The automated system is available anytime. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Use the companys online search tool to find Anthem dental providers near you. Pay by mail. On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. o The billing provider's complete name, address, and phone number must be in . If youre an administrative office of a medical care group, you have access to a professional organization consultant. Provide your mailing address to receive bills by mail. xA 04hFz\GczC. Among the most popular extra benefits is dental coverage. London, KY 40742. Lets make healthy happen. Log in at availity.com. Hospitals or facilities: 1-800-249-5103 State and Federal Privacy laws prohibit unauthorized access to Member's private information. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The automated system is available anytime. 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. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. You will see these in the sections marked with Enrollment i.e. . [/PDF /Text /ImageB /ImageC /ImageI] Talk to a licensed agent: Select a state to update this screen with information more relevant to you. Step 1: Say "claims" when the system asks why you're calling. 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 Use the Payor ID that Henry Schein ONE has listed for participation through our services. Available for iOS and Android devices. 0000110838 00000 n }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Monday through Friday Box 32593 How do Medigap plans and Medicare Advantage plans differ? The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment 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. Step 6:Tell the system the total amount charged. Physicians and professionals: 1-800-344-8525 Compare plans available in your area and apply today. Monday through Friday <]>> 1-800-249-5103 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Check Your Anthem Benefits . Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Anthem Dental Family PPO Insurance Plans. We look forward to working with you to provide quality services to our members. 0000007407 00000 n Call our Customer Service number, (TTY: 711). Log in to your member account and enter your banking information to make premium payments online. Healthcare Eligibility Benefit Inquiry and Response (270/271), Healthcare Services Prior Authorization (278), Healthcare Services Inpatient Admission and Discharge Notification (278N), Healthcare Claim Status Request and Response (276/277). Step 5:Tell the system the date of service provided. Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Pay by phone. 0000016728 00000 n Your dashboard may experience future loading problems if not resolved. 0000009101 00000 n Use existing clearinghouse or billing vendor. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Get Started. P.O. Accept the User Agreement (once every 365 days). Anthem makes it easy to find dental providers. Detroit, MI 48232-4248, Provider Inquiry kC_2=PjoY(Xh7zn#c[,1BCCYK$hRLY4b@YTY(9d6;=Ds=!yN[*CopV:+$ Y5p^_3,P Blue Vision providers submit claims electronically directly toVSP. 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. To make a quick, one-time payment visit us here. EDI, including electronic remittance advices (ERAs) and electronic funds transfers (EFTs), allows for a faster, more efficient and cost-effective way for providers and employers to do business. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. 20500 Civic Center Drive 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. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. Find a Medicare plan that fits your healthcare needs and your budget. There may or may not be a premium for the plan as a whole. Select the payer tile that corresponds to your market. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. %PDF-1.7 If you don't have an account yet, you can check claims for with our automated system. Our automated interactive voice response system provides claims, benefit and cost-share information. % <> But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. 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. 8:30 a.m. to noon and 1 to 5 p.m. Say "date of service" to learn about a different claim. Say "claims" when the system asks why you're calling. 2^)+Vt>t]H>!@'/m )eEae;X4HmX^B$C%]Ul|&~+g[EFgL#+UWoBS/D~ v]`?CC-3~`Yz| #$X!7octxpw"w{&\6@:F|-! We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. 13223 Anthem Vivity 13109 Arbor Health Plan 13405 Arise Health Plan Medicare Select Policy 8:30 a.m. to 6 p.m. If you will be submitting claims to a payor that has the Special Enrollment notation. Health equity means that everyone has the chance to be their healthiest. Provider ID #: Necessary when carriers assign unique numbers to providers that differ from the Social Security number or the tax payer identification number (T.I.N). lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" Blue Cross Blue Shield of Michigan Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. 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^ 0000004309 00000 n 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. Payer IDs route EDI transactions to the appropriate payer. Our EFT system is now available. Medicare Complaints, Grievances & Appeals. View our map (PDF). 