Contact will be made by an insurance agent or insurance company. Plus, you may qualify for financial help to lower your health coverage costs. !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| We currently don't offer resources in your area, but you can select an option below to see information for that state. 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. Anthem Blue Cross 00060 N N/A PO Box 533 North Haven CT 06473 Anthem E Consult AECON N N/A ANTHEM HEALTH AND LIFE 80705A N N/A You can also visit. Our web portalpowered by Availitymakes doing business with Anthem even easier. 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. 0000110838 00000 n 8:30 a.m. to 6 p.m. Admin should check email to verify account. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. 0000017759 00000 n Monday through Friday lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" Pay by phone. 0000005966 00000 n Monday through Friday. .t`.R7bg?RrUr7rO7Pn>*~ro%WXuTT^yWu5X9 g\lxw 7Hl[Rl=j~TUK8X Monday through Friday, Care Management--Mail Code C355 Find out if your dentist is in our network. Get access to your online account. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. There may or may not be a premium for the plan as a whole. Blue Cross Blue Shield of Michigan $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 4 0 obj PDF Your Summary of Benefits Anthem Dental Complete Monday through Friday Have you used our online dental claims, eligibility, and benefits website? Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. 8 a.m. to 4 p.m. Find a Medicare plan that fits your healthcare needs and your budget. Pay by phone. 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. View our map (PDF). To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Type at least three letters and we will start finding suggestions for you. Federal Employee Program providers and facilities: 1-800-840-4505. Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More You can search by Payor Name or Payor ID. 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? 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. Get Started. The purpose of this communication is the solicitation of 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. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. 1-888-803-4960 Log in at availity.com. Price a medication, find a pharmacy,order auto refills, and more. enrollsafe.payeehub.org to register and manage EFT account changes. 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. 0000209289 00000 n Anthem makes it easy to find dental providers. Say "date of service" to learn about a different claim. Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. 0000001380 00000 n . Monday through Friday, Care Management--Mail Code C355 London, KY 40742. Step 1: Say "claims" when the system asks why you're calling. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. Lets make healthy happen. eServices Dental eClaims Payer List A and I Benefit Plan Administrators of Oregon 00933 Amway Corporation/Dental 38255 A PAPER CLAIM - BC/BS 99999 Anchor Benefit Consulting, Inc. 53085 A PAPER CLAIM - COMMERCIAL 00004 Anthem BCBS (IN, OH, KY, ME & NH) 84105 A PAPER CLAIM - DELTA DENTAL 99997 Anthem Blue Cross (CA) 01045 If you're not a Blue Vision provider, send claims to: VSP 2^)+Vt>t]H>!@'/m )eEae;X4HmX^B$C%]Ul|&~+g[EFgL#+UWoBS/D~ v]`?CC-3~`Yz| #$X!7octxpw"w{&\6@:F|-! =6e Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. The resources for our providers may differ between states. P.O. X ]]sF}OUC?M% y$*VE7D;E= n2N% 9qOw 7bgQZcqP%iT;LQ*.fYGM**R%{u$a,?J:'IYfQ[oW]o6_~/~G@3)iY4%uTu z6'Odq>'tk endstream endobj 11619 0 obj <>/Size 11589/Type/XRef>>stream 0000164829 00000 n o The billing provider's complete name, address, and phone number must be in . Register Now, Learn more about registering for our web tools. Large Group Looking for affordable family dental coverage? One Woodward Avenue, Suite 2020 Detroit, MI 48226. Learn How To Use Your Anthem ID Card. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Monday through Friday, 1-800-431-1059 dw?XY/A::L2}at\h@MeD@EeP$n;fyX k~rzf;jf2kP `OT_u=^=Sp lPYTx Bv5lub .F-vmY- :O2u(N$E&p=([w|H(a~_7{rYU5l[M6\):GLu> 2005 - 2023 copyright of Anthem Insurance Companies, Inc. xA 04hFz\GczC. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. 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. 8 a.m. to 5 p.m. Reduce overhead and administrative costs by eliminating paper claim submissions. The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. Visit MedicareAdvantage.com to compare multiple Medicare Advantage plans, side by side. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 0000110278 00000 n We offer flexible group insurance plans for any size business. Detroit, MI 48232-0593, UB-04 claims Automated information is available anytime. Log in to your account to know if you are covered and how much you may need to pay. Don't have a secured provider portal account yet? Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield Medicare Complaints, Grievances & Appeals. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. trailer 8:30 a.m. to noon and 1 to 5 p.m. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Southfield, MI 48075, 1-877-293-2788 But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims A premium is the amount you pay to Anthem to keep your coverage active. Dentist's Social Security number or T.I.N. 8:30 a.m. to noon and 1 to 5 p.m. How do Medigap plans and Medicare Advantage plans differ? You can also set up reminders, so you never miss a payment. WwL) !7 82c*}bzK.t!R[.E+TX~^E HfEPc84w.LVyH1a+hGe[Cci#./~zr1x qhNPF ]7-{2?vw~h%E9g +}+}%R#,\C~b4P hOJ@2GMPM+dB. 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. Find answers to all your questions with an Anthem representative in real time. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. The automated system is available anytime. Need to submit a claim? For Providers: Contact us | BCBSM Medicare members with Anthem Extras coverage can also access online bill pay for Anthem Extras. Call our Customer Service number, (TTY: 711). 0000017948 00000 n 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. %PDF-1.7 Get access to your agent portal.Register Now. Payer ID Payer Name Enrollment 10001 AARP 13187 Access Medicare . 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 automated system is available anytime. Or <> Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements If your state isn't listed, check out bcbs.com to find coverage in your area. 