13223 Anthem Vivity 13109 Arbor Health Plan 13405 Arise Health Plan Medicare Select Policy Does Anthem Medicare Cover SilverSneakers? The resources for our providers may differ between states. The Internal Revenue Service requires that either the Social Box 230589 Work with your vendor to ensure connection to the Availity EDI Gateway. You can verify or update your address by logging in to your member account. Compare plans available in your area and apply today. Pay by mail. Box 7355 London, KY 40742 . You can also set up reminders, so you never miss a payment. ; 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Physicians and professionals: 1-800-344-8525 1-800-762-2382 Our dental family PPO plans cover everyone children and adults, Instead of an annual benefit maximum, children have an out-of-pocket maximum: $375 per child ($750 per family) in a year*, There are no waiting periods on the services included in the Pediatric Dental Essential Health Benefit (EHB), Families will not be charged more than $375 for one child, and capped at $750 per family*, *In Connecticut, $350 per child and $750 per family, There are no annual or lifetime benefit limits for pediatric-age kids, You will not be charged premiums on more than three children. 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. 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. P.O. Southfield, MI 48075. Learn How To Use Your Anthem ID Card. ~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 Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. stream For plan details, check out our dental family PPO insurance options today. trailer /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 (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v04.27 . 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 . 0000016728 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. Verify patient eligibility and benefits Provider Inquiry Mail Code 0301 It can also send you a copy of your claim's status. 0000002292 00000 n 2 0 obj You can use our automated system to reach a representative to discuss your claim's outcome. London, KY 40742. Federal Employee Program providers and facilities: 1-800-840-4505. Blue Cross Blue Shield of Michigan endstream endobj 11619 0 obj <>/Size 11589/Type/XRef>>stream Detroit, MI 48226. 0000009101 00000 n Among the most popular extra benefits is dental coverage. 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. If youre an administrative office of a medical care group, you have access to a professional organization consultant. P.O. 0000017759 00000 n xref 0000005966 00000 n kC_2=PjoY(Xh7zn#c[,1BCCYK$hRLY4b@YTY(9d6;=Ds=!yN[*CopV:+$ Y5p^_3,P Quickly and easily submit out-of-network claims online. A premium is the amount you pay to Anthem to keep your coverage active. Type at least three letters and we will start finding suggestions for you. Birmingham, AL 35238-0518. Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Individual & Family Plans. ZeY6[+!LV/=C}J>O4L7 You can search by Payor Name or Payor ID. Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . P.O. 11620 0 obj <>stream Box 33248 Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. 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 . It looks like you're in . 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Log in to your member account to access your payment options. 44. 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. 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. 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 . Get access to your online account.Register Now, Not registered? endobj To make a quick, one-time payment visit us here. 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. Register Now, Learn more about registering for our web tools. 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. 0000013938 00000 n 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . The resources on this page are specific to your state. 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. 8 a.m. to 7 p.m. Grand Rapids, MI 49523-0589, Provider Inquiry If you need additional guidance, read the Dentaquest Dental Manual (PDF). Anthem Life members can call 855-383-7247 to pay by phone. (Special Enrollment). If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Select your organization type and complete the registration process. UI(g!q-)po 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. There may or may not be a premium for the plan as a whole. 0000110519 00000 n Your online account is a powerful tool for managing every aspect of your health insurance plan. Facility and Special Programs <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Box 310166 Say "another member" to inquire on another member. 0000000962 00000 n Understand your care options ahead of time so you can save time and money. Anthem Dental Family PPO Insurance Plans. Not sure if a procedure is covered? You can search by Payor Name or Payor ID. 0000165070 00000 n Or Say "date of service" to learn about a different claim. A green check box identifies which service is enabled for electronic participation for the payor you are searching for. Pay by phone. Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Looking for affordable family dental coverage? Electronic Payer ID: 07000. We offer flexible group insurance plans for any size business. You can write to us by finding your area code with the relevant mailing address. Essential Vision providerssubmit claims throughHeritage Vision Plan. Marquette, MI 49855, Employee Inquiry 0000016383 00000 n Dental Provider Resources | Anthem.com Find information that's tailored for you. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. 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 ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Access your member ID card from our website or mobile app. If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" 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). Blue Cross Blue Shield of Michigan Step 6:Tell the system the total amount charged. 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> Make your first payment. The purpose of this communication is the solicitation of insurance. Box 2227 All rights reserved. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. o The billing provider's complete name, address, and phone number must be in . 