2005 - 2023 copyright of Anthem Insurance Companies, Inc. 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. trailer If you're not a Blue Vision provider, send claims to: VSP 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. }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x 1-800-762-2382 1-877-258-0167 There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. Anthem Blue Cross 00060 N N/A PO Box 533 North Haven CT 06473 Anthem E Consult AECON N N/A ANTHEM HEALTH AND LIFE 80705A N N/A Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. P.O. We provide health insurance in Michigan. Pay by phone. If your state isn't listed, check out bcbs.com to find coverage in your area. TTY users: To reach any number listed here, dial 711. Payer ID Payer Name Enrollment 10001 AARP 13187 Access Medicare . 0000005966 00000 n 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 . Payer IDs route EDI transactions to the appropriate payer. 0000165417 00000 n Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. Say "representative" to reach someone who can help. Automated information is available anytime. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 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. Blue Care Network Make your mental health a priority. % Contact will be made by an insurance agent or insurance company. 8 a.m. to noon and 1 to 5 p.m. Step 5: Tell the system the date of service provided. 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. Access your member ID card from our website or mobile app. P.O. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. Our web portalpowered by Availitymakes doing business with Anthem even easier. Monday through Friday 1-800-822-2761 0000002346 00000 n The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Process claims faster by submitting coordination of benefits electronically and fix errors early with in-system notification and correction. Have you used our online dental claims, eligibility, and benefits website? Box 33248 Non-members can choose their state and see a directory of participating dental providers in their state and zip code. 1-855-504-2583 You can use this insurance payer id lookup tool to search the verified latest payer ID information of all insurances in USA. startxref 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. New member? USA: Anthem Health & Life Insurance of NJ - A H & L 80705: USA APA Partners, Inc. 16140 Commercial: USA APIPA - (Arizona Physicians IPA) Claims Only . 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. Click on the and follow the instructions listed. Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. Step 6: You will then be transferred to the servicing center for assistance. 0000000016 00000 n Read more in the Communications section below. 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. 711. Blue Cross Blue Shield of Michigan Price a medication, find a pharmacy,order auto refills, and more. Understand your care options ahead of time so you can save time and money. 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. The purpose of this communication is the solicitation of insurance. Blue Care Network You can write to us by matching your area code with the relevant mailing address. Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . Talk to a licensed agent: Select a state to update this screen with information more relevant to you. Monday through Friday. How do Medigap plans and Medicare Advantage plans differ? This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. o The billing provider's complete name, address, and phone number must be in . 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. [/PDF /Text /ImageB /ImageC /ImageI] We look forward to working with you to provide quality service for our members. If your state isn't listed, check out bcbs.com to find coverage in your area. 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. P.O. /URwZvs(uijNTYgJ[[q~~>v"Z(-F|DgSB7/R)\=uycgF!Q8GUz^wHgGI";Di}04',5e^+d ek.?z>^*)&9-[i9)!qP:vN7OZwK|Tzv;/zvfopSa 0n-+*68wq#X4yx aDr 3Av;jq{KH:%06asKqaR!4N9;7yl Not sure which region you're in? 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. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). 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. After you apply: Box 312599 %%EOF 0000016728 00000 n 3 0 obj (ex.907000000) Dental Office Toolkit Helpline: . Anthem Life members can call 855-383-7247 to pay by phone. endstream endobj 11619 0 obj <>/Size 11589/Type/XRef>>stream Pay by mail. Explore programs available in your state. 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 Blue Cross Blue Shield of Michigan Upload files through secure file transfer protocol (SFTP) or through the Availity Portal. 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) Step 2: Answer the prompts about your patient and whether you provided care in Michigan. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. oCol1uvs3. Anthem Blue Cross and Blue Shield - Kentucky - BCBS: SB660: APAC CUSTOMER SERVICES INC - WORK COMP: Follow the steps to enroll as a trading partner. 11589 32 8 a.m. to 7 p.m. Monday through Friday. 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 also visit bcbs.com to find resources for other states. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims 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. Federal Employee Program providers and facilities: 1-800-840-4505. The resources for our providers may differ between states. ZeY6[+!LV/=C}J>O4L7 There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. Essential Vision providerssubmit claims throughHeritage Vision Plan. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Learn How To Use Your Anthem ID Card. 0000000962 00000 n 13223 Anthem Vivity 13109 Arbor Health Plan 13405 Arise Health Plan Medicare Select Policy 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. Step 6:Tell the system the total amount charged. <> Hospitals or facilities: 1-800-249-5103 You can find yours by selecting your region below. Say "fax or email" to receive a copy of your claim's status. Anthem makes it easy to find dental providers. 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> Individual & Family Plans. Say "no" when asked if you have additional questions about the determination of a claim. Box 7355 London, KY 40742 . The purpose of this communication is the solicitation of insurance. 0000110838 00000 n (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v04.27 . Monday through Friday. Facility and Special Programs stream Contact will be made by an insurance agent or insurance company. Choose your location to get started. You can search by Payor Name or Payor ID. Note:It can take up to 30 days for a claim to be processed. 0000017313 00000 n Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Dental Provider Resources 44. A premium is the amount you pay to Anthem to keep your coverage active. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. . On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. 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 232 S Capitol Ave Box 7355 If you call before 30 days, we may not be able to check your claim through our automated phone system. Medicare Complaints, Grievances & Appeals. Pay by phone. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> 11 0 obj 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). 