If you need additional guidance, read the Dentaquest Dental Manual (PDF). Dentist cannot provide the treatment you need, they may refer you to a specialist. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Box 68753 Individuals attempting unauthorized access will be prosecuted. Blue Vision providers submit claims electronically directly toVSP. P.O. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. This new site may be offered by a vendor or an independent third party. Within the United States, to search for a dentist by location, supply your city (optional) and state. Hospitals or facilities: 1-800-249-5103 Enter your City and State or Zip Code and desired. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Keep in mind 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. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. 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). Access Your Payment Options. Calls will be returned the next business day. Think of it like a credit union -- exists to serve its membership - NOT for profit. Not all Endodontists will provide endodontic services Do you have questions about dental benefits not answered here? Submit prior authorization requestselectronicallythrough CoverMyMeds. Enroll year round. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Check to see if your dentist is in our network or choose from our many providers. Elevance Health, Inc. is an American health insurance provider. General Dentists can provide many preventive services, like exams and cleanings, 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. A General Dentist will refer patients to an Oral Pathologist for assistance in If you call before 30 days, we may not be able to check your claim through our automated phone system. In addition, some sites may require you to agree to their terms of use and privacy policy. Blue Cross Blue Shield FEP Dental Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans When you enroll, you'll partner with us to care for a large and diverse membership. Essential Vision providerssubmit claims throughHeritage Vision Plan. Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Register Now, Not registered? to this type of specialist. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . view our International Directory. Get health assessments, treatment support, and help understanding your plan. Referrals to a hospital 1-800-344-8525 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. Contact the plan for more information. BCBSOK and go2dental.com are separate companies. 1. Behavioral Health Services. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. The information on this other site may not always state the views of BCBSTX. Register Now, Not registered? 1-888-803-4960 8 a.m. to 5 p.m. The content on the Dental Wellness Center website is provided by go2dental.com. 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. 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. Passive plan options pay out-of-network dental services at U&C. 8:30 a.m. to noon and 1 to 5 p.m. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. Note:It can take up to 30 days for a claim to be processed. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 1-800-822-2761 During this unprecedented time, we're taking action to support our members. You can find yours by selecting your region: Not sure which region you're in? P.O. The search results will supply: The search may also provide their website, address and office hours. To view this file, you may need to install a PDF reader program. Or, you can call 1 (855) 352-1604 for a free quote, Mon-Fri, 8 am - 8 pm, ET When is Cigna Dental Insurance right for you? As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Sun Life Dental Login . Adult Dental Services Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Ask A Dentist Ask licensed dentist questions about dental care. Blue Cross Blue Shield of Arizona. Verify patient eligibility and benefits It links network providers and Blue Cross Blue Shield Plans across the country and around the world. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. 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. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. 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 . diagnosing oral abnormalities and disease. Our nationwide plans are available to almost anyone. You may access the Nondiscrimination and Accessibility notice Monday through Friday MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Online tools provide you with information and support anytime. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. You can register here. Box 2227 Get access to your online account. Get access to your online account.Register Now, Not registered? Monday through Friday Tagalog, For Providers: Contact Us 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. Physicians and professionals: 1-800-344-8525 Blue Dental PPO Plans State and Federal Privacy laws prohibit unauthorized access to Member's private information. oral structure or require other specialized denture services may be referred to a Prosthodontist. 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. patients to a Periodontist when they are in need of more intensive treatment. HMO subsidiary Blue Care Network proposes a 6.9. . Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. the head, neck, face, and jaws. Log In to the Shopping Cart, Need to Make a Payment? Box 7355 Register Now, Not registered? DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. . here.Language Assistance Available: Espaol, One option is Adobe Reader which has a built-in reader. Hospitals or facilities: 1-800-249-5103 Facility and Special Programs 1-800-482-5982 BCBSTX and go2dental.com are separate companies. 8:30 a.m. to 4:30 p.m. The search results will supply: Need more information? Where can I get dental costs and information? 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. Monday through Friday Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . 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. 8:30 a.m. to noon and 1 to 5 p.m. This is only a brief list of the plan benefits. P, 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. For personal medical guidance, please consult your dentist and/or physician. Vision and hearing providers: 1-800-482-4047 Monday through Friday 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. Say "fax or email" to receive a copy of your claim's status. From April 1 to September 30, on weekends and holidays you may be required to leave a message. To view this file, you may need to install a PDF reader program. have privileges to provide services in a hospital setting. You can use our automated system to reach a representative to discuss your claim's outcome. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Health Savings Accounts and Health Care Accounts, 2023 BlueCare Dental PPO (Small Group) Plans, 2022 BlueCare Dental PPO Small Group SBCs, savings for employers and their employees, out-of-network claims paid at SMA or usual and customary (U&C). Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Check ereferrals.bcbsm.com for detailed prior authorization information. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Dental care is part of the head-to-toe coverage available for our members. 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 . on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. 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). 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. Blue Cross NC Dental Products and Network Overview P.O. , There's no coverage when you see Blue Par Select or out-of-network dentists. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. The above is a listing of common services available through your network of Participating Dentists. Blue Cross Blue Shield of Michigan After you've enrolled, you can register for a provider portal account. In addition, some sites may require you to agree to their terms of use and privacy policy. You can find yours by selecting your region below. They can also see any dental specialist within the network without a referral. Detroit, MI 48232-4248, Provider Inquiry Step 6: Tell the system the total amount charged. 415 S. McClellan Ave. 20500 Civic Center Drive Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. they will provide you with a referral. 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. Detroit, MI 48226. In addition, some sites may require you to agree to their terms of use and privacy policy. Call our customer service number on the back of your ID card to report information that is wrong. 8 a.m. to 7 p.m. Choose a dental network from the list below to search for a dentist. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Don't have a secured provider portal account yet? Many specialists also 8 a.m. to noon and 1 to 5 p.m. Leverage your professional network, and get hired. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic Call DentaQuest (toll free) at 1-855-418-1622. Monday through Friday. Whether you're interested in joining our network or have already partnered with us, we're here to help. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Get access to your agent portal.Register Now.
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