0000016903 00000 n 711. Automated information is available anytime. %PDF-1.5 % Medicare Complaints, Grievances & Appeals. You can also set up automatic bill pay to make convenient, automatic payments through your online account. Available for iOS and Android devices. If you don't have an account yet, you can check claims for with our automated system. The purpose of this communication is the solicitation of insurance. On the Applications tab, select Provider Online Reporting. xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Pay by phone. Talk to a licensed agent: Select a state to update this screen with information more relevant to you. 0000110278 00000 n . 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). Automated information is available anytime. 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. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Hospitals or facilities: 1-800-249-5103 You can also talk to your provider consultant. Find yours in our list ofphysician organization consultants (PDF). <]>> From pediatrics to adults, Anthems got you covered. P.O. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Dental Insurance. 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. View our map (PDF). Individuals attempting unauthorized access will be prosecuted. 8:30 a.m. to 6 p.m. Log in to https://www.availity.com. It looks like you're outside the United States. If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. Accept the User Agreement (once every 365 days). 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. Learn about dental plan options that cover orthodontia, dentures, and more. A third-party practice or revenue cycle management system capable of generating EDI batch files is required. Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. 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. Medicare Complaints, Grievances & Appeals. Log in at availity.com. xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| 2 0 obj c7M'0@[v;m6 EU. =6e We currently don't offer resources in your area, but you can select an option below to see information for that state. Our resources vary by state. We currently don't offer resources in your area, but you can select an option below to see information for that state. Costs for covered services may increase when you visit a dentist outside the network. Use our app, Sydney Health, to start a Live Chat. 11 0 obj Well try to get them added. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Grand Rapids, MI 49516-8710, BCN Advantage Claims London, KY 40742. You can write to us by matching your area code with the relevant mailing address. Admin should check email to verify account. Log in to your account to know if you are covered and how much you may need to pay. The resources for our providers may differ between states. Read more in the Communications section below. Save money by choosing a provider in your plan. Note:It can take up to 30 days for a claim to be processed. Call our Customer Service number, (TTY: 711). P.O. 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. Price a medication, find a pharmacy,order auto refills, and more. 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. 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. Blue Vision providers submit claims electronically directly toVSP. Start a Live Chat with one of our knowledgeable representatives. Step 5:Tell the system the date of service provided. PO Box 385018 . Choose an administrator to register your organization. (C) 2014 Tesia . . Speed up enrollment and payment for employer groups benefits. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). L07B 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. 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. Monday through Friday. Find a Medicare plan that fits your healthcare needs and your budget. USA: Anthem Health & Life Insurance of NJ - A H & L 80705: USA APA Partners, Inc. 16140 Commercial: USA APIPA - (Arizona Physicians IPA) Claims Only . Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. %PDF-1.7 Not sure which region you're in? For costs and complete details of the coverage, please contact your agent or the health plan. Need to submit a claim? Lets make healthy happen. 1-877-258-0167 Medicare Advantage, or Medicare part C, is a form of private Medicare insurance sold by companies like Anthem. Step 6: You will then be transferred to the servicing center for assistance. 20500 Civic Center Drive Register Now, Not registered? Say "no" when asked if you have additional questions about the determination of a claim. Have you used our online dental claims, eligibility, and benefits website? Box 7355 endobj Blue Cross Complete claims P.O. 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. Contact will be made by an insurance agent or insurance company. Blue Cross Blue Shield of Michigan The automated system is available anytime. 0000012343 00000 n Our EFT system is now available. Hospitals or facilities: 1-800-249-5103. 45. 0000017948 00000 n Medicare members with Anthem Extras coverage can also access online bill pay for Anthem Extras. Find out if your dentist is in our network. Automated information is available anytime. Follow the steps to enroll as a trading partner. 8:30 a.m. to noon and 1 to 5 p.m. Reviewing your options is the best way to ensure you enroll in a plan that suits the needs of your dental care and budget. 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 Select organization and choose Submit. Southfield, MI 48075, 1-877-293-2788 Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. We offer affordable health, dental, and vision coverage to fit your budget. Anthem makes it easy to find dental providers. Box 68753 Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. 837- Dental Claims 835- Electronic Remittance Advice . The purpose of this communication is the solicitation of insurance. Anthem members may log into an online portal to find participating dentists, dental offices and more. 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. When you're contracted with us you have access to a provider consultant. A Payer ID routes electronic data transactions to the appropriate payer. 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. (ex.907000000) Dental Office Toolkit Helpline: . Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. 20500 Civic Center Drive
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