Pay outstanding doctor bills and track online or in-person payments. 711. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Dentrix provides superior front office, clinical and business management tools to make your practice more efficient, Get the support you need the way you want it. stream If youre an administrative office of a medical care group, you have access to a professional organization consultant. . Contact customer service, Heritage Provider service: 1-800-252-2053. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Southfield, MI 48075, 1-877-293-2788 ZeY6[+!LV/=C}J>O4L7 Medicare Advantage, or Medicare part C, is a form of private Medicare insurance sold by companies like Anthem. Available for iOS and Android devices. 0000164829 00000 n There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. The purpose of this communication is the solicitation of insurance. 1-844-876-7917 You can use our automated system to reach a representative to discuss your claim's outcome. P.O. Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . Dental Provider Resources Note: The FEP phone system has a different set of prompts than the others. As of November 1, 2021, use (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). You will see these in the sections marked with Enrollment i.e. Or Say "representative" to reach someone who can help. Not sure which region you're in? =6e Check ereferrals.bcbsm.com for detailed prior authorization information. Monday through Friday, Care Management--Mail Code C355 Or If you call before 30 days, we may not be able to check your claim through our automated phone system. }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x 837- Dental Claims 835- Electronic Remittance Advice . Process claims faster by submitting coordination of benefits electronically and fix errors early with in-system notification and correction. Box 32593 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> Monday through Friday Your online account is a powerful tool for managing every aspect of your health insurance plan. Provider ID #: Necessary when carriers assign unique numbers to providers that differ from the Social Security number or the tax payer identification number (T.I.N). See our Medicare enrollment guide for more information about eligibility and enrollment dates. Not connected with or endorsed by the U.S. Government or the federal Medicare program. 11589 32 . It can also send you a copy of your claim's status. Lansing, MI 48933. 0000016552 00000 n On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. 0000000962 00000 n This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 8 a.m. to 6 p.m. Blue Cross Blue Shield of Michigan You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. You can use this insurance payer id lookup tool to search the verified latest payer ID information of all insurances in USA. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. Need help finding the right plan? If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. 1-800-344-8525 Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. startxref There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. Electronic remittance advice (835) The 835 eliminates the need for paper remittance reconciliation. Phone: 1-877-268-3384. Taking time for routine mammograms is an important part of staying healthy. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Tax ID or Social Security number ready before calling. Choose an administrator to register your organization. Hospitals or facilities: 1-800-249-5103 Large Group Upload files through secure file transfer protocol (SFTP) or through the Availity Portal. Don't have a secured provider portal account yet? To stay covered, Medicaid members will need to take action. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. If your state isn't listed, check out bcbs.com to find coverage in your area. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Learn about dental plan options that cover orthodontia, dentures, and more. You can verify or update your address by logging in to your member account. Medicaid renewals are starting. Your browser is not supported. Explore our resources. Anthem members may log into an online portal to find participating dentists, dental offices and more. Individuals attempting unauthorized access will be prosecuted. For costs and complete details of the coverage, please contact your agent or the health plan. 0000013938 00000 n The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. 415 S. McClellan Ave. eServices Dental eClaims Payer List A and I Benefit Plan Administrators of Oregon 00933 Amway Corporation/Dental 38255 A PAPER CLAIM - BC/BS 99999 Anchor Benefit Consulting, Inc. 53085 A PAPER CLAIM - COMMERCIAL 00004 Anthem BCBS (IN, OH, KY, ME & NH) 84105 A PAPER CLAIM - DELTA DENTAL 99997 Anthem Blue Cross (CA) 01045 Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Detroit, MI 48226. If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. 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. 0000110519 00000 n 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Our resources vary by state. Not connected with or endorsed by the U.S. Government or the federal Medicare program. 711. Corporate Address: Delta Dental of Minnesota (Special Enrollment). 