Providers. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . Monday through Friday To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Say "date of service" to learn about a different claim. Register Now, Not registered? Blue Cross Blue Shield of Michigan have privileges to provide services in a hospital setting. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Box 32593 Marquette, MI 49855, Employee Inquiry 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. Watch our videos to learn how specialty benefit plans offered by your employer may work for you so you can make informed decisions during open enrollment. 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. 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). We provide health insurance in Michigan. Step 1: Say "claims" when the system asks why you're calling. Leverage your professional network, and get hired. Log In to the Shopping Cart, Need to Make a Payment? As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. It can also send you a copy of your claim's status. London, KY 40742. Call DentaQuest (toll free) at 1-855-418-1622. Vision and hearing providers: 1-800-482-4047 Blue Care Dental Connection | Blue Cross and Blue Shield of Montana that insurance benefits for orthodontia can vary depending on the patient's age, so make BCBS FEP Dental is here to help you learn more about your oral health. During this unprecedented time, we're taking action to support our members. 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 7 p.m. Detroit, MI 48231-2599, Blue Cross Complete claims Find a Blue Distinction Center. External link You are leaving this website/app (site). Physicians and professionals: 1-800-344-8525 Individuals attempting unauthorized access will be prosecuted. however, available treatment will vary for each provider. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. 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. 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. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. TennCare's current dental benefits manager is DentaQuest. Monday through Friday, Care Management--Mail Code C355 How do I find a dentist? | FAQs | bcbsm.com Box 7355 Contact customer service, Heritage Provider service: 1-800-252-2053. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. California Dental Network Provider Login . Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Masshealth Dental Provider Login . Not registered? After you've enrolled, you can register for a provider portal account. To get credentialed, you'll need to visit CAQH.org. Blue Care Network Medicare Advantage Plans with Part D in Michigan 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 employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic We provide health insurance in Michigan. How can I learn more about my patients' eligibility? Behavioral Health Services. Register Now, Not registered? Detroit, MI 48232-4248, Provider Inquiry 1-855-504-2583 Dental | CareFirst BlueCross BlueShield Register Home Plans & Coverage Providers & Facilities Health & Wellness Insurance Basics New Member Updates & Information Members COVID-19 Vaccines Benefits Updates FAQs Contact Tracing Antibody Tests Need Care or Feel Sick? To view this file, you may need to install a PDF reader program. Elevance Health - Wikipedia We provide health insurance in Michigan. To view this file, you may need to install a PDF reader program. Just keep in mind you'll need to go through the prompts before you're connected to someone. Blue Care Network Enroll today and your coverage can start as soon as next month. You can write to us by finding your ZIP code with the relevant mailing address. Register Now, Not registered? For Providers | BCBSM 8 a.m. to 4 p.m. 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. All here in your neighborhood. 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. 2021 BlueCare Dental PPO (Mid-Market) Plans. Locate a dentist or dental specialist in the BCBS FEP Dental network. . The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Dental Provider Network - Blue Cross Blue Shield of Illinois - BCBSIL Once you have located the . HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. It's more than just business when you join the Blue Cross network. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. for all dentists in cities starting with "C," enter "C" for the city. 1-844-876-7917 . Looking for a specific dentist or clinic? Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Get access to your agent portal. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. 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. For example, if you have questions about dental care, talk with your dentist. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. During surges in COVID-19, we've taken significant steps to remove barriers for members to receive care while streamlining certain necessary requirements for our providers. Blue Cross Blue Shield of Michigan It's just one more way that Florida Blue is with you. If you call before 30 days, we may not be able to check your claim through our automated phone system. Do you have questions about dental benefits not answered here? as well as treatment services, like fillings and crowns. 1-877-258-0167 You can use our automated system to reach a representative to discuss your claim's outcome. Vision and hearing providers: 1-800-482-4047. Elevance Health, Inc. is an American health insurance provider. 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. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Most PDF readers are a free download. Step 5: Tell the system the date of service. Register Now. This helps us ensure you meet the state requirements for health care. Dental Provider Resources | Anthem.com Not sure which region you're in? Log In to Availity Don't have an Availity account? Don't have a secured provider portal account yet? Federal Employee Program providers and facilities: 1-800-482-3600 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. If you visit a provider or location that is not in your network, you will pay more of the cost. Questions About Your Benefits? Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims If your General Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. This new site may be offered by a vendor or an independent third party. The content on the Dental Wellness Center website is provided by go2dental.com . Box 68710 Referrals to the University of Michigan Health System and Henry Ford Health System Referrals to these two health systems require using specialty group NPIs rather than referring to an individual practitioner. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. 8:30 a.m. to noon and 1 to 5 p.m. Find a Dentist | Blue Cross and Blue Shield of Illinois - BCBSIL 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. Nominate your provider for inclusion in our network! The above is a listing of common services available through your network of Participating Dentists. You should not think BCBSTX endorses all views you find on this other site. Coverage for treatments varies depending on the member's benefit plan. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. 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. Monday through Friday. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. 8 a.m. to 7 p.m. Individuals attempting unauthorized access will be prosecuted. You'll have access to reward programs that seek to transform health care. Individuals attempting unauthorized access will be prosecuted. 