blue care network dental providersblue care network dental providers

blue care network dental providers blue care network dental providers

Call DentaQuest (toll free) at 1-855-418-1622. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). Pediatric Dentists specialize in dental treatment for young and special needs children. Monday through Friday. Vision and hearing providers: 1-800-482-4047. 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. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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? L07B 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 Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer though may also provide dental implants. 28 Years Experience. Delta Dental Il Employer Login . Access Your Payment Options. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. More detailed searches are possible by clicking on More Search Options. Behavioral Health Services. D/B/A Florida Blue. P.O. Box 33248 Nominate your provider for inclusion in our network! , have privileges to provide services in a hospital setting. Call our Member Services department Monday - Friday from 8 am to 5 pm. Access Your Payment Options. Step 1: Say "claims" when the system asks why you're calling. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. view our International Directory. Passive plan options pay out-of-network dental services at U&C. The network providers listed in this directory have agreed to provide you with your health care and dental services. This new site may be offered by a vendor or an independent third party. 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. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. patients to a Periodontist when they are in need of more intensive treatment. 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. The content on the Dental Wellness Center website is provided by go2dental.com . Providers. Looking for a specific dentist or clinic? It is a NON-profit Health Plan -- has been around at least 50 years. Register Now. Most PDF readers are a free download. A dentist may refer you 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). Say "date of service" to learn about a different claim. Once you have located the . Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Step 6: Tell the system the total amount charged. To get credentialed, you'll need to visit CAQH.org. Say "fax or email" to receive a copy of your claim's status. One option is Adobe Reader which has a built-in reader. Enroll year round. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Essential Vision providerssubmit claims throughHeritage Vision Plan. Some of the features used to display this website may not function properly. 1-877-258-0167 Learn more about Blue Dental plans by calling the number on the back of your member ID card. 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. You can find yours by selecting your region: Not sure which region you're in? Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Dental Care websites are listed below. Questions About Your Benefits? NEW CLAIMS SUBMISSION MAILING ADDRESS. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. California Dental Network Provider Login . TTY users should call 711. 1-800-249-5103 Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. We provide health insurance in Michigan. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Get access to your agent portal. Get health assessments, treatment support, and help understanding your plan. This other site may have information about: Please note that your health plan may not cover the items found on this other site. Blue Cross Blue Shield of Michigan The content on the Dental Wellness Center website is provided by go2dental.com. 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. Step 6:Tell the system the total amount charged. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. Kreyol Ayisien, State and Federal Privacy laws prohibit unauthorized access to Member's private information. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. 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 . Just keep in mind you'll need to go through the prompts before you're connected to someone. Deutsche, Box 68710 It also verifies that you'll provide quality care to our members. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. and Prevention (CDC), and state and local public health departments. BCBS FEP Dental is here to help you learn more about your oral health. 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. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. Individuals attempting unauthorized access will be prosecuted. The content on the Dental Wellness Center website is provided by go2dental.com . Though General Dentists can often perform some 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. We provide health insurance in Michigan. State and Federal Privacy laws prohibit unauthorized access to Member's private information. If you need additional guidance, read the Dentaquest Dental Manual (PDF). Dr. Michael David Stout, MD. HMO subsidiary Blue Care Network proposes a 6.9. . External link You are leaving this website/app (site). A General Dentist will refer patients to an Oral Pathologist for assistance in 2021 BlueCare Dental PPO (Mid-Market) Plans. BlueCare Dental PPO SM * BlueCare Dental HMO SM * 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. . 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. Get access to your online account.Register Now, Not registered? The search results will supply: 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. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Dr. Michael J. Buckley, MD. Not all Endodontists will provide endodontic services 20500 Civic Center Drive Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans We offer resources to support your practice in serving patients covered by our dental plan. 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. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Referrals to a hospital Orthodontists specialize in tooth and jaw positioning and alignment. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. The site may also contain non-Medicare related information. Don't have a secured provider portal account yet? That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Monday through Friday Blue Cross Blue Shield of Arizona. Our plans include BlueCare SM, TennCare Select and CoverKids. Say "claims" when the system asks why you're calling. If you have a question, please call Customer Service at 1-855-504-BLUE. 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. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Take a class. 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. Attention: Claim Processing For plans with Part D Coverage: You may be able to get Extra Help to pay for your . Birmingham, AL 35238-0518. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Most PDF readers are a free download. If you are a member with either employer-offered dental benefits or employer-offered medical and dental benefits, you can go to BlueCare Dental Connection by logging in to Blue Access for MembersSM. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Southfield, MI 48075, 1-877-293-2788 Marquette, MI 49855, Employee Inquiry as well as treatment services, like fillings and crowns. 1-888-826-8152 These companies are Independent Licensees of the Blue Cross and Blue Shield Association. 1-844-876-7917 Learn more >, Not registered? 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. We also offer two Dental PPO benefit structures. When you enroll, you'll partner with us to care for a large and diverse membership. More detailed searches are possible by clicking on More Search Options. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. P.O. This is only a brief list of the plan benefits. 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? 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. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Enter your City and State or Zip Code and desired Radius. Individuals attempting unauthorized access will be prosecuted. GEHA's mantra is PREVENTIVE HEALTH CARE. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. 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. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Get Emergency Care (Teledentistry) . Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. 54. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Not Registered? Get access to your member portal. BCBSMT and go2dental.com are separate companies. Blue Care Network 20500 Civic Center Dr. Southfield, MI 48076 Group number: 001243160001 Consider a Health Care Flexible Spending Account If you are eligible, you may want to consider enrolling in a pre-tax health care Flexible Spending Account (FSA) to complement your health plan. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 BCBSOK and go2dental.com are separate companies. oral structure or require other specialized denture services may be referred to a Prosthodontist. Determine approximate dental fees in the marketplace with the Dental Cost Advisor SM; Log in to Blue Access for Employers SM and visit the Health and Wellness tab within the Employer Resources section, or contact your Blue Cross and Blue Shield representative to find out more about how BlueCare Dental Connection can add value to your group's . Blue Cross NC Dental Products and Network Overview 8 a.m. to noon and 1 to 5 p.m. Provider Inquiry Mail Code 0301 Detroit, MI 48232-4248, Provider Inquiry For example, to search Cigna Dental Insurance Plans* Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Individuals attempting unauthorized access will be prosecuted. Coverage for treatments varies depending on the member's benefit plan. 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).

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