anthem dental complete payer id

Contact customer service, Heritage Provider service: 1-800-252-2053. Verify patient eligibility and benefits You can also talk to your provider consultant. Box 33248 PDF Payer Identification Information Claims Information - Vyne Dental Box 68753 How to Submit a Claim - Home - Blue Cross and Blue Shield's Federal Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Not sure if a procedure is covered? Your dashboard may experience future loading problems if not resolved. PDF Payer 835 List - Electronic Dental Services endstream endobj 11619 0 obj <>/Size 11589/Type/XRef>>stream Anthem Bill Pay | How to Pay Your Anthem Bill | Anthem Pay by mail. Dental Insurance. !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| Get access to your online account. P.O. 8:30 a.m. to 6 p.m. 0000016552 00000 n P.O. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Monday through Friday. Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. Payer ID Payer Name Enrollment 10001 AARP 13187 Access Medicare . 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. Choose an administrator to register your organization. You can search by Payor Name or Payor ID. 11589 0 obj <> endobj 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. Costs for covered services may increase when you visit a dentist outside the network. 8:30 a.m. to noon and 1 to 5 p.m. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Use the Payor ID that Henry Schein ONE has listed for participation through our services. Medicaid renewals are starting. <> There may or may not be a premium for the plan as a whole. . Blue Cross Complete claims P.O. }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x Dental Prime & Complete Login EasyPay Forms Library . Grand Rapids, MI 49516-8710, BCN Advantage Claims Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. PDF Availity Dental Payer List Electronic Payer ID: 07000. Provider Inquiry Mail Code 0301 endobj 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 . Pay online. Detroit, MI 48232-4248, Provider Inquiry Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). We provide health insurance in Michigan. Detroit, MI 48226. Medicare members have the same convenient access to online bill pay. Just keep in mind you'll need to go through the prompts before you're connected to someone. . 1-888-803-4960 You can search by Payor Name or Payor ID. o The billing provider's complete name, address, and phone number must be in . EDI for Providers | Anthem.com We offer affordable health, dental, and vision coverage to fit your budget. Box 310166 %PDF-1.5 % Attention: Claim Processing Blue Cross Blue Shield of Michigan <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. When the admin is ready to register, choose the. 0000016728 00000 n PDF Your Summary of Benefits Anthem Dental Complete Medicare Advantage, or Medicare part C, is a form of private Medicare insurance sold by companies like Anthem. Monday through Friday 0000000962 00000 n Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. If youre a professional provider office, you have access to a provider consultant. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. 0000110838 00000 n Step 5: Tell the system the date of service. 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. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Register Now, Not registered? 1-877-258-0167 Anthem members may log into an online portal to find participating dentists, dental offices and more. xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| 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. 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. For Providers: Contact us | BCBSM For plan details, check out our dental family PPO insurance options today. Or Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 2 0 obj The automated system is available anytime. P.O. Quickly and easily submit out-of-network claims online. Read on to learn what dental UnitedHealthcare Medicare Dental Coverage. Provide your mailing address to receive bills by mail. Large Group 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 If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. The automated system is available anytime. Note: The FEP phone system has a different set of prompts than the others. On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. Federal Employee Program providers and facilities: 1-800-482-3600 Vision and hearing providers: 1-800-482-4047. Large Group P.O. It can also send you a copy of your claim's status. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . xA 04hFz\GczC. We look forward to working with you to provide quality services to our members. Box 7355 8 a.m. to noon and 1 to 5 p.m. 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. Box 312599 Contact will be made by an insurance agent or insurance company. Box 7355 Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. Member Resources: ID Cards, Billing, Claims, & More | Anthem Use the companys online search tool to find Anthem dental providers near you. 11589 32 Find yours in our list ofphysician organization consultants (PDF). Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. Step 5:Tell the system the date of service provided. xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Contact - Delta Dental of Minnesota Dental Insurance Eligibility - Payor Search | Dentrix 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 . Log in to your account to know if you are covered and how much you may need to pay. Monday through Friday, Care Management--Mail Code C355 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. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. /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 stream After you apply: You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. Learn How To Use Your Anthem ID Card. Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. 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. 1-844-876-7917 Hospitals or facilities: 1-800-249-5103 0000209289 00000 n Detroit, MI 48232-0593, UB-04 claims Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. 1-800-344-8525 Don't have a secured provider portal account yet? xref Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield Automated information is available anytime. If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. 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. Get access to your agent portal.Register Now. 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 Pay by phone. Register Now, Not registered? How do Medigap plans and Medicare Advantage plans differ? 0000002292 00000 n 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). Just keep in mind you'll need to go through the prompts before you're connected to someone. Blue Vision providers submit claims electronically directly toVSP. Say "claims" when the system asks why you're calling. 1-800-482-4047 Get access to your online account.Register Now, Not registered? But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. Monday through Friday. 0000001857 00000 n Dental Provider Resources | Anthem.com Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. Select the payer tile that corresponds to your market. 0000012343 00000 n PDF eServices Dental eClaims Payer List - Carestream Dental P.O. You can write to us by finding your area code with the relevant mailing address. Finding a dentist is easy. 711. For costs and complete details of the coverage, please contact your agent or the health plan. %PDF-1.7 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 . startxref Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims 8 a.m. to 7 p.m. %PDF-1.7 The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Log in to your member account to access your payment options. Submit prior authorization requestselectronicallythrough CoverMyMeds. 3 0 obj Your browser is not supported. 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. 1-855-504-2583 PDF Payer Connection Payer List 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. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . Say "no" when asked if you have additional questions about the determination of a claim. If your state isn't listed, check out bcbs.com to find coverage in your area. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Payer ID Lookup 2023 - Updated List Of Payer IDs Say "another contract" to inquire on another contract. Health equity means that everyone has the chance to be their healthiest. As of November 1, 2021, use For California residents, CA-Do Not Sell My Personal Info, Click here. Get access to your employer portal. 8 a.m. to 6 p.m. 415 S. McClellan Ave. Anthem Life members can call 855-383-7247 to pay by phone. Older adults with tooth loss often ask, "Does Medicare cover dentures?" 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. Blue Cross Blue Shield of Michigan The 835 eliminates the need for paper remittance reconciliation. A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, Availity EDI Connection Services Startup Guide, Anthem Blue Cross and Blue Shield Healthcare Solutions. 8:30 a.m. to noon and 1 to 5 p.m. PO Box 385018 Use existing clearinghouse or billing vendor. Automated information is available anytime. To make a quick, one-time payment visit us here. The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. New member? Step 5: Tell the system the date of service provided. 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. Southfield, MI 48075. 20500 Civic Center Drive Dental Provider Resources | Anthem.com Find information that's tailored for you. 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. When you're contracted with us you have access to a provider consultant.