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. : Refers to dentist or dental entity in box #42. If youre a professional provider office, you have access to a provider consultant. If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. Among the most popular extra benefits is dental coverage. Use the companys online search tool to find Anthem dental providers near you. P.O. <> Medicaid renewals are starting. WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y Marquette, MI 49855, Employee Inquiry 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. Not registered? You can find yours by selecting your region: Not sure which region you're in? 0000110278 00000 n Provide your mailing address to receive bills by mail. Older adults with tooth loss often ask, "Does Medicare cover dentures?" endobj 0000009101 00000 n Learn about dental plan options that cover orthodontia, dentures, and more. 0000017759 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Anthem has a large network of dental providers that accept standalone dental plans and Anthem Medicare Advantage plans that include dental coverage. The Internal Revenue Service requires that either the Social 4 0 obj The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. Note: The FEP phone system has a different set of prompts than the others. We currently don't offer resources in your area, but you can select an option below to see information for that state. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. ; Provider Inquiry Mail Code 0301 Monday through Friday xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| 0000016383 00000 n c7M'0@[v;m6 EU. Pay by mail. Detroit, MI 48231-2599, Blue Cross Complete claims Our automated interactive voice response system provides claims, benefit and cost-share information. 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 1-888-803-4960 Select organization and choose Submit. 11620 0 obj <>stream Make your first payment. Provide your mailing address to receive bills by mail. Lets make healthy happen. P.O. Grand Rapids, MI 49516-8710, BCN Advantage Claims 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. Quickly and easily submit out-of-network claims online. We currently don't offer resources in your area, but you can select an option below to see information for that state. Grand Rapids, MI 49523-0589, Provider Inquiry Not connected with or endorsed by the U.S. Government or the federal Medicare program. You can use Anthem bill pay to pay your monthly or quarterly plan premiums. Southfield, MI 48075, 1-877-293-2788 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). Box 310166 Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. One Woodward Avenue, Suite 2020 Log in to https://www.availity.com. Monday through Friday, Care Management--Mail Code C355 The 835 eliminates the need for paper remittance reconciliation. 0000002292 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. %PDF-1.5 % (C) 2014 Tesia . Please update your browser if the service fails to run our website. When you're contracted with us you have access to a provider consultant. For costs and complete details of the coverage, please contact your agent or the health plan. Individuals attempting unauthorized access will be prosecuted. 8:30 a.m. to 6 p.m. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. 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. Box 32593 Check ereferrals.bcbsm.com for detailed prior authorization information. 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. 8:30 a.m. to noon and 1 to 5 p.m. 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. Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. Box 68710 Automated information is available anytime. When the admin is ready to register, choose the. =6e Blue Cross Complete claims P.O. Monday through Friday Not connected with or endorsed by the U.S. Government or the federal Medicare program. If you need additional guidance, read the Dentaquest Dental Manual (PDF). Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Physicians and professionals: 1-800-344-8525 Hospitals or facilities: 1-800-249-5103 Use the company's online search tool to find Anthem dental providers near you. 8 a.m. to 5 p.m. Lansing, MI 48933. Choose Payer Spaces in the top menu bar. London, KY 40742. Dental Prime & Complete Login EasyPay Forms Library . Log in to your account to know if you are covered and how much you may need to pay. Copyright 2023 Henry Schein One. It can also send you a copy of your claim's status. enrollsafe.payeehub.org to register and manage EFT account changes. Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 . The automated system is available anytime. endobj Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Just keep in mind you'll need to go through the prompts before you're connected to someone. Understand your care options ahead of time so you can save time and money. P.O. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Register Now, Not registered? Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims 1-877-258-0167 Trigon Blue Cross Blue Shield- Colorado Dental: 84105: Anthem BCBS (OH, IN , KY, CT, NH) 84105: BC / BS of Connecticut : 84105: BC/BS of Conn: 84105: BC/BS of OH (Anthem) 84105: BCBS CT . Monday through Friday, Care Management--Mail Code C355 Medicare Complaints, Grievances & Appeals. Tax ID or Social Security number ready before calling. 833-901-1364 (TTY: 711) Home. To make a quick, one-time payment visit us here. 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. Don't have a secured provider portal account yet? 0000209043 00000 n Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. 45. Physicians and professionals: 1-800-344-8525 You will see these in the sections marked with Enrollment i.e. Health equity means that everyone has the chance to be their healthiest. 8 a.m. to noon and 1 to 5 p.m. Monday through Friday. Get access to your agent portal. Get Started. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The resources on this page are specific to your state. Reduce reimbursement time with electronic insurance claims. Get access to your online account. To stay covered, Medicaid members will need to take action. 8:30 a.m. to noon and 1 to 5 p.m. Call our Customer Service number, (TTY: 711). Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Dental Provider Resources | Anthem.com Find information that's tailored for you. A green check box identifies which service is enabled for electronic participation for the payor you are searching for. View our map (PDF). For California residents, CA-Do Not Sell My Personal Info, Click here. If you no longer qualify, we can connect you to the right options for you and your family. including Payor Name and Complete Address. Hospitals or facilities: 1-800-249-5103. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . Vision and hearing providers: 1-800-482-4047 Box 230589 Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. We currently don't offer resources in your area, but you can select an option below to see information for that state. Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claimsCOB = Coordination of Benefits; indicates secondary/COB claims accepted electronicallySmart Edits = Apply to electronic claims submissions; Not applicable to DSNP lines of business 2023 UnitedHealthcarePage 2 of 23/2/2023 Detroit, MI 48232-4248, Provider Inquiry 11589 0 obj <> endobj Monday through Friday Vision and hearing providers: 1-800-482-4047. How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees.
