xref Dental Provider Resources | Anthem.com Find information that's tailored for you. Monday through Friday. (C) 2014 Tesia . 2 0 obj 8 a.m. to noon and 1 to 5 p.m. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. 232 S Capitol Ave Blue Cross Blue Shield of Michigan PDF Dental Claim Form - Rancho Santiago Community College District Work with your vendor to ensure connection to the Availity EDI Gateway. 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. Electronic remittance advice (835) The 835 eliminates the need for paper remittance reconciliation. Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. It can also send you a copy of your claim's status. 0 Follow the steps to enroll as a trading partner. You can also talk to your provider consultant. Our resources vary by state. oCol1uvs3. PDF Quick tips to filing a complete and correct professional claim 0000010692 00000 n Hospitals or facilities: 1-800-249-5103. Large Group The resources for our providers may differ between states. 8:30 a.m. to noon and 1 to 5 p.m. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. 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. Tax ID or Social Security number ready before calling. Box 230589 Start a Live Chat with one of our knowledgeable representatives. Register Now, Not registered? 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g Detroit, MI 48232-0593, UB-04 claims Say "representative" to reach someone who can help. The purpose of this communication is the solicitation of insurance. Reduce overhead and administrative costs by eliminating paper claim submissions. USA: Anthem Health & Life Insurance of NJ - A H & L 80705: USA APA Partners, Inc. 16140 Commercial: USA APIPA - (Arizona Physicians IPA) Claims Only . EDI for Providers | Anthem.com Facility and Special Programs Step 1: Say "claims" when the system asks why you're calling. Select your organization type and complete the registration process. If the insurance company you work with isnt on the list or if they are on the list, but dont provide the service you want, tell us about it. 0000164829 00000 n Or Blue Cross Blue Shield of Michigan 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. The purpose of this communication is the solicitation of insurance. P.O. (Special Enrollment). 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. Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. New member? Upload files through secure file transfer protocol (SFTP) or through the Availity Portal. PDF Payer Identification Information Claims Information - Vyne Dental 8 a.m. to 7 p.m. PDF Payer 835 List - Electronic Dental Services Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? %PDF-1.7 Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. We offer flexible group insurance plans for any size business. Automated information is available anytime. Monday through Friday. Physicians and professionals: 1-800-344-8525 Dental providers who can't able to access their account can read the Dental Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments . How to Find Anthem Dental Providers | HelpAdvisor.com xb```b`` Ab,6HaVl?`!t+, ,[+$@2A`^.^CiGy:{n}\=B{FTRdnZF1/~ng{@^+N/~Kk^pt@AA%F4_``1]2@,^3A} hGH.abefjrg`7`Xo.Mb0iU/ S hDi0]LH3& N^ Reduce reimbursement time with electronic insurance claims. Older adults with tooth loss often ask, "Does Medicare cover dentures?" PO Box 385018 FEP claims should NOT be submitter under this Payer ID - Please use Payer ID RIFEP Par Batch TRUE RT Tesia Detailed TRUE S TRUE To submit to Payors not on this list, use Payor ID "06126" and be sure to submit all required fields, including Payor Name and Complete Address. 1-800-762-2382 Detroit, MI 48231-2599, Blue Cross Complete claims Admin should check email to verify account. Hospitals or facilities: 1-800-249-5103 %PDF-1.5 % P.O. All rights reserved. 8:30 a.m. to 4:30 p.m. Box 7355 London, KY 40742 . 11589 0 obj <> endobj Box 7355 A third-party practice or revenue cycle management system capable of generating EDI batch files is required. endobj 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. Select the payer tile that corresponds to your market. Medicare Complaints, Grievances & Appeals. Attention: Claim Processing Check Your Anthem Benefits . 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. Available for iOS and Android devices. Blue Cross Blue Shield of Michigan Say "no" when asked if you have additional questions about the determination of a claim. We look forward to working with you to provide quality service for our members. We offer affordable health, dental, and vision coverage to fit your budget. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Medicare Complaints, Grievances & Appeals. If you don't have an account yet, you can check claims for with our automated system. Review medical and pharmacy benefits for up to three years. Monday through Friday 0000002292 00000 n L07B Once account is verified, admin will agree to the disclaimer, set up security questions, and change password and set up authorized users. 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 . 0000016552 00000 n 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. Note: The FEP phone system has a different set of prompts than the others. $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 Marquette, MI 49855, Employee Inquiry P.O. 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. PDF Availity Dental Payer List Accept the User Agreement (once every 365 days). Read on to learn what dental UnitedHealthcare Medicare Dental Coverage. The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. Individual & Family Plans. Payer ID Lookup 2023 - Updated List Of Payer IDs London, KY 40742. Essential Vision providerssubmit claims throughHeritage Vision Plan. Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . Say "another member" to inquire on another member. . Find yours in our list ofphysician organization consultants (PDF). 837- Dental Claims 835- Electronic Remittance Advice . 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. You can also set up automatic bill pay to make convenient, automatic payments through your online account. %PDF-1.7 Lansing, MI 48933. 0000209043 00000 n Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. 0000209289 00000 n See our Medicare enrollment guide for more information about eligibility and enrollment dates. Monday through Friday For Providers: Contact us | BCBSM Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Monday through Friday. On the Applications tab, select Provider Online Reporting. Get access to your online account. Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. Member Resources: ID Cards, Billing, Claims, & More | Anthem To select a dentist by name or location, do one of the following: Lets make healthy happen. Explore programs available in your state. Just keep in mind you'll need to go through the prompts before you're connected to someone. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Choose your state below so that we can provide you with the most relevant information. Log in at availity.com. Contact information for corporate headquarters. TTY users: To reach any number listed here, dial 711. /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 We currently don't offer resources in your area, but you can select an option below to see information for that state. %%EOF 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. Individuals attempting unauthorized access will be prosecuted. Our automated interactive voice response system provides claims, benefit and cost-share information. How do Medigap plans and Medicare Advantage plans differ? Compare plans available in your area and apply today. Detroit, MI 48231-0166, Federal Employee Program claims Federal Employee Program providers and facilities: 1-800-840-4505. A Payer ID routes electronic data transactions to the appropriate payer. 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. We look forward to working with you to provide quality services to our members. Box 7355 The Internal Revenue Service requires that either the Social 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. : Refers to dentist or dental entity in box #42. }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x Dental Insurance Eligibility - Payor Search | Dentrix But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. 45. Pay online. The resources for our providers may differ between states. 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 Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. PDF Your Summary of Benefits Anthem Dental Complete If you don't have an account yet, you can check claims for BCBSM patients with our automated system. ; Step 4: Say "no" when asked if you have additional questions about the determination of a claim. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Box 32593 Provider Inquiry Mail Code 0301 You can find yours by selecting your region below. If your state isn't listed, check out bcbs.com to find coverage in your area. Check ereferrals.bcbsm.com for detailed prior authorization information. Contact - Delta Dental of Minnesota 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. 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 1-888-803-4960 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. 0000017948 00000 n 0000016383 00000 n 1-800-249-5103 11 0 obj Have you used our online dental claims, eligibility, and benefits website? 0000016209 00000 n 0000009101 00000 n You can also set up reminders, so you never miss a payment. Choose your location to get started. .t`.R7bg?RrUr7rO7Pn>*~ro%WXuTT^yWu5X9 g\lxw 7Hl[Rl=j~TUK8X 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. 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. P.O. 1-855-504-2583 London, KY 40742. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield Type at least three letters and we will start finding suggestions for you. 4 0 obj Dental Prime & Complete Login EasyPay Forms Library . P.O. 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 . 0000017759 00000 n Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Use the Payor ID that Henry Schein ONE has listed for participation through our services. stream UI(g!q-)po You can verify or update your address by logging in to your member account. The automated system is available anytime. Register Now, Not registered? 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. Medicare members with Anthem Extras coverage can also access online bill pay for Anthem Extras. For California residents, CA-Do Not Sell My Personal Info, Click here. Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. 1-877-258-0167 Not sure which region you're in? [/PDF /Text /ImageB /ImageC /ImageI] Log in to your account to know if you are covered and how much you may need to pay. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Using an Anthem dental plan at a provider may require you to first satisfy an annual deductible and require copayments or coinsurance for remaining balances. 1-877-258-0167 lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py"

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