Monday through Friday. California Dental Network Provider Login . Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Returning Shopper? 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). Hospitals or facilities: 1-800-249-5103 Get access to your agent portal.Register Now. The above is a listing of common services available through your network of Participating Dentists. Masshealth Dental Provider Login . L07B If you don't have an account yet, you can check claims for BCBSM patients with our automated system. We have several tools and resources available to help you make informed decisions about your plan and make the most of your BCBS FEP Dental coverage. 8 a.m. to noon and 1 to 5 p.m. Are you unable to find your provider in the search results? Individuals attempting unauthorized access will be prosecuted. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. If you have a question, please call Customer Service at 1-855-504-BLUE. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. to this type of specialist. Blue Cross Blue Shield of Michigan Not all Endodontists will provide endodontic services 2022 BlueCare Dental PPO (Small Group) Plans. For details on a provider's in-network status or your own policy's coverage, contact your Local Blue Plan and ask your provider before making an appointment. Most PDF readers are a free download. In addition, some sites may require you to agree to their terms of use and privacy policy. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Just keep in mind you'll need to go through the prompts before you're connected to someone. Contact customer service, Heritage Provider service: 1-800-252-2053. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * Dentists in the DPPO network have agreed to pre-determined fees for their services. 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 Use our search form to find a dentist quickly and easily. 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 also offer two Dental PPO benefit structures. Gujarati, Step 6: Tell the system the total amount charged. That means better service and better care for your patients. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. an appointment. What you need to know about the coronavirus, COVID-19. 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 . 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). Questions About Your Benefits? Enter a partial or full name along with the Specialty and Location. Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. Just use our online search. Referrals to a hospital From April 1 to September 30, on weekends and holidays you may be required to leave a message. View our map (PDF). Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. Federal Employee Program providers and facilities: 1-800-840-4505. 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). [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. also provide more specialty services, like root canals, extractions, and dentures, Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Box 33248 Blue Cross Blue Shield FEP Dental Blue Care Network You may access the Nondiscrimination and Accessibility notice Get access to your agent portal. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. 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. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. In addition, some sites may require you to agree to their terms of use and privacy policy. If you visit a provider or location that is not in your network, you will pay more of the cost. You are entitled to obtain a detailed understanding of additional services or assistance that the 232 S Capitol Ave ACCESS MANUALS. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Monday through Friday. Family Medicine. The network is available through contracted general dentists and specialists throughout Arizona. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Pediatric Dentists specialize in dental treatment for young and special needs children. 8 a.m. to 7 p.m. The site may also contain non-Medicare related information. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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. Monday through Friday. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental 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 . External link You are leaving this website/app (site). For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. Some General Dentists Southfield, MI 48075, 1-877-293-2788 8 a.m. to 6 p.m. Get fast, easy access to everything you need when you log in to the secured provider portal. State and Federal Privacy laws prohibit unauthorized access to Member's private information. BCBSTX assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center website; go2dental.com issolely responsible for the content and any advice given on its website. For more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945. The automated system is available anytime. BCBSMT and go2dental.com are separate companies. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Where can I get dental costs and information? Box 310166 Provider Inquiry is for registered, nonregistered and out-of-state providers. 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. Step 1: Say "claims" when the system asks why you're calling. Out-of-network dentists do not participate in any arrangement with Blue Cross. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. 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). In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. Step 5: Tell the system the date of service. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. If you don't have an account yet, you can check claims for with our automated system. Learn more about Blue Dental plans by calling the number on the back of your member ID card. If you are a BCBSTX member and have questions about your health care plan benefits, check with your group benefits administrator or contact Customer Service at the number listed on your BCBSTX member ID card. Sun Life Dental Login . Step 5:Tell the system the date of service provided. 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. Get health assessments, treatment support, and help understanding your plan. Vision and hearing providers: 1-800-482-4047. Get access to your online account. Heres how they compare. Get access to your online account. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. Get access to your member portal. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. BCBSTX and go2dental.com are separate companies. For example, if you have questions about dental care, talk with your dentist. Get access to your member portal. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. 2021 BlueCare Dental PPO (Mid-Market) Plans. 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. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. The above is a listing of common services available through your network of Participating Dentists. Get access to your agent portal.Register Now. 8:30 a.m. to noon and 1 to 5 p.m. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 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. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. The information on this other site does not replace professional health care. 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. Federal Employee Program providers and facilities: 1-800-482-3600 Register Now, Learn more about registering for our web tools. You can also talk to your provider consultant. Quickly find a general dentist or specialist. BCBSTX and go2dental.com are separate companies. 20500 Civic Center Drive Though General Dentists can often perform some Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans GEHA's mantra is PREVENTIVE HEALTH CARE. Members. 1-800-482-5982 While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an account. Dr. Michael David Stout, MD. When you're contracted with us you have access to a provider consultant. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. How do I submit a prior authorization request? , This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. If your General 1-888-826-8152 Do you have questions about dental benefits not answered here? Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. takes the health and well-being of our members, providers, our associates and our business partners seriously. The network providers listed in this directory have agreed to provide you with your health care and dental services. In addition, some sites may require you to agree to their terms of use and privacy policy. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Access Your Payment Options. 2023 BlueCare Dental PPO (Small Group) Plans. 1-877-258-0167 Register Now, 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 will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Not registered? Box 32593 Most Pediatric Dentists provide different levels of sedation, when needed, and some even There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Log In to Availity Don't have an Availity account? The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Monday through Friday 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 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. The automated system is available anytime. To view this file, you may need to install a PDF reader program. Just use our online search. 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. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Providers | BlueCare Tennessee As a BlueCare Tennessee network provider dedicated to the health of your patients and our members, you'll find what you need here for your office or facility. Marquette, MI 49855, Employee Inquiry 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. You can see dental providers in this network knowing your costs are the lowest. 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. P, Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Italiano, If your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. We provide health insurance in Michigan. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . 1-855-504-2583 That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Automated information is available anytime. 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. 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. Monday through Friday Box 69436, Harrisburg, PA 17106-9436. This new site may be offered by a vendor or an independent third party. The search results will supply: The search may also provide their website, address and office hours. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. State and Federal Privacy laws prohibit unauthorized access to Member's private information. , If you have a health plan and a dental plan, keep in mind that dental plans and health plans have different networks and different benefits. Detroit, MI 48226. 8:30 a.m. to noon and 1 to 5 p.m. Register Now, Not registered? Many Periodontists also provide dental implant services. Grand Rapids, MI 49523-0589, Provider Inquiry as well as treatment services, like fillings and crowns. Note: The FEP phone system has a different set of prompts than the others. Blue Cross Blue Shield of Michigan Online tools provide you with information and support anytime. Get access to your online account.Register Now, Not registered? Call our Member Services department Monday - Friday from 8 am to 5 pm. Fully Insured Small Group Summary of Dental Benefits. P.O. The search results will supply: Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Your first stop will usually be a General Dentist. Dr. Michael J. Buckley, MD. Register Now, Not registered? Monday through Friday. 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. D/B/A Florida Blue. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 1-877-258-0167 Enter your City and State or Zip Code and desired Radius. Find a Dentist. Agents. Each account comes with tools that let you quickly and easily get your work done. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. 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 . Blue Dental SM PPO Plus 80/60/50 With Vision This plan offers coverage for in- or out-of-network dentists for the entire family, plus adult vision coverage. Dental Plans. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Not Registered? Choose a dental network from the list below to search for a dentist. Blue Care Network If youre a professional provider office, you have access to a provider consultant. 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. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. referring those over a certain age to continue their dental care with a General Dentist. 20500 Civic Center Drive Box 230589 Get access to your online account.Register Now, Not registered? Nominate your provider for inclusion in our network! Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. BCBSIL and go2dental.com are separate companies. 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 . You can write to us by matching your area code with the relevant mailing address. If you call before 30 days, we may not be able to check your claim through our automated phone system. 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. The site may also contain non-Medicare related information. If youre an administrative office of a medical care group, you have access to a professional organization consultant. External link You are leaving this website/app (site). TTY users: To reach any number listed here, dial 711. Franais, Submit prior authorization requestselectronicallythrough CoverMyMeds. You can write to us by finding your ZIP code with the relevant mailing address. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Box 68753 Monday through Friday. The content on the Dental Wellness Center website is provided by go2dental.com. Detroit, MI 48232-0593, UB-04 claims Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. provider(s) office is able to offer in support of the patient's specific needs under the Federal American like alveoplasties or cleft lip/palate surgery. More detailed searches are possible by clicking on More Search Options. 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. All here in your neighborhood. Find a dentist. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. Need more information? Within the United States, to search for a dentist by location, supply your city (optional) and state. The content on the Dental Wellness Center website is provided by go2dental.com . Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Say "another contract" to inquire on another contract. Learn more about eligibility and resources for uniformed service members transitioning to retirement. The information on this other site may not always state the views of BCBSTX. , General Dentists who don't provide denture services in their clinics may also refer patients Automated information is available anytime. Dental care is part of the head-to-toe coverage available for our members. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Get access to your employer portal. Box 2227 Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association NOT FOR DISTRIBUTION TO BENEFICIARIES, MEMBERS, OR PROSPECTS BlueCare Dental Classic Plans 1,2 BlueCare Dental Classic plans cover only one person per policy. . As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. 8:30 a.m. to 6 p.m. Detroit, MI 48231-2599, Blue Cross Complete claims 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). Not Registered? Note:It can take up to 30 days for a claim to be processed. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. 1-800-249-5103 To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Get access to your employer portal. Call our customer service number on the back of your ID card to report information that is wrong. 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 . Dentist cannot provide the treatment you need, they may refer you to a specialist. Take a class. If you need more information, you can transfer to a customer service representative during business hours. Say "representative" to reach someone who can help. Most PDF readers are a free download. 8 a.m. to 4 p.m. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. London, KY 40742. Lansing, MI 48933. General Dentistry, Oral & Maxillofacial Surgery. Monday through Friday. Tagalog, Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. The network is available through contracted general dentists and specialists throughout Arizona. The content on the Dental Wellness Center website is provided by go2dental.com .
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