Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. though may also provide dental implants. . Get access to your online account.Register Now, Not registered? For example, if you have questions about dental care, talk with your dentist. Not sure which region you're in? More detailed searches are possible by clicking on More Search Options. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. 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. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. BlueCare Dental PPO SM * BlueCare Dental HMO SM * If you have an EPO plan, it only covers care you get from PPO in-network dentists. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Automated information is available anytime. Health Savings Accounts and Health Care Accounts, 2023 BlueCare Dental PPO (Small Group) Plans, 2022 BlueCare Dental PPO Small Group SBCs, savings for employers and their employees, out-of-network claims paid at SMA or usual and customary (U&C). Blue Vision providers submit claims electronically directly toVSP. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Tagalog, Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues Note: The FEP phone system has a different set of prompts than the others. Over-the-Counter Tests Expand All | Collapse All The network providers listed in this directory have agreed to provide you with your health care and dental services. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. NEW CLAIMS SUBMISSION MAILING ADDRESS. Log In to Availity Don't have an Availity account? Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. 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. Individuals attempting unauthorized access will be prosecuted. 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). We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Locate a dentist or dental specialist in the BCBS FEP Dental network. 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. Lansing, MI 48933. Step 5:Tell the system the date of service provided. BCBSTX and go2dental.com are separate companies. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Dr. Michael David Stout, MD. Get access to your online account. HMO subsidiary Blue Care Network proposes a 6.9. . You are entitled to obtain a detailed understanding of additional services or assistance that the If your General Dentist feels that you require a specialist, Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Find in-network dentists, too, in a few short steps. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Provider Inquiry is for registered, nonregistered and out-of-state providers. 8:30 a.m. to noon and 1 to 5 p.m. Do you have questions about dental benefits not answered here? Whether you're interested in joining our network or have already partnered with us, we're here to help. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Automated information is available anytime. Get access to your agent portal. This other site may have information about: Please note that your health plan may not cover the items found on this other site. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. . Nominate your provider for inclusion in our network! Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from use of . periodontal services, like deep cleanings (scaling and root planning), they will often refer Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Just keep in mind you'll need to go through the prompts before you're connected to someone. Step 6:Tell the system the total amount charged. Detroit, MI 48231-0166, Federal Employee Program claims More detailed searches are possible by clicking on More Search Options. Once you have located the provider, you need to log in to e-referral to submit the referral request using the provider's name or NPI. The network is available through contracted general dentists and specialists throughout Arizona. Monday through Friday 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. Referrals to a hospital 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. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 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. Get access to your member portal. Do keep in mind that as most If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. The content on the Dental Wellness Center website is provided by go2dental.com. Providers. 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. In addition, some sites may require you to agree to their terms of use and privacy policy. You can write to us by finding your area code with the relevant mailing address. 8:30 a.m. to 4:30 p.m. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Monday through Friday, Care Management--Mail Code C355 Just use our online search. 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. Box 2227 However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . What do I need to know about credentialing? Are you unable to find your provider in the search results? Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Today's top 32,000+ Clinic Manager jobs in United States. Hospitals or facilities: 1-800-249-5103 Automated information is available anytime. with orofacial skin. Get access to your online account.Register Now, Not registered? When the plan pays non-PPO dentists at U&C, the employer savings are less, employees are balanced billed and their out-of-pocket costs are slightly higher. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. . Our automated interactive voice response system provides claims, benefit and cost-share information. 8:30 a.m. to 6 p.m. One Woodward Avenue, Suite 2020 Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. 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. Anytime! Calls will be returned the next business day. Portugus, This provides a quick, convenient way to get help in case of a dental emergency. , Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Dental Plans. We also offer two Dental PPO benefit structures. Delta Dental Il Employer Login . You can find yours by selecting your region below. Credentialing is a verification process you'll need to pass before you can join our provider network. Fep Blue Dental Provider Login . Register Now, Not registered? External link You are leaving this website/app (site). View our map (PDF). Enter a partial or full name along with the Specialty and Location. 232 S Capitol Ave Vision and hearing providers: 1-800-482-4047 The network has more than 5,600 locations within AZ and over 350,000 locations nationally. The automated system is available anytime. 