anthem dental complete payer id

You can use our automated system to reach a representative to discuss your claim's outcome. <> View our map (PDF). Our EFT system is now available. We look forward to working with you to provide quality service for our members. Detroit, MI 48232-4248, Provider Inquiry 1-800-344-8525 0 Electronic remittance advice (835) The 835 eliminates the need for paper remittance reconciliation. Find a Medicare plan that fits your healthcare needs and your budget. Blue Cross Complete claims P.O. Note: The FEP phone system has a different set of prompts than the others. Reduce reimbursement time with electronic insurance claims. Detroit, MI 48232-0593, UB-04 claims 0000165417 00000 n It looks like you're in . We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Say "claims" when the system asks why you're calling. Say "fax or email" to receive a copy of your claim's status. If you need more information, you can transfer to a customer service representative during business hours. Click on the and follow the instructions listed. Select the payer tile that corresponds to your market. The purpose of this communication is the solicitation of insurance. 0000017083 00000 n Medicare Complaints, Grievances & Appeals. Say "another member" to inquire on another member. Contact will be made by an insurance agent or insurance company. 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 P.O. Box 7355 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. Read more in the Communications section below. To stay covered, Medicaid members will need to take action. Finding a dentist is easy. How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees. The resources for our providers may differ between states. 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 . Follow the steps to enroll as a trading partner. Review medical and pharmacy benefits for up to three years. 8 a.m. to noon and 1 to 5 p.m. 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 P.O. Southfield, MI 48075, 1-877-293-2788 Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. We currently don't offer resources in your area, but you can select an option below to see information for that state. 0000110838 00000 n 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . PO Box 385018 Not registered? You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. 0000016552 00000 n Visit MedicareAdvantage.com to compare multiple Medicare Advantage plans, side by side. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 a.m. to 8 p.m. ET/CT, 7 a.m. to 7 p.m. MT/PT. Monday through Friday. 0000012343 00000 n 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. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Grand Rapids, MI 49516-8710, BCN Advantage Claims You can verify or update your address by logging in to your member account. 1-844-876-7917 Provide your mailing address to receive bills by mail. Essential Vision providerssubmit claims throughHeritage Vision Plan. Box 7355 London, KY 40742 . We use Availity Essentials as our provider portal. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). 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. But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. stream Step 2: Answer the prompts about your patient and whether you provided care in Michigan. 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. Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. 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 . Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Price a medication, find a pharmacy,order auto refills, and more. If you no longer qualify, we can connect you to the right options for you and your family. (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v04.27 . Monday through Friday, 1-800-431-1059 Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Does Anthem Medicare Cover SilverSneakers? Have you used our online dental claims, eligibility, and benefits website? Pay outstanding doctor bills and track online or in-person payments. On the Applications tab, select Provider Online Reporting. Detroit, MI 48231-2599, Blue Cross Complete claims 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. Select organization and choose Submit. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Check ereferrals.bcbsm.com for detailed prior authorization information. 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. Federal Employee Program providers and facilities: 1-800-840-4505. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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 You can search by Payor Name or Payor ID. lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" Detroit, MI 48231-0166, Federal Employee Program claims Phone: 1-877-268-3384. endobj Call our Customer Service number, (TTY: 711). <> 0000016903 00000 n Anthem dental coverage can be found as a benefit of certain group or individual dental plans, or as part of an Anthem Medicare Advantage plan. Provider Inquiry Mail Code 0301 If youre an administrative office of a medical care group, you have access to a professional organization consultant. Access your member ID card from our website or mobile app. c7M'0@[v;m6 EU. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. oCol1uvs3. 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 Medicare members have the same convenient access to online bill pay. 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. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Compare plans available in your area and apply today. 711. 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. Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. You can use Anthem bill pay to pay your monthly or quarterly plan premiums. ~0 rj HAPqkt^g?BUVEVdz9H$3vc+.YwA_w&^0|$S3`E`+,87E"> $u5}EyM `<7,schBOo/ET"]SH~ ,5gy;fWh/w xWuV/>YGHfBs%B6p sKX}RciX=udn:|TqC;.7+q_,'oCIIoO lGeo!*FA(Y&-6z'O6$Go9reZwzE7=~7w=aYL|L?vk+X8&*YPW&`EDNa,c`OxEOJubJ>HWUSg*,6c:I,gY)R@\%W^># +7]v0TIvAb"VQJdyh}{Mv}AAAua+"@cA7= sLOff j5"t[Lu0]X' 8 F^Lq{xw3, zw Vision and hearing providers: 1-800-482-4047. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. We provide health insurance in Michigan. For plan details, check out our dental family PPO insurance options today. Blue Vision providers submit claims electronically directly toVSP. 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. 2 0 obj 8:30 a.m. to 4:30 p.m. The 835 eliminates the need for paper remittance reconciliation. Understand your care options ahead of time so you can save time and money. Marquette, MI 49855, Employee Inquiry 0000001857 00000 n If you're not a Blue Vision provider, send claims to: VSP Anthem members may log into an online portal to find participating dentists, dental offices and more. Use Availity to register and manage ERA account changes with these easy steps: Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. xref Choose an administrator to register your organization. Anthem members may log into an online portal to find participating dentists, dental offices and more. Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. 