Get access to your employer portal. Hospitals or facilities: 1-800-249-5103. Get access to your employer portal. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. 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. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. 1-800-762-2382 Don't have a secured provider portal account yet? Step 5:Tell the system the date of service provided. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. . How can I learn more about my patients' eligibility? 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. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Detroit, MI 48232-4248, Provider Inquiry Submit prior authorization requestselectronicallythrough CoverMyMeds. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Blue Cross Blue Shield of Michigan Returning Shopper? If youre a professional provider office, you have access to a provider consultant. If your General If you have an EPO plan, it only covers care you get from PPO in-network dentists. they will provide you with a referral. 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. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Register Now. 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). After you've enrolled, you can register for a provider portal account. The search results will supply: The search may also provide their website, address and office hours. You can find yours by selecting your region below. Say "representative" to reach someone who can help. , Box 68710 The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. 1-877-258-0167 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. Box 33248 Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Pediatric Dentists specialize in dental treatment for young and special needs children. Federal Employee Program providers and facilities: 1-800-482-3600 Just keep in mind you'll need to go through the prompts before you're connected to someone. 2023 BlueCare Dental PPO (Small Group) Plans. Attention: Claim Processing In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. 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. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. Dental care is part of the head-to-toe coverage available for our members. Register Now, Not registered? To get credentialed, you'll need to visit CAQH.org. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. as well as treatment services, like fillings and crowns. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 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. Box 230589 Essential Vision providerssubmit claims throughHeritage Vision Plan. Italiano, Detroit, MI 48231-0166, Federal Employee Program claims But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. What you need to know about the coronavirus, COVID-19. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. TTY users should call 711. Step 6:Tell the system the total amount charged. Just keep in mind you'll need to go through the prompts before you're connected to someone. When a ZIP code is supplied, the city and state values are ignored. Blue Cross and Blue Shield of Illinois (BCBSIL) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. oral structure or require other specialized denture services may be referred to a Prosthodontist. for all dentists in cities starting with "C," enter "C" for the city. Over-the-Counter Tests Expand All | Collapse All on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. The full text or spelling is not required for the city and dentist name fields. Need help understanding our plans? Calls will be returned the next business day. This new site may be offered by a vendor or an independent third party. the head, neck, face, and jaws. The network providers listed in this directory have agreed to provide you with your health care and dental services. Note:It can take up to 30 days for a claim to be processed. 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 . 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 . Monday through Friday. 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. BlueCare Dental PPO SM * BlueCare Dental HMO SM * We provide health insurance in Michigan. Monday through Friday Blue Cross Blue Shield of Michigan Anytime! Read our manuals to learn more about our programs, policies and procedures. 8:30 a.m. to noon and 1 to 5 p.m. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Learn About Virtual Care Florida Blue Centers See a nurse. Provider Inquiry Mail Code 0301 Box 2227 The network is available through contracted general dentists and specialists throughout Arizona. 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. In a PPO plan, costs are typically reduced when members receive care from network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. P, Get access to your agent portal. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Monday through Friday 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. Both benefit plan options pay network dentist at SMA; however, one plan pays out-of-network dentists at SMA and the other pays at U&C. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. 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. PO Box 385018 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. An independent licensee of the Blue Cross and Blue Shield Association. sure to check your benefits before scheduling treatment. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Step 6: You will then be transferred to the servicing center for assistance. 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 . Register Now, Learn more about registering for our web tools. Leverage your professional network, and get hired. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Detroit, MI 48226. Gujarati, Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . Individuals attempting unauthorized access will be prosecuted. For example, to search Learn more about Blue Dental plans by calling the number on the back of your member ID card. Contact customer service, Heritage Provider service: 1-800-252-2053. It can also send you a copy of your claim's status. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. 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 Though many General Dentists provide dentures in their offices, patients who have unique Blue Cross Blue Shield of Michigan Ask A Dentist Ask licensed dentist questions about dental care. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Simply call a Patient Care Coordinator at (877) 872-0370 . Quickly find a general dentist or specialist. 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. 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). Passive plan options pay out-of-network dental services at U&C. Southfield, MI 48075. If you need additional guidance, read the Dentaquest Dental Manual (PDF). That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. P.O. 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. External link You are leaving this website/app (site). When you enroll, you'll partner with us to care for a large and diverse membership. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Credentialing is a verification process you'll need to pass before you can join our provider network. TennCare's current dental benefits manager is DentaQuest. Delta Dental Il Employer Login . Learn more >, Not registered? 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). The automated system is available anytime. Not Registered? Federal Employee Program providers and facilities: 1-800-840-4505. You can find yours by selecting your region: Not sure which region you're in? If your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Need more information? 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Out-of-network dentists do not participate in any arrangement with Blue Cross. 8:30 a.m. to noon and 1 to 5 p.m. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Once you have located the . GEHA's mantra is PREVENTIVE HEALTH CARE. More detailed searches are possible by clicking on More Search Options. Oral health touches every aspect of our lives but is often taken for granted. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Provider Inquiry is for registered, nonregistered and out-of-state providers. We provide health insurance in Michigan. periodontal services, like deep cleanings (scaling and root planning), they will often refer 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. referring those over a certain age to continue their dental care with a General Dentist. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. D/B/A Florida Blue. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. We also offer two Dental PPO benefit structures. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Contact the plan for more information. Or, you can call 1 (855) 352-1604 for a free quote, Mon-Fri, 8 am - 8 pm, ET When is Cigna Dental Insurance right for you? 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Online tools provide you with information and support anytime. Find yours in our list ofphysician organization consultants (PDF). Returning Shopper? DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Blue Vision providers submit claims electronically directly toVSP. Step 1: Say "claims" when the system asks why you're calling. 8:30 a.m. to noon and 1 to 5 p.m. provider(s) office is able to offer in support of the patient's specific needs under the Federal American HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. Just keep in mind you'll need to go through the prompts before you're connected to someone. 15. Many Periodontists also provide dental implant services. require a referral from a General Dentist prior to scheduling Please Select Your State The resources on this page are specific to your state. Many specialists also Get access to your online account.Register Now, Not registered? Childers Orthodontics Patient Login . Box 7355 Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. patients to a Periodontist when they are in need of more intensive treatment. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. This is only a brief list of the plan benefits. The above is a listing of common services available through your network of Participating Dentists. Just use our online search. 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. Box 69436, Harrisburg, PA 17106-9436. 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. Our plans include BlueCare SM, TennCare Select and CoverKids. External link You are leaving this website/app (site). Call our Member Services department Monday - Friday from 8 am to 5 pm. 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. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. 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 4:30 p.m. Blue Cross Blue Shield of Michigan . Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. The content on the Dental Wellness Center website is provided by go2dental.com. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. 1-800-344-8525 , Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . 4202 S University Ave, Little Rock, AR 72204 1.14 miles. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Most PDF readers are a free download. Fep Blue Dental Provider Login . Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. 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. A dentist may refer you Oral Surgeon / Oral & Maxillofacial Surgeon, Standard and High Option Plan Benefits and Premiums, Benefits when traveling outside the service area, Transferring care if your dentist is no longer part of the network. Step 5: Tell the system the date of service provided. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. New Clinic Manager jobs added daily. A General Dentist will refer patients to an Oral Pathologist for assistance in TTY users: To reach any number listed here, dial 711. To view this file, you may need to install a PDF reader program. Polskie, Box 551, Minneapolis, MN 55440-0551. have privileges to provide services in a hospital setting. Register Now, Not registered? Keep in mind Please consider an upgrade or using a different device. Access Your Payment Options. Grand Rapids, MI 49523-0589, Provider Inquiry 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. Get access to your member portal. 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. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices BCBSIL and go2dental.com are separate companies. This new site may be offered by a vendor or an independent third party. Get access to your agent portal.Register Now. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Questions About Your Benefits? The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Say "another member" to inquire on another member. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Register Now, Learn more about registering for our web tools. Enroll year round. BCBSMT and go2dental.com are separate companies. State and Federal Privacy laws prohibit unauthorized access to Member's private information. For example, if you have questions about dental care, talk with your dentist. California Dental Network Provider Login . You can use our automated system to reach a representative to discuss your claim's outcome.
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