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. Individuals attempting unauthorized access will be prosecuted. Monday through Friday Check ereferrals.bcbsm.com for detailed prior authorization information. If you call before 30 days, we may not be able to check your claim through our automated phone system. <> Our resources vary by state. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Non-members can choose their state and see a directory of participating dental providers in their state and zip code. If your state isn't listed, check out bcbs.com to find coverage in your area. For costs and complete details of the coverage, please contact your agent or the health plan. xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Your online account is a powerful tool for managing every aspect of your health insurance plan. 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. out of your benefits, find the best healthcare, and stay healthy. 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. 11589 0 obj <> endobj Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. Southfield, MI 48075, 1-877-293-2788 A Payer ID routes electronic data transactions to the appropriate payer. 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. (Special Enrollment). %%EOF Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. PDF Payer 835 List - Electronic Dental Services Reduce reimbursement time with electronic insurance claims. Blue Care Network Detroit, MI 48231-2599, Blue Cross Complete claims Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Box 2227 The automated system is available anytime. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. 1-888-826-8152 Amway Corporate/Dental: 38255 Commercial: USA Anchor Benefit Consulting, Inc. 53085 USA: Antares Management Solutions 34192: Commercial USA: Anthem Blue Cross Blue Shield Connecticut 84105: Gov. Pay online. 11589 32 0000209289 00000 n 20500 Civic Center Drive 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. PO Box 385018 Don't have a secured provider portal account yet? Log in at availity.com. Physicians and professionals: 1-800-344-8525 Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. %PDF-1.5 % 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. Select the payer tile that corresponds to your market. 0000165417 00000 n 232 S Capitol Ave 0000017948 00000 n Or See our Medicare enrollment guide for more information about eligibility and enrollment dates. Member Resources: ID Cards, Billing, Claims, & More | Anthem Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield 0000017313 00000 n Blue Cross Complete claims P.O. Step 6: Tell the system the total amount charged. Blue Cross Complete of Michigan Taking time for routine mammograms is an important part of staying healthy. It can also send you a copy of your claim's status. 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. Monday through Friday. Automated information is available anytime. When you're contracted with us you have access to a provider consultant. 0000110838 00000 n Get access to your employer portal. Provider Communications NEVADA - providernews.anthem.com Or 8:30 a.m. to noon and 1 to 5 p.m. Choose an administrator to register your organization. Find yours in our list ofphysician organization consultants (PDF). 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 Get Started. The Payor Search Tool helps you identify the electronic connectivity for the Payors/Insurance companies you work with. Contact information for corporate headquarters. For California residents, CA-Do Not Sell My Personal Info, Click here. Our web portalpowered by Availitymakes doing business with Anthem even easier. Blue Cross Blue Shield of Michigan Well try to get them added. Use our app, Sydney Health, to start a Live Chat. 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. 1-877-258-0167 Hospitals or facilities: 1-800-249-5103 On the Applications tab, select Provider Online Reporting. UI(g!q-)po Admin should check email to verify account. Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. Monday through Friday. <]>> Automated information is available anytime. Not sure which region you're in? Federal Employee Program providers and facilities: 1-800-482-3600 Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield You can use our automated system to reach a representative to discuss your claim's outcome. 1-800-249-5103 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. 0000017534 00000 n Monday through Friday, Care Management--Mail Code C355 (ex.907000000) Dental Office Toolkit Helpline: . 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. 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 Payer Lists | Change Healthcare - Support One Woodward Avenue, Suite 2020 Contact will be made by an insurance agent or insurance company. 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. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. Learn How To Use Your Anthem ID Card. Note:It can take up to 30 days for a claim to be processed. Costs for covered services may increase when you visit a dentist outside the network. Medicaid renewals are starting. You can verify or update your address by logging in to your member account. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Step 5: Tell the system the date of service. 8 a.m. to noon and 1 to 5 p.m. Monday through Friday, Care Management--Mail Code C355 Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). 833-901-1364 (TTY: 711) Home. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. 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. We look forward to working with you to provide quality service for our members. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. Click on the and follow the instructions listed. Medicare members with Anthem Extras coverage can also access online bill pay for Anthem Extras. We provide health insurance in Michigan. Corporate Address: Delta Dental of Minnesota Need to submit a claim? <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 8 a.m. to noon and 1 to 5 p.m. The purpose of this communication is the solicitation of insurance. Birmingham, AL 35238-0518. 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. The automated system is available anytime. We currently don't offer resources in your area, but you can select an option below to see information for that state. How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees. PDF Dental Claim Form - Rancho Santiago Community College District Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. Just keep in mind you'll need to go through the prompts before you're connected to someone. 2022 Provider fee schedule notification - Anthem For costs and complete details of the coverage, please contact your agent or the health plan. Register Now, Not registered? P.O. Costs may vary by plan, so be sure to review all of your plan options first in order to find the best fit for your budget. 0000209043 00000 n 0000016552 00000 n Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. Say "another contract" to inquire on another contract. Make your first payment. 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 . Access your member ID card from our website or mobile app. 1-800-482-4047 The resources for our providers may differ between states. Box 7355 Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. The resources for our providers may differ between states. 711. 0000004309 00000 n 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. We offer affordable health, dental, and vision coverage to fit your budget. Blue Cross Blue Shield of Michigan [/PDF /Text /ImageB /ImageC /ImageI] Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. . ; Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . Anthem makes it easy to find dental providers. Blue Cross Blue Shield of Michigan Use the company's online search tool to find Anthem dental providers near you. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Payer name Anthem Blue Cross and Blue Shield Payer ID Professional: 00950 Facility: 00450 Availity supports the following HIPAA transactions: Healthcare Claim: Professional (837P) Healthcare Claim: Institutional (837I) Healthcare Claim: Dental (837D) Dental Insurance Eligibility - Payor Search | Dentrix Monday through Friday. Use the companys online search tool to find Anthem dental providers near you. 0000002346 00000 n Please contact Availity Client Services with any questions at 1-800-AVAILITY (282-4548). Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. Not connected with or endorsed by the U.S. Government or the federal Medicare program. For costs and complete details of the coverage, please contact your agent or the health plan. We offer flexible group insurance plans for any size business. There may or may not be a premium for the plan as a whole. You can find yours by selecting your region: Not sure which region you're in? We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. You can also visit. PDF Payer Identification Information Claims Information - Vyne Dental This includes a wide range of benefits, such as transportation services, a 24-hour nurse help line, vision, hearing and dental coverage. Lets make healthy happen. 2 0 obj Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements P.O. 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. Have you used our online dental claims, eligibility, and benefits website? 8:30 a.m. to noon and 1 to 5 p.m. Dental Provider Resources Dental Prime & Complete Login EasyPay Forms Library . Our automated interactive voice response system provides claims, benefit and cost-share information. including Payor Name and Complete Address. L07B Box 310166 11 0 obj The 835 eliminates the need for paper remittance reconciliation. 0000001729 00000 n 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. 11620 0 obj <>stream Explore our resources. The purpose of this communication is the solicitation of insurance. Phone: 1-877-268-3384. From pediatrics to adults, Anthems got you covered. You can also set up reminders, so you never miss a payment. P.O. <> The automated system is available anytime. Dental Insurance. 8:30 a.m. to 4:30 p.m. P.O. Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. Log in to https://www.availity.com. Pay by mail. 1 0 obj You can write to us by finding your area code with the relevant mailing address. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. ZeY6[+!LV/=C}J>O4L7 dw?XY/A::L2}at\h@MeD@EeP$n;fyX k~rzf;jf2kP `OT_u=^=Sp lPYTx Bv5lub .F-vmY- :O2u(N$E&p=([w|H(a~_7{rYU5l[M6\):GLu> 0000001380 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Verify patient eligibility and benefits Log in to your account to know if you are covered and how much you may need to pay. 0000007407 00000 n Dentist's Social Security number or T.I.N. If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| 1-800-344-8525 Box 7355 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. $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 Older adults with tooth loss often ask, "Does Medicare cover dentures?" We also . 415 S. McClellan Ave. Step 5: Tell the system the date of service provided. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Tax ID or Social Security number ready before calling. Box 7355 London, KY 40742 . 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g 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. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 711. Box 33248 The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). 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 Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Price a medication, find a pharmacy,order auto refills, and more. PDF Your Summary of Benefits Anthem Dental Complete endobj 1-877-258-0167 Note: The FEP phone system has a different set of prompts than the others. A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . You can also talk to your provider consultant. 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 The resources on this page are specific to your state. enrollsafe.payeehub.org to register and manage EFT account changes. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Understand your care options ahead of time so you can save time and money. Blue Vision providers submit claims electronically directly toVSP. View our map (PDF). 0000012343 00000 n . You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Federal Employee Program providers and facilities: 1-800-840-4505. 8 a.m. to 7 p.m. 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. Pay outstanding doctor bills and track online or in-person payments. 0000110519 00000 n 1-800-762-2382 Attention: Claim Processing PDF Payer Connection Payer List EDI for Providers | Anthem.com Box 68753 8:30 a.m. to 6 p.m. You can use this insurance payer id lookup tool to search the verified latest payer ID information of all insurances in USA. 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. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. You can write to us by matching your area code with the relevant mailing address. Copyright 2023 Henry Schein One. Anthem members may log into an online portal to find participating dentists, dental offices and more. 8 a.m. to noon and 1 to 5 p.m. If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. Large Group 1-855-504-2583 1-888-803-4960 You can search by Payor Name or Payor ID. Provide your mailing address to receive bills by mail. lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" % You can find yours by selecting your region below. Vision and hearing providers: 1-800-482-4047 Say "no" when asked if you have additional questions about the determination of a claim. P.O. London, KY 40742. Process claims faster by submitting coordination of benefits electronically and fix errors early with in-system notification and correction. 0000016903 00000 n Blue Cross Blue Shield of Michigan Choose Payer Spaces in the top menu bar. 837- Dental Claims 835- Electronic Remittance Advice . Explore programs available in your state. 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 Payer ID Payer Name Enrollment - ABILITY Network stream Hospitals or facilities: 1-800-249-5103. Looking for affordable family dental coverage? Choose your state below so that we can provide you with the most relevant information. . 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. 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). Upload files through secure file transfer protocol (SFTP) or through the Availity Portal. Health equity means that everyone has the chance to be their healthiest. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Please update your browser if the service fails to run our website. 0000016209 00000 n 2005 - 2023 copyright of Anthem Insurance Companies, Inc. 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. 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 Our EFT system is now available. Type at least three letters and we will start finding suggestions for you. 0000010692 00000 n 0000005966 00000 n Not sure if a procedure is covered? A third-party practice or revenue cycle management system capable of generating EDI batch files is required. Our resources vary by state. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. 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. (C) 2014 Tesia . 2005 - 2023 copyright of Anthem Insurance Companies, Inc. 8:30 a.m. to noon and 1 to 5 p.m. Compare plans available in your area and apply today. After you apply: Call our Customer Service number, (TTY: 711). If you need additional guidance, read the Dentaquest Dental Manual (PDF). Step 6: You will then be transferred to the servicing center for assistance. 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.
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