lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" 11589 32 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. Work with your vendor to ensure connection to the Availity EDI Gateway. We also . Step 6: You will then be transferred to the servicing center for assistance. Hospitals or facilities: 1-800-249-5103 Among the most popular extra benefits is dental coverage. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. 1-800-482-5982 Facility and Special Programs Does Anthem Medicare Cover SilverSneakers? If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Blue Cross Blue Shield of Michigan Contact will be made by an insurance agent or insurance company. 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. 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 8:30 a.m. to noon and 1 to 5 p.m. Choose an administrator to register your organization. We provide health insurance in Michigan. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Anthem makes it easy to find dental providers. Blue Care Network Box 68753 Well try to get them added. Contact information for corporate headquarters. Individuals attempting unauthorized access will be prosecuted. 1-800-762-2382 You can find yours by selecting your region: Not sure which region you're in? 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. How to Submit a Claim - Home - Blue Cross and Blue Shield's Federal 8 a.m. to 4 p.m. Quickly and easily submit out-of-network claims online. 1-888-803-4960 Monday through Friday, Care Management--Mail Code C355 Call our Customer Service number, (TTY: 711). We offer affordable health, dental, and vision coverage to fit your budget. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. Medicare members have the same convenient access to online bill pay. PDF Payer ID Payer Name Enrollment - ABILITY Network The automated system is available anytime. Payer Lists | Change Healthcare - Support The 835 eliminates the need for paper remittance reconciliation. P.O. 0000012343 00000 n If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. Say "fax or email" to receive a copy of your claim's status. Essential Vision providerssubmit claims throughHeritage Vision Plan. To select a dentist by name or location, do one of the following: stream You can write to us by finding your ZIP code with the relevant mailing address. See our Medicare enrollment guide for more information about eligibility and enrollment dates. Register Now, Not registered? Your online account is a powerful tool for managing every aspect of your health insurance plan. Automated information is available anytime. Anthem makes it easy to find dental providers. For plan details, check out our dental family PPO insurance options today. Southfield, MI 48075. You can write to us by matching your area code with the relevant mailing address. oCol1uvs3. 0000016552 00000 n trailer 711. L07B Step 1: Say "claims" when the system asks why you're calling. Dentist's Social Security number or T.I.N. Anthem Bill Pay | How to Pay Your Anthem Bill | Anthem Physicians and professionals: 1-800-344-8525 Anthem members may log into an online portal to find participating dentists, dental offices and more. 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 . Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Not sure if a procedure is covered? ~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 We look forward to working with you to provide quality services to our members. 8:30 a.m. to noon and 1 to 5 p.m. 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. PDF Your Summary of Benefits Anthem Dental Complete - Mt. San Jacinto College Federal Employee Program providers and facilities: 1-800-840-4505. Register Now, Not registered? PDF Payer Identification Information Claims Processing Eligibility and }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y Pay by mail. Choose your location to get started. i|I:8B;OZcpZoW*0|d&2d!E%2e>w`<8}~x(C3(gm4_QT5 4qqpe.g^Eo2#||68JTr6gfm'Qi9+Sv77\ot32N$wV|Rzfu~ Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. X ]]sF}OUC?M% y$*VE7D;E= n2N% 9qOw 7bgQZcqP%iT;LQ*.fYGM**R%{u$a,?J:'IYfQ[oW]o6_~/~G@3)iY4%uTu z6'Odq>'tk 8 a.m. to 6 p.m. Vision and hearing providers: 1-800-482-4047. Blue Cross Blue Shield of Michigan PDF Availity Dental Payer List P.O. 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. Once account is verified, admin will agree to the disclaimer, set up security questions, and change password and set up authorized users. Not sure which region you're in? Find a Medicare plan that fits your healthcare needs and your budget. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. 20500 Civic Center Drive EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield 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. The resources for our providers may differ between states. Use our app, Sydney Health, to start a Live Chat. 1-888-826-8152 There may or may not be a premium for the plan as a whole. For costs and complete details of the coverage, please contact your agent or the health plan. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. How to Find Anthem Dental Providers | HelpAdvisor.com Don't have a secured provider portal account yet? You can also visit. You can also visit bcbs.com to find resources for other states. Dental Provider Resources Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| If you call before 30 days, we may not be able to check your claim through our automated phone system. Vision and hearing providers: 1-800-482-4047 If you're not a Blue Vision provider, send claims to: VSP Contact customer service, Heritage Provider service: 1-800-252-2053. For costs and complete details of the coverage, please contact your agent or the health plan. Step 6:Tell the system the total amount charged. 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. Anthem Life members can call 855-383-7247 to pay by phone. Electronic remittance advice (835) The 835 eliminates the need for paper remittance reconciliation. Choose your state below so that we can provide you with the most relevant information. Pay by phone. 1-800-482-4047 We look forward to working with you to provide quality service for our members. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. Our automated interactive voice response system provides claims, benefit and cost-share information. For costs and complete details of the coverage, please contact your agent or the health plan. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. %PDF-1.7 P.O. Anthem dental coverage can be found as a benefit of certain group or individual dental plans, or as part of an Anthem Medicare Advantage plan. 0000017759 00000 n Say "no" when asked if you have additional questions about the determination of a claim. Note:It can take up to 30 days for a claim to be processed. UI(g!q-)po Use existing clearinghouse or billing vendor. 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. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v04.27 . endobj Available for iOS and Android devices. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. It can also send you a copy of your claim's status. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. 8 a.m. to 7 p.m. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Start a Live Chat with one of our knowledgeable representatives. A third-party practice or revenue cycle management system capable of generating EDI batch files is required. 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. Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements 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). Blue Cross Blue Shield of Michigan If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. A green check box identifies which service is enabled for electronic participation for the payor you are searching for. (C) 2014 Tesia . Box 312599 You can also talk to your provider consultant. Automated information is available anytime. 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 PO Box 385018 Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available .
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