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 Box 230589 Choose Payer Spaces in the top menu bar. Log in to your member account and enter your banking information to make premium payments online. 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. Trigon Blue Cross Blue Shield- Colorado Dental: 84105: Anthem BCBS (OH, IN , KY, CT, NH) 84105: BC / BS of Connecticut : 84105: BC/BS of Conn: 84105: BC/BS of OH (Anthem) 84105: BCBS CT . Say "representative" to reach someone who can help. Use our app, Sydney Health, to start a Live Chat. 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. 0000000962 00000 n 8:30 a.m. to noon and 1 to 5 p.m. Learn about dental plan options that cover orthodontia, dentures, and more. Not connected with or endorsed by the U.S. Government or the federal Medicare program. 8:30 a.m. to noon and 1 to 5 p.m. Your browser is not supported. 8 a.m. to 6 p.m. How to Find Anthem Dental Providers | HelpAdvisor.com Provider Inquiry Mail Code 0301 % Older adults with tooth loss often ask, "Does Medicare cover dentures?" Follow the steps to enroll as a trading partner. Family Dental Insurance Plans | Anthem Finding a dentist is easy. There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. P.O. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. 1-888-826-8152 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. 1-800-762-2382 Payer ID Lookup 2023 - Updated List Of Payer IDs 0000004309 00000 n We currently don't offer resources in your area, but you can select an option below to see information for that state. Among the most popular extra benefits is dental coverage. Payer IDs route EDI transactions to the appropriate payer. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Just keep in mind you'll need to go through the prompts before you're connected to someone. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. You will see these in the sections marked with Enrollment i.e. Work with your vendor to ensure connection to the Availity EDI Gateway. 837- Dental Claims 835- Electronic Remittance Advice . Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Phone: 1-877-268-3384. New member? Use the Payor ID that Henry Schein ONE has listed for participation through our services. Physicians and professionals: 1-800-344-8525 The resources for our providers may differ between states. %PDF-1.5 % Understand your care options ahead of time so you can save time and money. It looks like you're outside the United States. If you don't have an account yet, you can check claims for with our automated system. We also . 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. Please update your browser if the service fails to run our website. Or Step 6: You will then be transferred to the servicing center for assistance. We currently don't offer resources in your area, but you can select an option below to see information for that state. 0000010692 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. Read more in the Communications section below. Southfield, MI 48075. Monday through Friday. Box 32593 Choose your location to get started. The purpose of this communication is the solicitation of insurance. PDF Dental Claim Form - Rancho Santiago Community College District Member Resources: ID Cards, Billing, Claims, & More | Anthem 0000017083 00000 n Blue Cross Complete claims P.O. Choose your location to get started. Attention: Claim Processing Not sure if a procedure is covered? Say "claims" when the system asks why you're calling. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Pay online. The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Physicians and professionals: 1-800-344-8525 Compare plans available in your area and apply today. Dental Provider Resources | Anthem.com 0000165070 00000 n 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. Note:It can take up to 30 days for a claim to be processed. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. P.O. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. 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 $750 per family, There are no annual or lifetime benefit limits for pediatric-age kids, You will not be charged premiums on more than three children. 0000016728 00000 n Blue Cross Blue Shield of Michigan EDI for Providers | Anthem.com Anthem Blue Cross and Blue Shield - Kentucky - BCBS: SB660: APAC CUSTOMER SERVICES INC - WORK COMP: The resources on this page are specific to your state. Our resources vary by state. 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. We look forward to working with you to provide quality services to our members. Monday through Friday. Payer Name and ID Your payer name is Anthem BC California and the payer ID is 47198 (If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID . Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 . P.O. 8 a.m. to 7 p.m. 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 0000209043 00000 n }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x As of November 1, 2021, use 415 S. McClellan Ave. If youre a professional provider office, you have access to a provider consultant. Contact customer service, Heritage Provider service: 1-800-252-2053. Step 5: Tell the system the date of service. It can also send you a copy of your claim's status. 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^ State and Federal Privacy laws prohibit unauthorized access to Member's private information. P.O. Monday through Friday. xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr 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 When you're contracted with us you have access to a provider consultant. Become a direct submitter with the Availity EDI clearinghouse. Our EFT system is now available. Say "no" when asked if you have additional questions about the determination of a claim. Provide your mailing address to receive bills by mail. Click on the and follow the instructions listed. Detroit, MI 48231-2599, Blue Cross Complete claims Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Make your mental health a priority. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . 2 0 obj Anthem members may log into an online portal to find participating dentists, dental offices and more. 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. When the admin is ready to register, choose the. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 a.m. to 8 p.m. ET/CT, 7 a.m. to 7 p.m. MT/PT.
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