129 Reviews - 17306 E US Hwy 24, Independence, MO - Yelp You can also talk to your provider consultant. 1-800-344-8525 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. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. One option is Adobe Reader which has a built-in reader. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. patients to a Periodontist when they are in need of more intensive treatment. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Endodontists specialize in the treatment of dental pulp and perform services like root canals, HMO subsidiary Blue Care Network proposes a 6.9. . The content on the Dental Wellness Center website is provided by go2dental.com . Franais, Here's what you need to know. If you are an actively working federal Attention: Claim Processing You may access the Nondiscrimination and Accessibility notice , You'll need to use e-referral for Medicare Plus Blue authorization requests. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. referring those over a certain age to continue their dental care with a General Dentist. New Clinic Manager jobs added daily. When a ZIP code is supplied, the city and state values are ignored. 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. Birmingham, AL 35238-0518. Monday through Friday. Find a Dentist. BlueCare Dental PPO | Blue Cross and Blue Shield of Illinois - BCBSIL Florida Health Insurance Plans | Florida Blue Members may enroll in the plan only during specific times of the year. 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. 1-877-258-0167 P.O. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. You'll need to know what kind of dental plan you have; an individual plan, a plan through your employer or Medicare, or another public plan. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. Get access to your online account. Need more information? oral structure or require other specialized denture services may be referred to a Prosthodontist. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. You can see dental providers in this network knowing your costs are the lowest. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . . The site may also contain non-Medicare related information. Blue Care Dental Connection | Blue Cross and Blue Shield of Texas - BCBSTX Enroll year round. Erectile Dysfunction ED treatment near Little Rock, AR | WebMD ---OR---------------------------------------------------------, ---OR-------------------------------------------. Monday through Friday. here.Language Assistance Available: Espaol, P.O. Family Medicine. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * Southfield, MI 48075, 1-877-293-2788 Blue Cross NC Dental Products and Network Overview If youre an administrative office of a medical care group, you have access to a professional organization consultant. Blue Cross Blue Shield of Michigan Members pay less out-of-pocket and will not be balanced billed. 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. 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. 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 . 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. 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. 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. How do I submit a prior authorization request? Insurance policy - Wikipedia The network has more than 5,600 locations within AZ and over 350,000 locations nationally. Facility and Special Programs Get access to your member portal. Step 6: Tell the system the total amount charged. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. Find a Dentist | Blue Cross and Blue Shield of Montana - BCBSMT Essential Vision providerssubmit claims throughHeritage Vision Plan. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. 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. Not Registered? To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Step 5: Tell the system the date of service provided. For personal medical guidance, please consult your dentist and/or physician. 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. If you need more information, you can transfer to a customer service representative during business hours. Blue Cross Blue Shield FEP Dental - Find A Provider Box 312599 London, KY 40742. Blue Care Dental Connection | Blue Cross and Blue Shield of Illinois Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. Say "claims" when the system asks why you're calling. If you're not a Blue Vision provider, send claims to: VSP Best Dental Insurance Providers of 2023 - The Balance Most PDF readers are a free download. 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 What you need to know about the coronavirus, COVID-19. Individuals attempting unauthorized access will be prosecuted. 1-800-482-5982 D/B/A Florida Blue. Dental Services - Tennessee Contact the plan for more information. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control BCBSTX and go2dental.com are separate companies. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Blue Cross Blue Shield Dental Providers - HelpAdvisor BCBSOK and go2dental.com are separate companies. Credentialing is a verification process you'll need to pass before you can join our provider network. Take a class. Find a doctor, provider, dentist, pharmacy or facility | Wellmark Though many General Dentists provide dentures in their offices, patients who have unique We offer resources to support your practice in serving patients covered by our dental plan. Blue Cross Blue Shield of Arizona. 2022 BlueCare Dental PPO (Small Group) Plans. Get health assessments, treatment support, and help understanding your plan. BlueCare Dental PPO SM * BlueCare Dental HMO SM * What do I need to know about Blue Dental networks and costs? - BCBSM DNoA Connect We offer two ways to find patient eligibility information by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. The content on the Dental Wellness Center website is provided by go2dental.com. Tagalog, Detroit, MI 48232-0593, UB-04 claims List of Dental Care Websites - Page 1 | LoginsLink Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans State and Federal Privacy laws prohibit unauthorized access to Member's private information. Say "another member" to inquire on another member. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Say "representative" to reach someone who can help. Providers | Florida Blue Dental Blue Cross Blue Shield FEP Dental 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). In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Heres how they compare. 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. Blue Care Network 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. Dentist cannot provide the treatment you need, they may refer you to a specialist. Just use our online search. 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 . with orofacial skin. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services You can find yours by selecting your region: Not sure which region you're in? Your contact information will be accessible to millions of our members. Verify patient eligibility and benefits Find yours in our list ofphysician organization consultants (PDF). Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. P.O. The network providers listed in this directory have agreed to provide you with your health care and dental services. Some General Dentists As an alternative, you may enter a ZIP code. Do not select the 'Remember Username' checkbox if you are using a public or shared computer.