they will provide you with a referral. It can also send you a copy of your claim's status. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Not all benefits are offered by all Plans mentioned above. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues This new site may be offered by a vendor or an independent third party. Blue Vision providers submit claims electronically directly toVSP. 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. The search results will supply: 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. 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. 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. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. have privileges to provide services in a hospital setting. Check ereferrals.bcbsm.com for detailed prior authorization information. Southfield, MI 48075. Don't have a secured provider portal account yet? One option is Adobe Reader which has a built-in reader. Log In to the Shopping Cart, Need to Make a Payment? Say "date of service" to learn about a different claim. Your first stop will usually be a General Dentist. 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. Our nationwide plans are available to almost anyone. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Box 312599 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. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services The network is available through contracted general dentists and specialists throughout Arizona. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Step 5: Tell the system the date of service. Automated information is available anytime. You'll need to use e-referral for Medicare Plus Blue authorization requests. like alveoplasties or cleft lip/palate surgery. 40 Years Experience. 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. GEHA's mantra is PREVENTIVE HEALTH CARE. Over-the-Counter Tests Expand All | Collapse All Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Attention: Claim Processing We also offer two Dental PPO benefit structures. 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. You can find yours by selecting your region below. Questions About Your Benefits? NEW CLAIMS SUBMISSION MAILING ADDRESS. HEALTH first - STAR Medicaid: 1-888-672-2277.Dental care If you're a STAR member age 20 and younger, or a CHIP or STAR Kids member, call your dental provider below to find a dentist near you: DentaQuest STAR or STAR Kids members: 1-800-516-0165 CHIP members: 1-800-508-6775 . Or, you can call 1 (855) 352-1604 for a free quote, Mon-Fri, 8 am - 8 pm, ET When is Cigna Dental Insurance right for you? Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. 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. Enroll today and your coverage can start as soon as next month. 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. Federal Employee Program providers and facilities: 1-800-482-3600 Step 6:Tell the system the total amount charged. Provider Inquiry is for registered, nonregistered and out-of-state providers. Individuals attempting unauthorized access will be prosecuted. Members may enroll in the plan only during specific times of the year. You should not think BCBSTX endorses all views you find on this other site. How do I submit a prior authorization request? Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . 8:30 a.m. to 4:30 p.m. Vision and hearing providers: 1-800-482-4047. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Marquette, MI 49855, Employee Inquiry We offer resources to support your practice in serving patients covered by our dental plan. The information on this other site does not replace professional health care. though may also provide dental implants. Simply call a Patient Care Coordinator at (877) 872-0370 . . Many Periodontists also provide dental implant services. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Just use our online search. For example, to search Monday through Friday. Individuals attempting unauthorized access will be prosecuted. It's just one more way that Florida Blue is with you. Need help understanding our plans? Blue Dental SM PPO Plus 80/60/50 With Vision This plan offers coverage for in- or out-of-network dentists for the entire family, plus adult vision coverage. 1-800-482-5982 In addition, some sites may require you to agree to their terms of use and privacy policy. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Find yours in our list ofphysician organization consultants (PDF). Our automated interactive voice response system provides claims, benefit and cost-share information. Blue Cross NC Dental Products and Network Overview Get access to your online account.Register Now, Not registered? Southfield, MI 48075, 1-877-293-2788 The automated system is available anytime. L07B Calls will be returned the next business day. Please consider an upgrade or using a different device. 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. Log In to the Shopping Cart, Need to Make a Payment? Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). The full text or spelling is not required for the city and dentist name fields. 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. TrademarkElite is the U.S. #1 Trademark Search and Registration Service :: BLUE GLOBAL SOLUTIONS is a trademark and brand of Blue Cross and Blue Shield Association, Chicago, IL . Leverage your professional network, and get hired. Just keep in mind you'll need to go through the prompts before you're connected to someone. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. 415 S. McClellan Ave. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * Step 5:Tell the system the date of service provided. 8 a.m. to noon and 1 to 5 p.m. This helps us ensure you meet the state requirements for health care. Monday through Friday, Care Management--Mail Code C355 The content on the Dental Wellness Center website is provided by go2dental.com . Note:It can take up to 30 days for a claim to be processed. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Adult Dental Services 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. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Register Now, Not registered? Get access to your employer portal. 1-800-344-8525 15. 20500 Civic Center Drive Members. Register Now. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. 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. BlueCare Dental (Traditional National PPO) * The above is a listing of common services available through your network of Participating Dentists. That means better service and better care for your patients. Choose a dental network from the list below to search for a dentist. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. If you don't have an account yet, you can check claims for with our automated system. 8 a.m. to 7 p.m. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Out-of-network dentists do not participate in any arrangement with Blue Cross. Delta Dental Il Employer Login . Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Vision and hearing providers: 1-800-482-4047 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 . For Providers: Contact Us 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. 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. Credentialing is a verification process you'll need to pass before you can join our provider network. Get access to your agent portal. You can use our automated system to reach a representative to discuss your claim's outcome. Childers Orthodontics Patient Login . Quality Care That's Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. 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. Learn more about eligibility and resources for uniformed service members transitioning to retirement. Detroit, MI 48232-4248, Provider Inquiry Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. The network is available through contracted general dentists and specialists throughout Arizona. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California, [2 . Looking for a specific dentist or clinic? Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Orthodontists specialize in tooth and jaw positioning and alignment. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. BCBSTX and go2dental.com are separate companies. Kreyol Ayisien, 20500 Civic Center Drive You can also talk to your provider consultant. 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. Individuals attempting unauthorized access will be prosecuted. Ting Vit, Heres how they compare. Verify patient eligibility and benefits Cigna Dental Insurance Plans* Box 310166 We have several tools and resources available to help you make informed decisions about your plan and make the most of your BCBS FEP Dental coverage. Most Pediatric Dentists provide different levels of sedation, when needed, and some even Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. oral structure or require other specialized denture services may be referred to a Prosthodontist. Individuals attempting unauthorized access will be prosecuted. Hospitals or facilities: 1-800-249-5103 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. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Not registered? Returning Shopper? Where can I get dental costs and information? 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. BCBSOK and go2dental.com are separate companies. 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.