8 a.m. to 5 p.m. 0000017083 00000 n Contact will be made by an insurance agent or insurance company. Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. The Payor Search Tool helps you identify the electronic connectivity for the Payors/Insurance companies you work with. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Physicians and professionals: 1-800-344-8525 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. 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. Anthem makes it easy to find dental providers. 0000001380 00000 n 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. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. Dental Provider Resources | Anthem.com Find information that's tailored for you. Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. 45. Not connected with or endorsed by the U.S. Government or the federal Medicare program. trailer Start a Live Chat with one of our knowledgeable representatives. Box 33248 If youre a professional provider office, you have access to a provider consultant. Automated information is available anytime. 837- Dental Claims 835- Electronic Remittance Advice 276/277- Claim Status 270/271- Eligibility Request 275- Electronic Medical Attachments 278- Prior Authorizations and Referrals Payer Name and ID Your payer name is Anthem BCBS Nevada and the payer ID is 00265 (If you use a billing company or clearinghouse for your EDI transmissions, please . To view bills on your phone, download the AnthemSydneySM Healthapp. Compare plans available in your area and apply today. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. If you don't have an account yet, you can check claims for with our automated system. Submit prior authorization requestselectronicallythrough CoverMyMeds. The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Read more in the Communications section below. 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. i|I:8B;OZcpZoW*0|d&2d!E%2e>w`<8}~x(C3(gm4_QT5 4qqpe.g^Eo2#||68JTr6gfm'Qi9+Sv77\ot32N$wV|Rzfu~ A third-party practice or revenue cycle management system capable of generating EDI batch files is required. Detroit, MI 48231-2599, Blue Cross Complete claims endobj Explore programs available in your state. If you no longer qualify, we can connect you to the right options for you and your family. Select organization and choose Submit. 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. Say "no" when asked if you have additional questions about the determination of a claim. 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. You can find yours by selecting your region: Not sure which region you're in? 0000016728 00000 n Step 6: You will then be transferred to the servicing center for assistance. Log in at availity.com. Copyright 2023 Henry Schein One. Accept the User Agreement (once every 365 days). For California residents, CA-Do Not Sell My Personal Info, Click here. Costs for covered services may increase when you visit a dentist outside the network. Large Group New member? Not registered? Log in to your member account to access your payment options. %PDF-1.5 % Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. Box 310166 xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr 4 0 obj You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. 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. Blue Vision providers submit claims electronically directly toVSP. lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" For plan details, check out our dental family PPO insurance options today. Monday through Friday. EDI, including electronic remittance advices (ERAs) and electronic funds transfers (EFTs), allows for a faster, more efficient and cost-effective way for providers and employers to do business. It looks like you're in . Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). We use Availity Essentials as our provider portal. You can write to us by matching your area code with the relevant mailing address. 1-800-482-5982 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. The Internal Revenue Service requires that either the Social Automated information is available anytime. Say "claims" when the system asks why you're calling. 2 0 obj P.O. 20500 Civic Center Drive The purpose of this communication is the solicitation of insurance. . 8:30 a.m. to noon and 1 to 5 p.m. %%EOF Southfield, MI 48075. 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 Learn How To Use Your Anthem ID Card. Monday through Friday 8:30 a.m. to noon and 1 to 5 p.m. P.O. Use the Payor ID that Henry Schein ONE has listed for participation through our services. Business Profile Anthem Dental Dental Insurance Contact Information PO Box 659444 San Antonio, TX 78237 (866) 589-0578 Customer Complaints 1 complaints closed in last 3 years 1 complaints. Box 312599 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. Make your mental health a priority. You can also talk to your provider consultant. 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. 0000016383 00000 n Blue Cross Blue Shield of Michigan 0000110278 00000 n Box 7355 If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Or Looking for affordable family dental coverage? kC_2=PjoY(Xh7zn#c[,1BCCYK$hRLY4b@YTY(9d6;=Ds=!yN[*CopV:+$ Y5p^_3,P 11620 0 obj <>stream 0000010692 00000 n You can use Anthem bill pay to pay your monthly or quarterly plan premiums. WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y On the Applications tab, select Provider Online Reporting. 