We offer flexible group insurance plans for any size business. It can also send you a copy of your claim's status. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Blue Care Network ; PDF Payer 835 List - Electronic Dental Services Get Started. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. The purpose of this communication is the solicitation of insurance. 8 a.m. to noon and 1 to 5 p.m. 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. Choose your location to get started. Choose Payer Spaces in the top menu bar. Make your mental health a priority. Box 33248 Detroit, MI 48226. 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. 11589 32 Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Quickly and easily submit out-of-network claims online. Our resources vary by state. Pay online. Choose your location to get started. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> L07B For costs and complete details of the coverage, please contact your agent or the health plan. Find out if your dentist is in our network. P.O. Automated information is available anytime. Monday through Friday, 1-800-431-1059 Note: The FEP phone system has a different set of prompts than the others. There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. 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. %%EOF Log in at availity.com. PDF Your Summary of Benefits Anthem Dental Complete - Mt. San Jacinto College 8:30 a.m. to 4:30 p.m. 1-888-826-8152 2 0 obj London, KY 40742. Medicare members with Anthem Extras coverage can also access online bill pay for Anthem Extras. 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. . Vision and hearing providers: 1-800-482-4047. Anthem Bill Pay | How to Pay Your Anthem Bill | Anthem stream 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. Step 5: Tell the system the date of service provided. Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Blue Cross Blue Shield of Michigan Monday through Friday Blue Vision providers submit claims electronically directly toVSP. Follow the steps to enroll as a trading partner. 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. Blue Cross Blue Shield of Michigan You can also visit. Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. Medicare members have the same convenient access to online bill pay. 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 PDF Quick tips to filing a complete and correct professional claim xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. If you need more information, you can transfer to a customer service representative during business hours. Older adults with tooth loss often ask, "Does Medicare cover dentures?" Log in to https://www.availity.com. Or P.O. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. You can verify or update your address by logging in to your member account. 0000012343 00000 n The resources for our providers may differ between states. After you apply: Payer ID Lookup 2023 - Updated List Of Payer IDs Need help finding the right plan? Access your member ID card from our website or mobile app. Find yours in our list ofphysician organization consultants (PDF). Physicians and professionals: 1-800-344-8525 The resources on this page are specific to your state. : Refers to dentist or dental entity in box #42. Get access to your agent portal.Register Now. PDF Your Summary of Benefits Anthem Dental Complete . Admin should check email to verify account. .t`.R7bg?RrUr7rO7Pn>*~ro%WXuTT^yWu5X9 g\lxw 7Hl[Rl=j~TUK8X This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. /URwZvs(uijNTYgJ[[q~~>v"Z(-F|DgSB7/R)\=uycgF!Q8GUz^wHgGI";Di}04',5e^+d ek.?z>^*)&9-[i9)!qP:vN7OZwK|Tzv;/zvfopSa 0n-+*68wq#X4yx aDr 3Av;jq{KH:%06asKqaR!4N9;7yl Family Dental Insurance Plans | Anthem 8 a.m. to 7 p.m. Using an Anthem dental plan at a provider may require you to first satisfy an annual deductible and require copayments or coinsurance for remaining balances. 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. P.O. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . Note:It can take up to 30 days for a claim to be processed. 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. Detroit, MI 48231-0166, Federal Employee Program claims P.O. The automated system is available anytime. We currently don't offer resources in your area, but you can select an option below to see information for that state. Blue Care Network PO Box 385018 Grand Rapids, MI 49523-0589, Provider Inquiry Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Or ~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 1-877-258-0167 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. Contact will be made by an insurance agent or insurance company. 711. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Not connected with or endorsed by the U.S. Government or the federal Medicare program. P.O. Read more in the Communications section below. 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. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. Dental providers who can't able to access their account can read the Dental Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Contact - Delta Dental of Minnesota Individuals attempting unauthorized access will be prosecuted. 11620 0 obj <>stream Pay by phone. Electronic remittance advice (835) The 835 eliminates the need for paper remittance reconciliation. A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . Become a direct submitter with the Availity EDI clearinghouse. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. To select a dentist by name or location, do one of the following: Visit MedicareAdvantage.com to compare multiple Medicare Advantage plans, side by side. Well try to get them added. Birmingham, AL 35238-0518. Just keep in mind you'll need to go through the prompts before you're connected to someone. 44. Reduce reimbursement time with electronic insurance claims. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. Get access to your online account.Register Now, Not registered? Our web portalpowered by Availitymakes doing business with Anthem even easier. Grand Rapids, MI 49516-8710, BCN Advantage Claims 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. oCol1uvs3. Not registered? If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Non-members can choose their state and see a directory of participating dental providers in their state and zip code. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. (Special Enrollment). 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. You can also visit bcbs.com to find resources for other states. Southfield, MI 48075. 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. If you call before 30 days, we may not be able to check your claim through our automated phone system. $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 Vision and hearing providers: 1-800-482-4047 endobj If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. To make a quick, one-time payment visit us here. 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. Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . Box 32593 Anthem Dental | Better Business Bureau Profile We provide health insurance in Michigan. Pay by phone. Get access to your online account. Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Detroit, MI 48232-0593, UB-04 claims % 13223 Anthem Vivity 13109 Arbor Health Plan 13405 Arise Health Plan Medicare Select Policy 0000165070 00000 n Step 5:Tell the system the date of service provided. Attention: Claim Processing 8 a.m. to 6 p.m. %PDF-1.7 11589 0 obj <> endobj The Internal Revenue Service requires that either the Social Essential Vision providerssubmit claims throughHeritage Vision Plan. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. 8:30 a.m. to 6 p.m. 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 Marquette, MI 49855, Employee Inquiry The purpose of this communication is the solicitation of insurance. 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. 0000001857 00000 n Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Box 310166 Available for iOS and Android devices. Southfield, MI 48075, 1-877-293-2788 You can also set up reminders, so you never miss a payment. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. Our small business plans offer a full range of health insurance options for groups with 2 to 50 or 100 employees, depending on your state. New member? 0000005966 00000 n 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. 8 a.m. to noon and 1 to 5 p.m. Verify patient eligibility and benefits enrollsafe.payeehub.org to register and manage EFT account changes. Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield Say "date of service" to learn about a different claim. Federal Employee Program providers and facilities: 1-800-482-3600 PDF Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. 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 Taking time for routine mammograms is an important part of staying healthy. You can find yours by selecting your region below. 0000016903 00000 n You can verify or update your address by logging in to your member account. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Use the Payor ID that Henry Schein ONE has listed for participation through our services. Dental Prime & Complete Login EasyPay Forms Library . Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Submit prior authorization requestselectronicallythrough CoverMyMeds. Make your first payment. 0000016383 00000 n 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 pay your premiums over the phone by calling the Member Services number on the back of your ID card. Monday through Friday. Among the most popular extra benefits is dental coverage. Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield P.O. We use Availity Essentials as our provider portal. 0000110519 00000 n 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g Our automated interactive voice response system provides claims, benefit and cost-share information. 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. 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. Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. 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. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. [/PDF /Text /ImageB /ImageC /ImageI] Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. Blue Cross Complete claims P.O. Member Resources: ID Cards, Billing, Claims, & More | Anthem xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| If youre an administrative office of a medical care group, you have access to a professional organization consultant. 711. 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 Learn about dental plan options that cover orthodontia, dentures, and more. 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. You can search by Payor Name or Payor ID. If you no longer qualify, we can connect you to the right options for you and your family. New member? 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^ 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. 1-877-258-0167 FEP claims should NOT be submitter under this Payer ID - Please use Payer ID RIFEP Par Batch TRUE RT Tesia Detailed TRUE S TRUE To submit to Payors not on this list, use Payor ID "06126" and be sure to submit all required fields, including Payor Name and Complete Address. A premium is the amount you pay to Anthem to keep your coverage active. Dental Provider Resources Individual & Family Plans. Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. Copyright 2023 Henry Schein One. 0 2022 Provider fee schedule notification - Anthem 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. Anthem has a large network of dental providers that accept standalone dental plans and Anthem Medicare Advantage plans that include dental coverage. Electronic Payer ID: 07000. Find a Medicare plan that fits your healthcare needs and your budget. Box 7355 Dentist's Social Security number or T.I.N. If you will be submitting claims to a payor that has the Special Enrollment notation. PDF Payer Identification Information Claims Processing Eligibility and . 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 Work with your vendor to ensure connection to the Availity EDI Gateway. Box 7355 Monday through Friday Say "representative" to reach someone who can help. Looking for affordable family dental coverage? PDF Dental Claim Form - Rancho Santiago Community College District <]>> Dental Insurance Eligibility - Payor Search | Dentrix Use existing clearinghouse or billing vendor. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 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)
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