0000017534 00000 n Vision and hearing providers: 1-800-482-4047 If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. L07B 0000000016 00000 n Detroit, MI 48231-0166, Federal Employee Program claims 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. Dental Provider Resources | Anthem.com Find information that's tailored for you. P.O. We use Availity Essentials as our provider portal. New member? endobj We offer affordable health, dental, and vision coverage to fit your budget. Register Now, Not registered? The Internal Revenue Service requires that either the Social 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. You can use our automated system to reach a representative to discuss your claim's outcome. Federal Employee Program providers and facilities: 1-800-840-4505. Lansing, MI 48933. 1-800-482-4047 . 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. 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. 1-800-344-8525 1-888-826-8152 Blue Cross Blue Shield of Michigan Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. 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. Get access to your online account.Register Now, Not registered? This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Not sure which region you're in? 0000017759 00000 n Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. Use the company's online search tool to find Anthem dental providers near you. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If youre a professional provider office, you have access to a provider consultant. Detroit, MI 48232-0593, UB-04 claims For costs and complete details of the coverage, please contact your agent or the health plan. Large Group 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. New member? 8:30 a.m. to noon and 1 to 5 p.m. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. Southfield, MI 48075, 1-877-293-2788 If your state isn't listed, check out bcbs.com to find coverage in your area. Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. When you're contracted with us you have access to a provider consultant. 1-877-258-0167 Verify patient eligibility and benefits If you don't have an account yet, you can check claims for BCBSM patients with our automated system. We also . Anthem Life members can call 855-383-7247 to pay by phone. Hospitals or facilities: 1-800-249-5103. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> 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. Or There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. Individual & Family Plans. Box 312599 Anthem Payer ID: 00265 Anthem Blue Cross and Blue Shield Healthcare Solutions Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. It looks like you're in . All rights reserved. endobj Contact customer service, Heritage Provider service: 1-800-252-2053. 0000016903 00000 n Choose your state below so that we can provide you with the most relevant information. 0000017948 00000 n Learn about dental plan options that cover orthodontia, dentures, and more. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Your online account is a powerful tool for managing every aspect of your health insurance plan. 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. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. Read more in the Communications section below. Provider Inquiry Mail Code 0301 ~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 You can also visit bcbs.com to find resources for other states. Anthem Blue Cross and Blue Shield - Kentucky - BCBS: SB660: APAC CUSTOMER SERVICES INC - WORK COMP: stream Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. 1-855-504-2583 0000017083 00000 n Review medical and pharmacy benefits for up to three years. endstream endobj 11619 0 obj <>/Size 11589/Type/XRef>>stream P.O. Electronic Payer ID: 07000. 1-800-762-2382 Dental providers who can't able to access their account can read the Dental Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments . Automated information is available anytime. Start a Live Chat with one of our knowledgeable representatives. dw?XY/A::L2}at\h@MeD@EeP$n;fyX k~rzf;jf2kP `OT_u=^=Sp lPYTx Bv5lub .F-vmY- :O2u(N$E&p=([w|H(a~_7{rYU5l[M6\):GLu> Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. 837- Dental Claims 835- Electronic Remittance Advice 276/277- Claim Status 270/271- Eligibility Request 275- Electronic Medical Attachments 278- Prior Authorizations and Referrals Payer Name and ID Your payer name is Anthem BCBS Nevada and the payer ID is 00265 (If you use a billing company or clearinghouse for your EDI transmissions, please . 0000165417 00000 n Price a medication, find a pharmacy,order auto refills, and more. On the Applications tab, select Provider Online Reporting. Work with your vendor to ensure connection to the Availity EDI Gateway. You can also visit. Finding a dentist is easy. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. 837- Dental Claims 835- Electronic Remittance Advice . Reduce reimbursement time with electronic insurance claims. 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 . Speed up enrollment and payment for employer groups benefits. 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. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. P.O. Don't have a secured provider portal account yet? 711. 