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Choose your location to get started. including Payor Name and Complete Address. Review medical and pharmacy benefits for up to three years. Pay by mail. Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. Phone: 1-877-268-3384. 8 a.m. to 4 p.m. 4 0 obj
You can write to us by finding your area code with the relevant mailing address. trailer
Dental Prime & Complete Login EasyPay Forms Library . Compare plans available in your area and apply today. Register Now, Not registered? You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. 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. =6e You can use this insurance payer id lookup tool to search the verified latest payer ID information of all insurances in USA. Monday through Friday, 1-800-431-1059 Have you used our online dental claims, eligibility, and benefits website? Health equity means that everyone has the chance to be their healthiest. There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 . 0000165070 00000 n
Blue Care Network How do Medigap plans and Medicare Advantage plans differ? Please update your browser if the service fails to run our website. xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| 0000209289 00000 n
You'll need to use e-referral for Medicare Plus Blue authorization requests. Choose your location to get started. 2022 Provider fee schedule notification - Anthem Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. P.O. 2 0 obj
; Box 2227 kC_2=PjoY(Xh7zn#c[,1BCCYK$hRLY4b@YTY(9d6;=Ds=!yN[*CopV:+$ Y5p^_3,P Step 2: Answer the prompts about your patient and whether you provided care in Michigan. If you need additional guidance, read the Dentaquest Dental Manual (PDF). Read more in the Communications section below. Medicare Advantage, or Medicare part C, is a form of private Medicare insurance sold by companies like Anthem. 0000000962 00000 n
You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. 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. Anthem Blue Cross and Blue Shield Provider Maintenance Form Anthem members may log into an online portal to find participating dentists, dental offices and more. 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 Monday through Friday. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. 232 S Capitol Ave 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. Step 6: Tell the system the total amount charged. Box 68753 Lansing, MI 48933. Call our Customer Service number, (TTY: 711). 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. Dentist's Social Security number or T.I.N. We use Availity Essentials as our provider portal. Become a direct submitter with the Availity EDI clearinghouse. Use the company's online search tool to find Anthem dental providers near you. 0000000016 00000 n
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. 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. stream
PDF Your Summary of Benefits Anthem Dental Complete - Mt. San Jacinto College You can also visit. You can also visit bcbs.com to find resources for other states. Step 5: Tell the system the date of service. Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. Hospitals or facilities: 1-800-249-5103 Electronic remittance advice (835) The 835 eliminates the need for paper remittance reconciliation. %PDF-1.7
Say "no" when asked if you have additional questions about the determination of a claim. 1-800-822-2761 You can also set up reminders, so you never miss a payment. Get access to your online account. Southfield, MI 48075. 0000012343 00000 n
When the admin is ready to register, choose the. Hospitals or facilities: 1-800-249-5103. 8:30 a.m. to 4:30 p.m. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Healthcare Solutions. The 835 eliminates the need for paper remittance reconciliation. Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. Note:It can take up to 30 days for a claim to be processed. Essential Vision providerssubmit claims throughHeritage Vision Plan. 1-855-504-2583 You can write to us by matching your area code with the relevant mailing address. It looks like you're in . Blue Cross Blue Shield of Michigan Family Dental Insurance Plans | Anthem Box 312599 Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. Box 68710 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). Say "claims" when the system asks why you're calling. Your browser is not supported. Finding a dentist is easy. <]>>
Log in to your member account and enter your banking information to make premium payments online. On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. A premium is the amount you pay to Anthem to keep your coverage active. Automated information is available anytime. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. If you no longer qualify, we can connect you to the right options for you and your family. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. Monday through Friday 2 0 obj
Learn about dental plan options that cover orthodontia, dentures, and more. 1-800-482-4047 Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . Not connected with or endorsed by the U.S. Government or the federal Medicare program. The purpose of this communication is the solicitation of insurance. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Select your organization type and complete the registration process. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. If the insurance company you work with isnt on the list or if they are on the list, but dont provide the service you want, tell us about it. 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. Learn How To Use Your Anthem ID Card. Upload files through secure file transfer protocol (SFTP) or through the Availity Portal. 0000017313 00000 n
Understand your care options ahead of time so you can save time and money. 0000110519 00000 n