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). Box 68710 If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Step 1: Say "claims" when the system asks why you're calling. Most PDF readers are a free download. here.Language Assistance Available: Espaol, To view this file, you may need to install a PDF reader program. 20500 Civic Center Drive Monday through Friday Say "another member" to inquire on another member. TTY users: To reach any number listed here, dial 711. Say "fax or email" to receive a copy of your claim's status. 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. patients to a Periodontist when they are in need of more intensive treatment. Grand Rapids, MI 49523-0589, Provider Inquiry 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Enter your City and State or Zip Code and desired. Facility and Special Programs Check to see if your dentist is in our network or choose from our many providers. Federal Employee Program providers and facilities: 1-800-840-4505. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Southfield, MI 48075, 1-877-293-2788 We provide health insurance in Michigan. 2023 BlueCare Dental PPO (Small Group) Plans. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Monday through Friday, Care Management--Mail Code C355 provider(s) office is able to offer in support of the patient's specific needs under the Federal American The automated system is available anytime. Submit prior authorization requestselectronicallythrough CoverMyMeds. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. 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). HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. TennCare's current dental benefits manager is DentaQuest. they will provide you with a referral. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Monday through Friday California Dental Network Provider Login . Passive plan options pay out-of-network dental services at U&C. This helps us ensure you meet the state requirements for health care. 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. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. It's just one more way that Florida Blue is with you. 8:30 a.m. to noon and 1 to 5 p.m. 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. , 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. Take a class. New Clinic Manager jobs added daily. Blue Cross Blue Shield of Michigan There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. 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 . Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. State and Federal Privacy laws prohibit unauthorized access to Member's private information. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. 1-800-249-5103 For more details, like benefits, limitations and exclusions, please read your certificate of coverage. The information on this other site does not replace professional health care. 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. Note:It can take up to 30 days for a claim to be processed. P.O. Register Now, Not registered? Most PDF readers are a free download. BCBS FEP Dental has nearly half a million provider access points nationwide to receive in-network services, a customer service team dedicated to exceeding your expectations, online tools to make your life easier, and a variety of options and benefits to meet your needs. 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. Step 5: Tell the system the date of service provided. Say "representative" to reach someone who can help. Box 7355 Florida Blue and Florida Combined Life Insurance Company, Inc. do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. 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. Franais, Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. 28 Years Experience. Monday through Friday Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. takes the health and well-being of our members, providers, our associates and our business partners seriously. 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. Our plans include BlueCare SM, TennCare Select and CoverKids. Need help understanding our plans? One option is Adobe Reader which has a built-in reader. 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. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Dental Care websites are listed below. Click to view logins links, most visited site links, social handles and contact information etc. If you call before 30 days, we may not be able to check your claim through our automated phone system. P.O. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. 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. What you need to know about the coronavirus, COVID-19. If youre an administrative office of a medical care group, you have access to a professional organization consultant. P.O. Just use our online search. Get access to your employer portal. Please Select Your State The resources on this page are specific to your state. Coverage for treatments varies depending on the member's benefit plan. P.O. Contact the plan for more information. Just keep in mind you'll need to go through the prompts before you're connected to someone. If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. 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. 8 a.m. to 4 p.m. It's more than just business when you join the Blue Cross network. That means better service and better care for your patients. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Register Now. 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. From April 1 to September 30, on weekends and holidays you may be required to leave a message. After you've enrolled, you can register for a provider portal account. Periodontists specialize in gums and gum disease. P.O. Box 32593 The above is a listing of common services available through your network of Participating Dentists. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, 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. Monday through Friday. Box 7355 PO Box 385018 You can register here. Get Emergency Care (Teledentistry) . RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . 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. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting . To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 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 . The content on the Dental Wellness Center website is provided by go2dental.com . Heres how they compare.
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