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. Monday through Friday. Reduce overhead and administrative costs by eliminating paper claim submissions. A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Box 7355 The resources on this page are specific to your state. 4 0 obj 11589 32 <> 2 0 obj Blue Cross Blue Shield of Michigan .t`.R7bg?RrUr7rO7Pn>*~ro%WXuTT^yWu5X9 g\lxw 7Hl[Rl=j~TUK8X The Payor Search Tool helps you identify the electronic connectivity for the Payors/Insurance companies you work with. Use our app, Sydney Health, to start a Live Chat. Dentist's Social Security number or T.I.N. Understand your care options ahead of time so you can save time and money. Dentrix provides superior front office, clinical and business management tools to make your practice more efficient, Get the support you need the way you want it. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Quickly and easily submit out-of-network claims online. P.O. A green check box identifies which service is enabled for electronic participation for the payor you are searching for. xref 711. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Business Profile Anthem Dental Dental Insurance Contact Information PO Box 659444 San Antonio, TX 78237 (866) 589-0578 Customer Complaints 1 complaints closed in last 3 years 1 complaints. Access your member ID card from our website or mobile app. 1 0 obj Not connected with or endorsed by the U.S. Government or the federal Medicare program. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claimsCOB = Coordination of Benefits; indicates secondary/COB claims accepted electronicallySmart Edits = Apply to electronic claims submissions; Not applicable to DSNP lines of business 2023 UnitedHealthcarePage 2 of 23/2/2023 1-800-482-5982 We provide health insurance in Michigan. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . Monday through Friday The automated system is available anytime. 11589 0 obj <> endobj Select your organization type and complete the registration process. We offer flexible group insurance plans for any size business. There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. The purpose of this communication is the solicitation of insurance. Just keep in mind you'll need to go through the prompts before you're connected to someone. To view bills on your phone, download the AnthemSydneySM Healthapp. The 835 eliminates the need for paper remittance reconciliation. Blue Cross Blue Shield of Michigan Monday through Friday 0000000962 00000 n Reviewing your options is the best way to ensure you enroll in a plan that suits the needs of your dental care and budget. Have you used our online dental claims, eligibility, and benefits website? If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Get access to your online account. 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. Blue Cross Blue Shield of Michigan You can also talk to your provider consultant. 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. P.O. You can search by Payor Name or Payor ID. From pediatrics to adults, Anthems got you covered. Type at least three letters and we will start finding suggestions for you. Learn How To Use Your Anthem ID Card. Copyright 2023 Henry Schein One. Become a direct submitter with the Availity EDI clearinghouse. i|I:8B;OZcpZoW*0|d&2d!E%2e>w`<8}~x(C3(gm4_QT5 4qqpe.g^Eo2#||68JTr6gfm'Qi9+Sv77\ot32N$wV|Rzfu~ Dental Provider Resources Does Anthem Medicare Cover SilverSneakers? Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Hospitals or facilities: 1-800-249-5103 Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Monday through Friday. Monday through Friday. Say "fax or email" to receive a copy of your claim's status. Blue Care Network Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? To make a quick, one-time payment visit us here. Read more in the Communications section below. 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. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Please update your browser if the service fails to run our website. 0000002292 00000 n /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 The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). London, KY 40742. 8 a.m. to 7 p.m. Blue Care Network Anthem members may log into an online portal to find participating dentists, dental offices and more. Taking time for routine mammograms is an important part of staying healthy. Grand Rapids, MI 49516-8710, BCN Advantage Claims 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 xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Looking for affordable family dental coverage? <> !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| You can use Anthem bill pay to pay your monthly or quarterly plan premiums. Log in to your member account to access your payment options. A Payer ID routes electronic data transactions to the appropriate payer. Contact will be made by an insurance agent or insurance company. 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. Well try to get them added. Step 6: You will then be transferred to the servicing center for assistance. %%EOF Pay outstanding doctor bills and track online or in-person payments. Step 5: Tell the system the date of service. Box 7355 You can verify or update your address by logging in to your member account.
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