You can also set up automatic bill pay to make convenient, automatic payments through your online account. P.O. lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" 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. . If you call before 30 days, we may not be able to check your claim through our automated phone system. Anthem makes it easy to find dental providers. Pay by phone. We look forward to working with you to provide quality service for our members. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>>
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Step 6:Tell the system the total amount charged. (Special Enrollment). 8 a.m. to noon and 1 to 5 p.m. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 0000001380 00000 n
If you're not a Blue Vision provider, send claims to: VSP The automated system is available anytime. Explore programs available in your state. stream
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The resources on this page are specific to your state. 711. Just keep in mind you'll need to go through the prompts before you're connected to someone. UI(g!q-)po Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. The resources for our providers may differ between states. $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000016903 00000 n
Medicare Complaints, Grievances & Appeals. 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 . Not registered? As of November 1, 2021, use Blue Vision providers submit claims electronically directly toVSP. Medicaid renewals are starting. 0
Medicare Complaints, Grievances & Appeals. Monday through Friday Anthem Blue Cross and Blue Shield Healthcare Solutions Member. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. 0000016728 00000 n
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Box 7355 Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Individuals attempting unauthorized access will be prosecuted. Detroit, MI 48232-0593, UB-04 claims Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. 1-800-482-5982 For costs and complete details of the coverage, please contact your agent or the health plan. A third-party practice or revenue cycle management system capable of generating EDI batch files is required. Facility and Special Programs Monday through Friday 837- Dental Claims 835- Electronic Remittance Advice . Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Once account is verified, admin will agree to the disclaimer, set up security questions, and change password and set up authorized users. 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. If youre a professional provider office, you have access to a provider consultant. The automated system is available anytime. Box 310166 To stay covered, Medicaid members will need to take action. <>
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. 8:30 a.m. to 6 p.m. Blue Cross Complete claims P.O. Practice Development, Training and Coaching, Do Not Sell or Share My Personal Information, Custom Design Benefits Inc. of OH (Claims are printed & mailed), MBA Benefit Administrators (Salt Lake, UT), Blue Cross Blue Shield of Nevada (No FEP Claims), BCBS of Georgia FEP (Colorado Springs, CO), Trigon Blue Cross Blue Shield- Colorado Dental, Blue Cross Blue Shield of Connecticut (Anthem), Blue Cross Blue Shield of Indiana (Anthem), Blue Cross Blue Shield of Indiana FEP (Anthem), Blue Cross Blue shield of Kentucky (Anthem), Blue Cross Blue Shield of Kentucky FEP (Anthem), Blue Cross Blue Shield of New Hampshire (Anthem), Blue Cross Blue Shield of Ohio FEP (Anthem), Children's of Women Vietnam Veterans-VA HAC. Understand your care options ahead of time so you can save time and money. If your state isn't listed, check out bcbs.com to find coverage in your area. You can also talk to your provider consultant. 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 If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Our EFT system is now available. 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. 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 . Talk to a licensed agent: Select a state to update this screen with information more relevant to you. Use our app, Sydney Health, to start a Live Chat. Verify patient eligibility and benefits /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 415 S. McClellan Ave. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Check ereferrals.bcbsm.com for detailed prior authorization information. 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 . ~0 rj HAPqkt^g?BUVEVdz9H$3vc+.YwA_w&^0|$S3`E`+,87E"> $u5}EyM `<7,schBOo/ET"]SH~ ,5gy;fWh/w
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Among the most popular extra benefits is dental coverage. Explore our resources. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Dental Provider Resources | Anthem.com Find information that's tailored for you. Lets make healthy happen. oCol1uvs3. Step 1: Say "claims" when the system asks why you're calling. You will see these in the sections marked with Enrollment i.e. Get access to your employer portal. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Older adults with tooth loss often ask, "Does Medicare cover dentures?" Our automated interactive voice response system provides claims, benefit and cost-share information. Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. Payer IDs route EDI transactions to the appropriate payer. 8 a.m. to 7 p.m. Monday through Friday. 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. Electronic Payer ID: 07000. Call our Customer Service number, (TTY: 711). Anthem Life members can call 855-383-7247 to pay by phone. You can find yours by selecting your region below. xref
Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More Individual & Family Plans. 0000009101 00000 n
8 a.m. to noon and 1 to 5 p.m. A licensed Medicare insurance agent can help you gather information about available plans in your area from Anthem and other carriers that include dental coverage and can produce a list of local dental providers who accept Anthem insurance. 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. L07B Choose an administrator to register your organization. Say "another member" to inquire on another member. Call our Customer Service number, (TTY: 711). Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? A Payer ID routes electronic data transactions to the appropriate payer. . endobj
