blue care network dental providers

How can I learn more about my patients' eligibility? Verify patient eligibility and benefits Most PDF readers are a free download. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. referring those over a certain age to continue their dental care with a General Dentist. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Individuals attempting unauthorized access will be prosecuted. Most PDF readers are a free download. 8 a.m. to 4 p.m. Box 551, Minneapolis, MN 55440-0551. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. After you've enrolled, you can register for a provider portal account. 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. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Physicians and professionals: 1-800-344-8525 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. Get access to your online account. Monday through Friday 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. Oral health touches every aspect of our lives but is often taken for granted. Just use our online search. 8 a.m. to noon and 1 to 5 p.m. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Register Now, Not registered? To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Oral Surgeon / Oral & Maxillofacial Surgeon, Standard and High Option Plan Benefits and Premiums, Benefits when traveling outside the service area, Transferring care if your dentist is no longer part of the network. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. This other site may have information about: Please note that your health plan may not cover the items found on this other site. Ting Vit, Keep in mind Note:It can take up to 30 days for a claim to be processed. It can also send you a copy of your claim's status. P, L07B Leverage your professional network, and get hired. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Deutsche, Get access to your employer portal. Step 5: Tell the system the date of service. Box 7355 Family Medicine. You can write to us by finding your ZIP code with the relevant mailing address. Enroll today and your coverage can start as soon as next month. Lansing, MI 48933. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Grand Rapids, MI 49516-8710, BCN Advantage Claims You are entitled to obtain a detailed understanding of additional services or assistance that the 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. Periodontists specialize in gums and gum disease. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Just keep in mind you'll need to go through the prompts before you're connected to someone. Our nationwide plans are available to almost anyone. New Clinic Manager jobs added daily. Don't have a secured provider portal account yet? Providers in the network are not available to provide dental services that are available under medical plans, such as, dental accidents and pediatrics dental services. As an alternative, you may enter a ZIP code. Detroit, MI 48226. Behavioral Health Services. A dentist may refer you When you're contracted with us you have access to a provider consultant. 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. Both benefit plan options pay network dentist at SMA; however, one plan pays out-of-network dentists at SMA and the other pays at U&C. Get health assessments, treatment support, and help understanding your plan. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Over-the-Counter Tests Expand All | Collapse All We also offer two Dental PPO benefit structures. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. One option is Adobe Reader which has a built-in reader. Think of it like a credit union -- exists to serve its membership - NOT for profit. Locate a dentist or dental specialist in the BCBS FEP Dental network. 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. Online tools provide you with information and support anytime. Find in-network dentists, too, in a few short steps. What you need to know about the coronavirus, COVID-19. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. 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. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Individuals attempting unauthorized access will be prosecuted. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Not sure which region you're in? Say "representative" to reach someone who can help. Not Registered? Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Automated information is available anytime. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. 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. takes the health and well-being of our members, providers, our associates and our business partners seriously. Monday through Friday google drive shared folder empty The Blue Cross Blue Shield of Georgia Premier Plus PPO health care plans offer the highest level of benefits available. If your General Dentist feels that you require a specialist, ---OR---------------------------------------------------------, ---OR-------------------------------------------. Federal Employee Program providers and facilities: 1-800-482-3600 If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. provider(s) office is able to offer in support of the patient's specific needs under the Federal American In addition, some sites may require you to agree to their terms of use and privacy policy. with orofacial skin. Need help understanding our plans? . DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. The network is available through contracted general dentists and specialists throughout Arizona. 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. In addition, some sites may require you to agree to their terms of use and privacy policy. Say "no" when asked if you have additional questions about the determination of a claim. 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 provide dental claim and network administration services for Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas, as well as . 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. The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists (specialists in diseases of the nerve within the tooth) and periodontists (specialists in diseases of the gums and tissues). 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Physicians and professionals: 1-800-344-8525 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 . Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? You can use our automated system to reach a representative to discuss your claim's outcome. BlueCare Dental Classic Basic3 In Network Out of Network In Network Out of Network In Network Out of Network Monthly Rates for BlueCare Dental Classic 6 Region 1 7 Region 2 8 Region 1 7 Region 2 8 Region 1 7 Region 2 8 Individual Member $59.64 $54.98 $34.76 $31.85 $21.55 $19.27 Diagnostic Evaluations 100% 4100% 80% 80% 100% 4100% Blue Vision providers submit claims electronically directly toVSP. Learn more >, Not registered? Automated information is available anytime. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. When a ZIP code is supplied, the city and state values are ignored. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? 1. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Just keep in mind you'll need to go through the prompts before you're connected to someone. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. Get access to your employer portal. Monday through Friday. Step 5:Tell the system the date of service provided. 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. Enter your City and State or Zip Code and desired Radius. Agents. They can also see any dental specialist within the network without a referral. BCBS FEP Dental has nearly half a million provider access points nationwide to receive in-network services, a customer service team dedicated to exceeding your expectations, online tools to make your life easier, and a variety of options and benefits to meet your needs. The search results will supply: Get access to your member portal. Vision and hearing providers: 1-800-482-4047 that insurance benefits for orthodontia can vary depending on the patient's age, so make Returning Shopper? 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. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Some General Dentists Within the United States, to search for a dentist by location, supply your city (optional) and state. Heres how they compare. . We provide health insurance in Michigan. Blue Cross, Blue Shield and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Our plans include BlueCare SM, TennCare Select and CoverKids. This new site may be offered by a vendor or an independent third party. HMO subsidiary Blue Care Network proposes a 6.9. . Out-of-network dentists do not participate in any arrangement with Blue Cross. The full text or spelling is not required for the city and dentist name fields. 1-800-482-5982 When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. The network providers listed in this directory have agreed to provide you with your health care and dental services. Box 33248 Box 69436, Harrisburg, PA 17106-9436. Box 68710 Hospitals or facilities: 1-800-249-5103 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. Hospitals or facilities: 1-800-249-5103 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. sure to check your benefits before scheduling treatment. Register Now. as well as treatment services, like fillings and crowns. P.O. More detailed searches are possible by clicking on More Search Options. BlueCare TennCare health care plan for many lower income pregnant women, parents or caretaker relatives of minor children, children, seniors and Tennesseans with disabilities See more TennCare Select oral structure or require other specialized denture services may be referred to a Prosthodontist. Provider Finder Find a dentist in . Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices P.O. 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. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Provider Inquiry Mail Code 0301 Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), The automated system is available anytime. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. You can find yours by selecting your region: Not sure which region you're in? Sun Life Dental Login . Step 2: Answer the prompts about your patient and whether you provided care in Michigan. Get access to your member portal. Monday through Friday and Prevention (CDC), and state and local public health departments. Members pay less out-of-pocket and will not be balanced billed. ACCESS MANUALS. however, available treatment will vary for each provider. Detroit, MI 48231-2599, Blue Cross Complete claims The content on the Dental Wellness Center website is provided by go2dental.com . Questions About Your Benefits? For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. 1-877-258-0167 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. BlueCare Dental (Traditional National PPO) * P.O. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. Services from non -participating providers will be subject to the same allowable charges as those from participating . Click to view logins links, most visited site links, social handles and contact information etc. Dental Network Listing Augustyn, Mary TARA BOYLE DDS 10040 Woodland Rd Lenexa, KS 66220 (913) 768-6800 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: F Accepting new patients: Y Ayer, Dennis 2301 West 143rd St Leawood, KS 66224 (913) 246-3000 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: M Accepting new . Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Blue Cross Blue Shield is part of the Anthem family of brands, which features a vast network of dental providers located all over the U.S. Blue Cross Blue Shield Medicare Advantage (Medicare Part C) plans and Medicare plans from other Anthem brands can often cover a range of dental benefits. State and Federal Privacy laws prohibit unauthorized access to Member's private information. to this type of specialist. If you have an EPO plan, it only covers care you get from PPO in-network dentists. Most PDF readers are a free download. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). If you have a question, please call Customer Service at 1-855-504-BLUE. Though General Dentists can often perform some Say "another contract" to inquire on another contract. You should not think BCBSTX endorses all views you find on this other site. State and Federal Privacy laws prohibit unauthorized access to Member's private information. the head, neck, face, and jaws. Get access to your online account. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Get access to your agent portal. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Enroll year round. Log In to the Shopping Cart, Need to Make a Payment? Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic 1-888-826-8152 Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 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 We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Gujarati, 8 a.m. to 7 p.m. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Once you have located the . Dental Care websites are listed below. Just use our online search. 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 . Nominate your provider for inclusion in our network! 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. 1-877-258-0167 From April 1 to September 30, on weekends and holidays you may be required to leave a message. Pediatric Dentists specialize in dental treatment for young and special needs children. Marquette, MI 49855, Employee Inquiry That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Members may enroll in the plan only during specific times of the year. Box 2227 Box 32593 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 . Monday through Friday The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists (specialists in diseases of the nerve within the tooth) and periodontists (specialists in diseases of the gums and tissues). Tagalog, Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. The content on the Dental Wellness Center website is provided by go2dental.com. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. 1-800-344-8525 28 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. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. . BCBSTX and go2dental.com are separate companies. Not registered? Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. Step 6:Tell the system the total amount charged. Note: The FEP phone system has a different set of prompts than the others. The site may also contain non-Medicare related information. All here in your neighborhood. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Find a Dentist. Free aids and services for people with disabilities to communicate effectively with us, such as: Written information in other formats (such as accessible electronic formats). Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 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. It's more than just business when you join the Blue Cross network. More detailed searches are possible by clicking on More Search Options. The above is a listing of common services available through your network of Participating Dentists. Detroit, MI 48232-4248, Provider Inquiry That means better service and better care for your patients. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. The information on this other site does not replace professional health care. You are going to a different website. Blue Cross and Blue Shield of Illinois, aDivision 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). Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. This new site may be offered by a vendor or an independent third party. Hospitals or facilities: 1-800-249-5103. Each account comes with tools that let you quickly and easily get your work done. Delta Dental Il Employer Login . State and Federal Privacy laws prohibit unauthorized access to Member's private information. Blue Cross Blue Shield of Michigan BCBSTX is not liable or responsible for damage or injury to persons or property that result from the use of anything found on this other site such as: BCBSTX cannot guarantee the accuracy of any statements made on other websites. Southfield, MI 48075, 1-877-293-2788 Whether you're interested in joining our network or have already partnered with us, we're here to help. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Say "date of service" to learn about a different claim. 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. Enter a partial or full name along with the Specialty and Location. 20500 Civic Center Drive If your General Blue Cross Blue Shield of Michigan If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. 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). 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 .