Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. 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. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. L07B When you have a Blue Dental PPO plan, you have coverage from three networks of dental professionals: PPO in-network dentists are contracted to fully accept Blue Dental coverage. P.O. PO Box 385018 2021 BlueCare Dental PPO (Mid-Market) Plans. 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. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. referring those over a certain age to continue their dental care with a General Dentist. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. BCBS FEP Dental is here to help you learn more about your oral health. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Most PDF readers are a free download. BCBSTX is not liable or responsible for damage or injury to persons or property that result from the use of anything found on this other site such as: BCBSTX cannot guarantee the accuracy of any statements made on other websites. It can also send you a copy of your claim's status. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Grand Rapids, MI 49516-8710, BCN Advantage Claims The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. 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. Monday through Friday. If your the Blue Cross and Blue Shield of Oklahoma (BCBSOK) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. A dentist may refer you Monday through Friday, 1-800-431-1059 Detroit, MI 48231-2599, Blue Cross Complete claims 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 . *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Where can I get dental costs and information? 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. There's no coverage when you see Blue Par Select or out-of-network dentists. Out-of-network dentists do not participate in any arrangement with Blue Cross. When a ZIP code is supplied, the city and state values are ignored. Say "claims" when the system asks why you're calling. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. also provide more specialty services, like root canals, extractions, and dentures, As an alternative, you may enter a ZIP code. Box 310166 Monday through Friday Today's top 32,000+ Clinic Manager jobs in United States. Please consider an upgrade or using a different device. Verify patient eligibility and benefits State and Federal Privacy laws prohibit unauthorized access to Member's private information. 8:30 a.m. to 4:30 p.m. Register Now. Box 7355 If you visit a provider or location that is not in your network, you will pay more of the cost. Enroll year round. Anytime! If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Box 69436, Harrisburg, PA 17106-9436. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Simply call a Patient Care Coordinator at (877) 872-0370 . as well as treatment services, like fillings and crowns. 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. An independent licensee of the Blue Cross and Blue Shield Association. Periodontists specialize in gums and gum disease. Automated information is available anytime. Log In to the Shopping Cart, Need to Make a Payment? You can write to us by finding your area code with the relevant mailing address. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. It is a NON-profit Health Plan -- has been around at least 50 years. The content on the Dental Wellness Center website is provided by go2dental.com . The automated system is available anytime. P.O. Some General Dentists You can find yours by selecting your region: Not sure which region you're in? 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. 8:30 a.m. to noon and 1 to 5 p.m. BlueCare Dental (Traditional National PPO) * Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Whether you're interested in joining our network or have already partnered with us, we're here to help. Federal Employee Program providers and facilities: 1-800-482-3600 Detroit, MI 48226. 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 That means better service and better care for your patients. London, KY 40742. Monday through Friday. Get fast, easy access to everything you need when you log in to the secured provider portal. BCBSIL and go2dental.com are separate companies. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? . When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Step 1: Say "claims" when the system asks why you're calling. You may access the Nondiscrimination and Accessibility notice The content on the Dental Wellness Center website is provided by go2dental.com. P.O. P.O. Detroit, MI 48231-0166, Federal Employee Program claims Most Pediatric Dentists provide different levels of sedation, when needed, and some even Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Need help understanding our plans? Essential Vision providerssubmit claims throughHeritage Vision Plan. , Members pay less out-of-pocket and will not be balanced billed. 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. Step 5: Tell the system the date of service. Use our search form to find a dentist quickly and easily. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Check to see if your dentist is in our network or choose from our many providers. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. If you call before 30 days, we may not be able to check your claim through our automated phone system. When you enroll, you'll partner with us to care for a large and diverse membership. . Box 2227 For more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues P.O. 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. Deutsche, Monday through Friday. 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 . Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Detroit, MI 48232-0593, UB-04 claims State and Federal Privacy laws prohibit unauthorized access to Member's private information. Monday through Friday. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. In addition, some sites may require you to agree to their terms of use and privacy policy. Get Emergency Care (Teledentistry) . Our automated interactive voice response system provides claims, benefit and cost-share information. Get access to your online account.Register Now, Not registered? Returning Shopper? have privileges to provide services in a hospital setting. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. 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. We provide health insurance in Michigan. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. If you are a BCBSTX member and have questions about your health care plan benefits, check with your group benefits administrator or contact Customer Service at the number listed on your BCBSTX member ID card. All here in your neighborhood. P.O. 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. Sun Life Dental Login . 8:30 a.m. to noon and 1 to 5 p.m. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. like alveoplasties or cleft lip/palate surgery. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. ACCESS MANUALS. 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. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Box 551, Minneapolis, MN 55440-0551. Marquette, MI 49855, Employee Inquiry Leverage your professional network, and get hired. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. 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). Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Facility and Special Programs Box 230589 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. External link You are leaving this website/app (site). Franais, Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Step 6: Tell the system the total amount charged. Say "representative" to reach someone who can help. . 1-855-504-2583 If youre an administrative office of a medical care group, you have access to a professional organization consultant. 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. 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. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Blue Cross Blue Shield FEP Dental It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Dr. Michael J. Buckley, MD. Box 33248 Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health Register Now, Not registered? HEALTH first - STAR Medicaid: 1-888-672-2277.Dental care If you're a STAR member age 20 and younger, or a CHIP or STAR Kids member, call your dental provider below to find a dentist near you: DentaQuest STAR or STAR Kids members: 1-800-516-0165 CHIP members: 1-800-508-6775 . Individuals attempting unauthorized access will be prosecuted. Monday through Friday The full text or spelling is not required for the city and dentist name fields. The automated system is available anytime. If you need more information, you can transfer to a customer service representative during business hours. ---OR---------------------------------------------------------, ---OR-------------------------------------------. 