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. 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 % Monday through Friday Hospitals or facilities: 1-800-249-5103. Grand Rapids, MI 49523-0589, Provider Inquiry 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. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Use our app, Sydney Health, to start a Live Chat. Anthem makes it easy to find dental providers. Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. Physicians and professionals: 1-800-344-8525 Choose Payer Spaces in the top menu bar. (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v04.27 . We use Availity Essentials as our provider portal. Looking for affordable family dental coverage? 2 0 obj 0000004309 00000 n Blue Cross Blue Shield of Michigan If your state isn't listed, check out bcbs.com to find coverage in your area. 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. Select organization and choose Submit. PO Box 385018 How do Medigap plans and Medicare Advantage plans differ? Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. 8:30 a.m. to noon and 1 to 5 p.m. The automated system is available anytime. A third-party practice or revenue cycle management system capable of generating EDI batch files is required. endstream endobj 11619 0 obj <>/Size 11589/Type/XRef>>stream (C) 2014 Tesia . Box 32593 13223 Anthem Vivity 13109 Arbor Health Plan 13405 Arise Health Plan Medicare Select Policy USA: Anthem Health & Life Insurance of NJ - A H & L 80705: USA APA Partners, Inc. 16140 Commercial: USA APIPA - (Arizona Physicians IPA) Claims Only . Health equity means that everyone has the chance to be their healthiest. Monday through Friday. View our map (PDF). Monday through Friday Well try to get them added. To make a quick, one-time payment visit us here. You can find yours by selecting your region: Not sure which region you're in? We offer affordable health, dental, and vision coverage to fit your budget. enrollsafe.payeehub.org to register and manage EFT account changes. See our Medicare enrollment guide for more information about eligibility and enrollment dates. We provide health insurance in Michigan. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call 1-844-791-5988: If you are inquiring about Delta Dental of Minnesota members whose ID begins with a 9 and who has an Individual and Family Plan. 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 Provider Inquiry Mail Code 0301 Monday through Friday. Payer ID Lookup 2023 - Updated List Of Payer IDs Box 2227 If you need additional guidance, read the Dentaquest Dental Manual (PDF). 232 S Capitol Ave 0000012343 00000 n 1-800-822-2761 Understand your care options ahead of time so you can save time and money. Step 6: Tell the system the total amount charged. Review medical and pharmacy benefits for up to three years. Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements %PDF-1.5 % Southfield, MI 48075. Choose your state below so that we can provide you with the most relevant information. 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g 0000000016 00000 n Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield 1-877-258-0167 Call our Customer Service number, (TTY: 711). 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. For plan details, check out our dental family PPO insurance options today. Vision and hearing providers: 1-800-482-4047 Monday through Friday Your online account is a powerful tool for managing every aspect of your health insurance plan. Blue Care Network Among the most popular extra benefits is dental coverage. P.O. One Woodward Avenue, Suite 2020 ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Medicare Complaints, Grievances & Appeals. View our map (PDF). When the admin is ready to register, choose the. 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. If you will be submitting claims to a payor that has the Special Enrollment notation. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Electronic Payer ID: 07000. Reduce overhead and administrative costs by eliminating paper claim submissions. Monday through Friday 0000017759 00000 n Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. 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 . 0000164829 00000 n Costs may vary by plan, so be sure to review all of your plan options first in order to find the best fit for your budget. Pay outstanding doctor bills and track online or in-person payments. Family Dental Insurance Plans | Anthem We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). The resources for our providers may differ between states. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. London, KY 40742. For California residents, CA-Do Not Sell My Personal Info, Click here. Price a medication, find a pharmacy,order auto refills, and more. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 8 a.m. to noon and 1 to 5 p.m. 0000009101 00000 n Finding a dentist is easy. P.O. 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. . Pay by mail. PDF Your Summary of Benefits Anthem Dental Complete - Mt. San Jacinto College If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. Make your first payment. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. The Internal Revenue Service requires that either the Social From pediatrics to adults, Anthems got you covered. 1-800-482-4047 Anthem and the Anthem family of brands (such as Blue Cross Blue Shield, Empire, Anthem Blue Cross and others) provide dental coverage and other health benefits in a number of states through many of their Medicare Advantage (Medicare Part C) plans. Not registered? 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. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. 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. Hospitals or facilities: 1-800-249-5103 London, KY 40742. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Large Group 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) 8 a.m. to 6 p.m. Box 310166 Non-members can choose their state and see a directory of participating dental providers in their state and zip code. Individual & Family Plans. i|I:8B;OZcpZoW*0|d&2d!E%2e>w`<8}~x(C3(gm4_QT5 4qqpe.g^Eo2#||68JTr6gfm'Qi9+Sv77\ot32N$wV|Rzfu~ Note: The FEP phone system has a different set of prompts than the others. P.O. Blue Care Network Read on to learn what dental UnitedHealthcare Medicare Dental Coverage. %%EOF A licensed Medicare insurance agent can help you gather information about available plans in your area from Anthem and other carriers that include dental coverage and can produce a list of local dental providers who accept Anthem insurance. 837- Dental Claims 835- Electronic Remittance Advice . If you don't have an account yet, you can check claims for with our automated system. Learn How To Use Your Anthem ID Card. Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. 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. [/PDF /Text /ImageB /ImageC /ImageI] Work with your vendor to ensure connection to the Availity EDI Gateway. Say "date of service" to learn about a different claim. We offer flexible group insurance plans for any size business. Anthem Life members can call 855-383-7247 to pay by phone. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. 20500 Civic Center Drive Check ereferrals.bcbsm.com for detailed prior authorization information. 0000017948 00000 n endobj Non-members can choose their state and see a directory of participating dental providers in their state and zip code. Anthem members may log into an online portal to find participating dentists, dental offices and more. Log in to https://www.availity.com. 0000017534 00000 n 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. Monday through Friday, Care Management--Mail Code C355 The resources for our providers may differ between states. Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x 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 Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. stream PDF Your Summary of Benefits Anthem Dental Complete Contact - Delta Dental of Minnesota Choose an administrator to register your organization. Call our Customer Service number, (TTY: 711). Lets make healthy happen. 415 S. McClellan Ave. Some of the services that may be covered by an Anthem dental provider include: The dental coverage found in an Anthem Medicare Advantage plan does not require an additional premium, as the dental care is included as one of the plans benefits at no added cost. Grand Rapids, MI 49516-8710, BCN Advantage Claims 0000000962 00000 n Box 68710 Please contact Availity Client Services with any questions at 1-800-AVAILITY (282-4548). TTY users: To reach any number listed here, dial 711. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Large Group If you need more information, you can transfer to a customer service representative during business hours. If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. trailer Dental Provider Resources | Anthem.com Find information that's tailored for you. 11 0 obj UI(g!q-)po Note:It can take up to 30 days for a claim to be processed. : Refers to dentist or dental entity in box #42. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y Contact will be made by an insurance agent or insurance company. Payer ID Payer Name Enrollment 10001 AARP 13187 Access Medicare . 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. 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, Most Anthem plans offer several options for your Anthem member bill payments. Say "claims" when the system asks why you're calling. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan ~0 rj HAPqkt^g?BUVEVdz9H$3vc+.YwA_w&^0|$S3`E`+,87E"> $u5}EyM `<7,schBOo/ET"]SH~ ,5gy;fWh/w xWuV/>YGHfBs%B6p sKX}RciX=udn:|TqC;.7+q_,'oCIIoO lGeo!*FA(Y&-6z'O6$Go9reZwzE7=~7w=aYL|L?vk+X8&*YPW&`EDNa,c`OxEOJubJ>HWUSg*,6c:I,gY)R@\%W^># +7]v0TIvAb"VQJdyh}{Mv}AAAua+"@cA7= sLOff j5"t[Lu0]X' 8 F^Lq{xw3, zw Medicaid renewals are starting. Medicare Complaints, Grievances & Appeals. Contact information for corporate headquarters. 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. 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 . Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. Monday through Friday, 1-800-431-1059 Quickly and easily submit out-of-network claims online. Blue Cross Blue Shield of Michigan Medicare Complaints, Grievances & Appeals. Box 7355 We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Use the Payor ID that Henry Schein ONE has listed for participation through our services. When you're contracted with us you have access to a provider consultant. Individuals attempting unauthorized access will be prosecuted. It can also send you a copy of your claim's status. 0000010692 00000 n Register Now, Learn more about registering for our web tools. Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. Dental Insurance Eligibility - Payor Search | Dentrix We look forward to working with you to provide quality services to our members. Blue Cross Blue Shield of Michigan Taking time for routine mammograms is an important part of staying healthy.