8:30 a.m. to noon and 1 to 5 p.m. .t`.R7bg?RrUr7rO7Pn>*~ro%WXuTT^yWu5X9 g\lxw 7Hl[Rl=j~TUK8X Reduce overhead and administrative costs by eliminating paper claim submissions. Our automated interactive voice response system provides claims, benefit and cost-share information. 3 0 obj Not connected with or endorsed by the U.S. Government or the federal Medicare program. You can also set up automatic bill pay to make convenient, automatic payments through your online account. Use the Payor ID that Henry Schein ONE has listed for participation through our services. : Refers to dentist or dental entity in box #42. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. To select a dentist by name or location, do one of the following: 0000005966 00000 n Submit prior authorization requestselectronicallythrough CoverMyMeds. 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. xA 04hFz\GczC. Once account is verified, admin will agree to the disclaimer, set up security questions, and change password and set up authorized users. 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. P.O. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Large Group Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Medicare members with Anthem Extras coverage can also access online bill pay for Anthem Extras. endobj 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. Your online account is a powerful tool for managing every aspect of your health insurance plan. Tax ID or Social Security number ready before calling. 1-800-482-5982 Choose your state below so that we can provide you with the most relevant information. It can also send you a copy of your claim's status. The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Step 5:Tell the system the date of service provided. We also . 0000016728 00000 n Anthem makes it easy to find dental providers. This includes a wide range of benefits, such as transportation services, a 24-hour nurse help line, vision, hearing and dental coverage. Monday through Friday Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. Plus, you may qualify for financial help to lower your health coverage costs. Register Now, Not registered? If you call before 30 days, we may not be able to check your claim through our automated phone system. 0000007407 00000 n To make a quick, one-time payment visit us here. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. We offer affordable health, dental, and vision coverage to fit your budget. Step 6:Tell the system the total amount charged. TTY users: To reach any number listed here, dial 711. %PDF-1.7 WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y You can also talk to your provider consultant. Find yours in our list ofphysician organization consultants (PDF). [/PDF /Text /ImageB /ImageC /ImageI] Get access to your agent portal.Register Now. Copyright 2023 Henry Schein One. 0000164829 00000 n You can write to us by finding your area code with the relevant mailing address. <]>> endobj <> All rights reserved. Register Now, Not registered? 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 44. Make your mental health a priority. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Log in to your account to know if you are covered and how much you may need to pay. You can find yours by selecting your region: Not sure which region you're in? Corporate Address: 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. Get access to your employer portal. 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. Pay by phone. Process claims faster by submitting coordination of benefits electronically and fix errors early with in-system notification and correction. On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. 11620 0 obj <>stream 1-800-762-2382 Register Now, Not registered? Monday through Friday You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. USA: Anthem Health & Life Insurance of NJ - A H & L 80705: USA APA Partners, Inc. 16140 Commercial: USA APIPA - (Arizona Physicians IPA) Claims Only . P.O. 0000013938 00000 n Physicians and professionals: 1-800-344-8525 Box 310166 Anthem Life members can call 855-383-7247 to pay by phone. 8 a.m. to 5 p.m. As of November 1, 2021, use Understand your care options ahead of time so you can save time and money. Or Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Say "no" when asked if you have additional questions about the determination of a claim. 1-877-258-0167 Employers can manage their Anthem bill pay through EmployerAccess. Need help finding the right plan? Get access to your online account. Log in to your member account and enter your banking information to make premium payments online. Call our Customer Service number, (TTY: 711). Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. Not connected with or endorsed by the U.S. Government or the federal Medicare program. 1-800-482-4047 Talk to a licensed agent: Select a state to update this screen with information more relevant to you. Just keep in mind you'll need to go through the prompts before you're connected to someone. Monday through Friday 2005 - 2023 copyright of Anthem Insurance Companies, Inc. You can verify or update your address by logging in to your member account. 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> Pay by mail. Medicare Advantage, or Medicare part C, is a form of private Medicare insurance sold by companies like Anthem. The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. 711. 415 S. McClellan Ave. ; Physicians and professionals: 1-800-344-8525 13223 Anthem Vivity 13109 Arbor Health Plan 13405 Arise Health Plan Medicare Select Policy Don't have a secured provider portal account yet? You can find yours by selecting your region below. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. P.O. If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. Blue Cross Blue Shield of Michigan Contact will be made by an insurance agent or insurance company. Grand Rapids, MI 49523-0589, Provider Inquiry 2^)+Vt>t]H>!@'/m )eEae;X4HmX^B$C%]Ul|&~+g[EFgL#+UWoBS/D~ v]`?CC-3~`Yz| #$X!7octxpw"w{&\6@:F|-! Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. 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 . 8 a.m. to 7 p.m. 8 a.m. to noon and 1 to 5 p.m. Find out if your dentist is in our network. Blue Cross Blue Shield of Michigan Just keep in mind you'll need to go through the prompts before you're connected to someone. 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). 0000016209 00000 n Pay by mail. The automated system is available anytime. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. (Special Enrollment). 2 0 obj When you're contracted with us you have access to a provider consultant. Monday through Friday 711. Call our Customer Service number, (TTY: 711). You can also set up reminders, so you never miss a payment. stream 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). There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. Pay by phone. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. trailer Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Lansing, MI 48933. 0000016383 00000 n Learn How To Use Your Anthem ID Card. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims 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. Health equity means that everyone has the chance to be their healthiest.
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