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). P.O. The automated system is available anytime. the head, neck, face, and jaws. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 One option is Adobe Reader which has a built-in reader. Ask A Dentist Ask licensed dentist questions about dental care. Dental care is part of the head-to-toe coverage available for our members. The information on this other site does not replace professional health care. Get access to your online account.Register Now, Not registered? However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . 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. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. Credentialing is a verification process you'll need to pass before you can join our provider network. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. oral structure or require other specialized denture services may be referred to a Prosthodontist. Coverage for treatments varies depending on the member's benefit plan. Monday through Friday. What you need to know about the coronavirus, COVID-19. Just keep in mind you'll need to go through the prompts before you're connected to someone. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Fully Insured Small Group Summary of Dental Benefits. 8:30 a.m. to noon and 1 to 5 p.m. 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). P, Box 312599 Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic 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. Just use our online search. Your contact information will be accessible to millions of our members. 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. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting 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 . 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Hospitals or facilities: 1-800-249-5103. Get access to your agent portal.Register Now. The search results will supply: The search may also provide their website, address and office hours. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), they will provide you with a referral. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. What do I need to know about credentialing? 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 content on the Dental Wellness Center website is provided by go2dental.com. Enter your City and State or Zip Code and desired Radius. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Say "date of service" to learn about a different claim. Kreyol Ayisien, General Dentists can provide many preventive services, like exams and cleanings, 1-888-803-4960 You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Register Now, Not registered? Blue Cross Blue Shield of Michigan patients to a Periodontist when they are in need of more intensive treatment. periodontal services, like deep cleanings (scaling and root planning), they will often refer For plans with Part D Coverage: You may be able to get Extra Help to pay for your . 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. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. 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 . 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 though may also provide dental implants. To view this file, you may need to install a PDF reader program. 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. Choose a dental network from the list below to search for a dentist. require a referral from a General Dentist prior to scheduling If youre a professional provider office, you have access to a provider consultant. Learn About Virtual Care Florida Blue Centers See a nurse. GEHA's mantra is PREVENTIVE HEALTH CARE. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Are you unable to find your provider in the search results? For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. You should not think BCBSTX endorses all views you find on this other site. Elevance Health, Inc. is an American health insurance provider. Attention: Claim Processing Providers. Blue Cross Blue Shield of Michigan 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. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * 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). Register Now. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 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). 8 a.m. to 7 p.m. Calls will be returned the next business day. When you're contracted with us you have access to a provider consultant. Detroit, MI 48232-4248, Provider Inquiry Orthodontists specialize in tooth and jaw positioning and alignment. The network has more than 5,600 locations within AZ and over 350,000 locations . 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 you need additional guidance, read the Dentaquest Dental Manual (PDF). The site may also contain non-Medicare related information. From April 1 to September 30, on weekends and holidays you may be required to leave a message. If you have an EPO plan, it only covers care you get from PPO in-network dentists. The automated system is available anytime. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Need more information? State and Federal Privacy laws prohibit unauthorized access to Member's private information. Get access to your online account. Box 68753 . 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. You are entitled to obtain a detailed understanding of additional services or assistance that the This other site may have information about: Please note that your health plan may not cover the items found on this other site. , Endodontists specialize in the treatment of dental pulp and perform services like root canals, DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Submit prior authorization requestselectronicallythrough CoverMyMeds. Log In to the Shopping Cart, Need to Make a Payment? BlueCare Dental PPO SM * BlueCare Dental HMO SM * Register Now, Learn more about registering for our web tools. DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Enter a partial or full name along with the Specialty and Location. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Access Your Payment Options. Click to view logins links, most visited site links, social handles and contact information etc. 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. 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. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. TTY users should call 711. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Not Registered? We provide health insurance in Michigan. 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. 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. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Blue Cross NC Dental Products and Network Overview During this unprecedented time, we're taking action to support our members. BCBSTX and go2dental.com are separate companies. A General Dentist will refer patients to an Oral Pathologist for assistance in Register Now, Not registered? More detailed searches are possible by clicking on More Search Options. HMO subsidiary Blue Care Network proposes a 6.9. . Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. 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. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Most PDF readers are a free download. Though General Dentists can often perform some We offer resources to support your practice in serving patients covered by our dental plan. You can register here. Grand Rapids, MI 49523-0589, Provider Inquiry however, available treatment will vary for each provider. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. If your General There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Provider Finder Find a dentist in . Find yours in our list ofphysician organization consultants (PDF). 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. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. To view this file, you may need to install a PDF reader program. Provider Inquiry Mail Code 0301 The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. 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. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. In a PPO plan, costs are typically reduced when members receive care from network providers. Monday through Friday. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Contact customer service, Heritage Provider service: 1-800-252-2053. , View our map (PDF). 1-800-762-2382 Locate a dentist or dental specialist in the BCBS FEP Dental network. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection.