP 2021copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. 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. 1-888-826-8152 To select a dentist by name or location, do one of the following: : Refers to dentist or dental entity in box #42. xref Use our app, Sydney Health, to start a Live Chat. All rights reserved. Monday through Friday xb```b`` Ab,6HaVl?`!t+, ,[+$@2A`^.^CiGy:{n}\=B{FTRdnZF1/~ng{@^+N/~Kk^pt@AA%F4_``1]2@,^3A} hGH.abefjrg`7`Xo.Mb0iU/ S hDi0]LH3& N^ Contact will be made by an insurance agent or insurance company. For costs and complete details of the coverage, please contact your agent or the health plan. 8:30 a.m. to 4:30 p.m. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. Federal Employee Program providers and facilities: 1-800-840-4505. The automated system is available anytime. Box 68753 0000016209 00000 n If you need additional guidance, read the Dentaquest Dental Manual (PDF). Blue Care Network Our resources vary by state. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. 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. FEP claims should NOT be submitter under this Payer ID - Please use Payer ID RIFEP Par Batch TRUE RT Tesia Detailed TRUE S TRUE To submit to Payors not on this list, use Payor ID "06126" and be sure to submit all required fields, including Payor Name and Complete Address. 711. 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 . Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. Monday through Friday. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Detroit, MI 48226. Blue Cross Blue Shield of Michigan Non-members can choose their state and see a directory of participating dental providers in their state and zip code. Large Group Get access to your online account.Register Now, Not registered? Automated information is available anytime. We look forward to working with you to provide quality service for our members. We use Availity Essentials as our provider portal. 0000004309 00000 n London, KY 40742. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Box 68710 Federal Employee Program providers and facilities: 1-800-482-3600 11589 0 obj <> endobj o The billing provider's complete name, address, and phone number must be in . When you're contracted with us you have access to a provider consultant. P.O. Choose your location to get started. Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. 11589 32 Facility and Special Programs Hospitals or facilities: 1-800-249-5103 Find a Medicare plan that fits your healthcare needs and your budget. Monday through Friday. 8:30 a.m. to 6 p.m. Healthcare Eligibility Benefit Inquiry and Response (270/271), Healthcare Services Prior Authorization (278), Healthcare Services Inpatient Admission and Discharge Notification (278N), Healthcare Claim Status Request and Response (276/277). Box 7355 London, KY 40742 . Read on to learn what dental UnitedHealthcare Medicare Dental Coverage. The resources for our providers may differ between states. 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. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. Anthem Blue Cross and Blue Shield - Kentucky - BCBS: SB660: APAC CUSTOMER SERVICES INC - WORK COMP: 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 Not connected with or endorsed by the U.S. Government or the federal Medicare program. Southfield, MI 48075. 3 0 obj This includes a wide range of benefits, such as transportation services, a 24-hour nurse help line, vision, hearing and dental coverage. If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees. Just keep in mind you'll need to go through the prompts before you're connected to someone. Quickly and easily submit out-of-network claims online. Verify patient eligibility and benefits <> Automated information is available anytime. 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. Learn How To Use Your Anthem ID Card. 0000016383 00000 n 8 a.m. to noon and 1 to 5 p.m. Don't have a secured provider portal account yet? Compare plans available in your area and apply today. 0000017534 00000 n Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Use existing clearinghouse or billing vendor. Older adults with tooth loss often ask, "Does Medicare cover dentures?" There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements To stay covered, Medicaid members will need to take action. Need help finding the right plan? 44. We currently don't offer resources in your area, but you can select an option below to see information for that state. New member? You can write to us by finding your area code with the relevant mailing address. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. 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. 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 Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. 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. Southfield, MI 48075, 1-877-293-2788 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. Medicare members have the same convenient access to online bill pay. Large Group Dental Provider Resources Anthem Life members can call 855-383-7247 to pay by phone. xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr 0000016903 00000 n Large Group 11 0 obj Say "claims" when the system asks why you're calling. 0 P.O. Blue Vision providers submit claims electronically directly toVSP. 0000002346 00000 n Dentist's Social Security number or T.I.N. Step 6: You will then be transferred to the servicing center for assistance. The Payor Search Tool helps you identify the electronic connectivity for the Payors/Insurance companies you work with. 8 a.m. to 6 p.m. Work with your vendor to ensure connection to the Availity EDI Gateway. Say "representative" to reach someone who can help. Not registered? Check ereferrals.bcbsm.com for detailed prior authorization information. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. Contact will be made by an insurance agent or insurance company. How do Medigap plans and Medicare Advantage plans differ? Blue Cross Blue Shield of Michigan 0000013938 00000 n Pay online. xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| For costs and complete details of the coverage, please contact your agent or the health plan. ZeY6[+!LV/=C}J>O4L7 Review medical and pharmacy benefits for up to three years. Monday through Friday. 0000012343 00000 n Amway Corporate/Dental: 38255 Commercial: USA Anchor Benefit Consulting, Inc. 53085 USA: Antares Management Solutions 34192: Commercial USA: Anthem Blue Cross Blue Shield Connecticut 84105: Gov. . 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. 0000001857 00000 n Reviewing your options is the best way to ensure you enroll in a plan that suits the needs of your dental care and budget. For costs and complete details of the coverage, please contact your agent or the health plan. The 835 eliminates the need for paper remittance reconciliation. Log in at availity.com. Monday through Friday, 1-800-431-1059 If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. We currently don't offer resources in your area, but you can select an option below to see information for that state. 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. 0000009101 00000 n Start a Live Chat with one of our knowledgeable representatives. 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. 8 a.m. to noon and 1 to 5 p.m. Monday through Friday If you call before 30 days, we may not be able to check your claim through our automated phone system. To make a quick, one-time payment visit us here. New member? Monday through Friday. Make your first payment. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Monday through Friday. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. L07B Access your member ID card from our website or mobile app. Choose Payer Spaces in the top menu bar. Explore our resources. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. You can verify or update your address by logging in to your member account. Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. Learn about dental plan options that cover orthodontia, dentures, and more. Not sure if a procedure is covered? ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Healthcare Solutions. Pay by mail. 0000007407 00000 n 0000209043 00000 n Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. The purpose of this communication is the solicitation of insurance. For California residents, CA-Do Not Sell My Personal Info, Click here. Step 5:Tell the system the date of service provided. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 0000001380 00000 n Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. We currently don't offer resources in your area, but you can select an option below to see information for that state. Call our Customer Service number, (TTY: 711). Price a medication, find a pharmacy,order auto refills, and more. P.O. Register Now, Not registered? (ex.907000000) Dental Office Toolkit Helpline: . Vision and hearing providers: 1-800-482-4047. Finding a dentist is easy. Call our Customer Service number, (TTY: 711). Medicare Advantage, or Medicare part C, is a form of private Medicare insurance sold by companies like Anthem. 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. Provide your mailing address to receive bills by mail. Just keep in mind you'll need to go through the prompts before you're connected to someone. Detroit, MI 48231-2599, Blue Cross Complete claims Monday through Friday For plan details, check out our dental family PPO insurance options today. Log in to your member account and enter your banking information to make premium payments online. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. The resources for our providers may differ between states. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Blue Care Network 8:30 a.m. to noon and 1 to 5 p.m. /URwZvs(uijNTYgJ[[q~~>v"Z(-F|DgSB7/R)\=uycgF!Q8GUz^wHgGI";Di}04',5e^+d ek.?z>^*)&9-[i9)!qP:vN7OZwK|Tzv;/zvfopSa 0n-+*68wq#X4yx aDr 3Av;jq{KH:%06asKqaR!4N9;7yl 0000110278 00000 n We offer affordable health, dental, and vision coverage to fit your budget. kC_2=PjoY(Xh7zn#c[,1BCCYK$hRLY4b@YTY(9d6;=Ds=!yN[*CopV:+$ Y5p^_3,P WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y Blue Cross Blue Shield of Michigan 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 8 a.m. to noon and 1 to 5 p.m. Medicare Complaints, Grievances & Appeals. Use the companys online search tool to find Anthem dental providers near you. When the admin is ready to register, choose the. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). On the Applications tab, select Provider Online Reporting. A third-party practice or revenue cycle management system capable of generating EDI batch files is required. 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. out of your benefits, find the best healthcare, and stay healthy. Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 1-844-876-7917 You can find yours by selecting your region below. Payer name Anthem Blue Cross and Blue Shield Payer ID Professional: 00950 Facility: 00450 Availity supports the following HIPAA transactions: Healthcare Claim: Professional (837P) Healthcare Claim: Institutional (837I) Healthcare Claim: Dental (837D) If your state isn't listed, check out bcbs.com to find coverage in your area. There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. 1-800-762-2382 Just keep in mind you'll need to go through the prompts before you're connected to someone. 8:30 a.m. to noon and 1 to 5 p.m. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. 0000016552 00000 n 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. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Your browser is not supported. Contact customer service, Heritage Provider service: 1-800-252-2053. Use the Payor ID that Henry Schein ONE has listed for participation through our services. 8:30 a.m. to noon and 1 to 5 p.m. National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs. Get access to your employer portal. 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g oCol1uvs3. You can write to us by finding your ZIP code with the relevant mailing address. Read more in the Communications section below. You can write to us by matching your area code with the relevant mailing address. Monday through Friday, Care Management--Mail Code C355 0000165070 00000 n The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. Box 230589 Blue Cross Complete claims P.O. London, KY 40742. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. Medicare members with Anthem Extras coverage can also access online bill pay for Anthem Extras. One Woodward Avenue, Suite 2020
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