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. UI(g!q-)po Reviewing your options is the best way to ensure you enroll in a plan that suits the needs of your dental care and budget. You can find yours by selecting your region below. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Anthem and the Anthem family of brands (such as Blue Cross Blue Shield, Empire, Anthem Blue Cross and others) provide dental coverage and other health benefits in a number of states through many of their Medicare Advantage (Medicare Part C) plans. 8 a.m. to noon and 1 to 5 p.m. Call our Customer Service number, (TTY: 711). 0000165070 00000 n Vision and hearing providers: 1-800-482-4047 0000012343 00000 n Read more in the Communications section below. 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Detroit, MI 48232-0593, UB-04 claims Get Started. Find answers to all your questions with an Anthem representative in real time. Talk to a licensed agent: Select a state to update this screen with information more relevant to you. Speed up enrollment and payment for employer groups benefits. Need to submit a claim? One Woodward Avenue, Suite 2020 <]>> Does Anthem Medicare Cover SilverSneakers? enrollsafe.payeehub.org to register and manage EFT account changes. 8:30 a.m. to 6 p.m. You can sign up for Anthem dental plans at any time of the year and do not need to be enrolled in an Anthem health insurance plan in order to do so. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. endobj 8 a.m. to 7 p.m. Log in to your member account and enter your banking information to make premium payments online. 232 S Capitol Ave 8:30 a.m. to noon and 1 to 5 p.m. Review medical and pharmacy benefits for up to three years. 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 Medicare Complaints, Grievances & Appeals. Register Now, Not registered? Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Type at least three letters and we will start finding suggestions for you. Admin should check email to verify account. $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 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. Get access to your agent portal.Register Now. How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees. Register Now, Not registered? Use the companys online search tool to find Anthem dental providers near you. Dental Insurance. Have you used our online dental claims, eligibility, and benefits website? Step 6:Tell the system the total amount charged. (C) 2014 Tesia . [/PDF /Text /ImageB /ImageC /ImageI] stream Step 5: Tell the system the date of service provided. Non-members can choose their state and see a directory of participating dental providers in their state and zip code. Provide your mailing address to receive bills by mail. 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. 1-800-249-5103 Provider Inquiry Mail Code 0301 Blue Cross Complete claims P.O. Our EFT system is now available. There may or may not be a premium for the plan as a whole. 0000002292 00000 n Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Provide your mailing address to receive bills by mail. Non-members can choose their state and see a directory of participating dental providers in their state and zip code. The automated system is available anytime. Monday through Friday, Care Management--Mail Code C355 A Payer ID routes electronic data transactions to the appropriate payer. !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| We help Medicaid members get the health care they need in 32 Michigan counties across the state. 0000110838 00000 n 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. Say "date of service" to learn about a different claim. Note:It can take up to 30 days for a claim to be processed. 0000017759 00000 n If you need more information, you can transfer to a customer service representative during business hours. Register Now, Not registered? Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. Get access to your employer portal. Federal Employee Program providers and facilities: 1-800-482-3600 Blue Cross Blue Shield of Michigan Select your organization type and complete the registration process. Find yours in our list ofphysician organization consultants (PDF). Medicare Complaints, Grievances & Appeals. Step 5:Tell the system the date of service provided. If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. You'll need to use e-referral for Medicare Plus Blue authorization requests. 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 . Anthem members may log into an online portal to find participating dentists, dental offices and more. To select a dentist by name or location, do one of the following: 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) Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. P.O. 1-888-826-8152 Facility and Special Programs 1 0 obj For dental coverage through a Medicare Advantage plan, you must enroll during certain times of the year such as when you first become eligible for Original Medicare or during the Annual Enrollment Period that takes place each fall. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Step 1: Say "claims" when the system asks why you're calling. L07B Step 2: Answer the prompts about your patient and whether you provided care in Michigan.