You can verify or update your address by logging in to your member account. Anthem Bill Pay | How to Pay Your Anthem Bill | Anthem Log in to https://www.availity.com. Get Started. Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield %
For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Need to submit a claim? Blue Cross Blue Shield of Michigan 0000017534 00000 n
But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. For dental coverage through a Medicare Advantage plan, you must enroll during certain times of the year such as when you first become eligible for Original Medicare or during the Annual Enrollment Period that takes place each fall. Find out if your dentist is in our network. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Note: The FEP phone system has a different set of prompts than the others. PDF Dental Claim Form - Rancho Santiago Community College District 0000002346 00000 n
(For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. Contact will be made by an insurance agent or insurance company. Get access to your agent portal.Register Now. 8 a.m. to 5 p.m. 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. Our web portalpowered by Availitymakes doing business with Anthem even easier. A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, Availity EDI Connection Services Startup Guide, Anthem Blue Cross and Blue Shield Healthcare Solutions. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). 1 0 obj
State and Federal Privacy laws prohibit unauthorized access to Member's private information. dw?XY/A::L2}at\h@MeD@EeP$n;fyX k~rzf;jf2kP
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#$X!7octxpw"w{&\6@:F|-! You can search by Payor Name or Payor ID. Available for iOS and Android devices. Use the companys online search tool to find Anthem dental providers near you. Work with your vendor to ensure connection to the Availity EDI Gateway. 0000016383 00000 n
Pay by phone. xA 04hFz\GczC. 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. View our map (PDF). 8:30 a.m. to noon and 1 to 5 p.m. Type at least three letters and we will start finding suggestions for you. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Select organization and choose Submit. Payer Name and ID Your payer name is Anthem BC California and the payer ID is 47198 (If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID . ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Your online account is a powerful tool for managing every aspect of your health insurance plan. Box 7355 Find a Medicare plan that fits your healthcare needs and your budget. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Monday through Friday, Care Management--Mail Code C355 enrollsafe.payeehub.org to register and manage EFT account changes. 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. We offer affordable health, dental, and vision coverage to fit your budget. 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. On the Applications tab, select Provider Online Reporting. 0000001729 00000 n
PDF Quick tips to filing a complete and correct professional claim !T@
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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 How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees. Log in to your account to know if you are covered and how much you may need to pay. Grand Rapids, MI 49523-0589, Provider Inquiry We currently don't offer resources in your area, but you can select an option below to see information for that state. Price a medication, find a pharmacy,order auto refills, and more. Blue Cross Blue Shield of Michigan Submit prior authorization requestselectronicallythrough CoverMyMeds. 1-800-249-5103 711. Tax ID or Social Security number ready before calling. Anthem Blue Cross and Blue Shield - Kentucky - BCBS: SB660: APAC CUSTOMER SERVICES INC - WORK COMP: We offer flexible group insurance plans for any size business. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. %%EOF
Taking time for routine mammograms is an important part of staying healthy. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. 8 a.m. to noon and 1 to 5 p.m. If you will be submitting claims to a payor that has the Special Enrollment notation. The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. 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. After you apply: There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. }-k>OwA5y6
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We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. 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. 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. : Refers to dentist or dental entity in box #42. Register Now, Not registered? You can find yours by selecting your region: Not sure which region you're in? [/PDF /Text /ImageB /ImageC /ImageI]
1-877-258-0167 Plus, you may qualify for financial help to lower your health coverage costs. Dental Provider Resources | Anthem.com 3 0 obj
Anthem makes it easy to find dental providers. All rights reserved. P.O. PO Box 385018 Large Group 0000209043 00000 n
Corporate Address: Delta Dental of Minnesota Register Now, Learn more about registering for our web tools. o The billing provider's complete name, address, and phone number must be in . Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Payer Lists | Change Healthcare - Support Get access to your online account.Register Now, Not registered? To select a dentist by name or location, do one of the following: Anthem Dental Family PPO Insurance Plans. For Providers: Contact us | BCBSM Choose Payer Spaces in the top menu bar. How to Submit a Claim - Home - Blue Cross and Blue Shield's Federal Copyright 2023 Henry Schein One. <>
You can search by Payor Name or Payor ID. We currently don't offer resources in your area, but you can select an option below to see information for that state.
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