Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. P.O. The Internal Revenue Service requires that either the Social Step 6: You will then be transferred to the servicing center for assistance. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 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. (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v04.27 . Federal Employee Program providers and facilities: 1-800-482-3600 Accept the User Agreement (once every 365 days). Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . A Payer ID routes electronic data transactions to the appropriate payer. Type at least three letters and we will start finding suggestions for you. 0000016903 00000 n Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. After you apply: . For costs and complete details of the coverage, please contact your agent or the health plan. Individual & Family Plans. Make your mental health a priority. Large Group View our map (PDF). We currently don't offer resources in your area, but you can select an option below to see information for that state. Monday through Friday, Care Management--Mail Code C355 Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. Payer IDs route EDI transactions to the appropriate payer. Verify patient eligibility and benefits Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Use the companys online search tool to find Anthem dental providers near you. You can write to us by matching your area code with the relevant mailing address. PDF Payer 835 List - Electronic Dental Services The automated system is available anytime. 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. Box 68710 To view bills on your phone, download the AnthemSydneySM Healthapp. %PDF-1.5 % 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. PDF eServices Dental eClaims Payer List - Carestream Dental Blue Cross Blue Shield of Michigan Anthem Life members can call 855-383-7247 to pay by phone. Marquette, MI 49855, Employee Inquiry 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. Have you used our online dental claims, eligibility, and benefits website? 0000012343 00000 n Upload files through secure file transfer protocol (SFTP) or through the Availity Portal. EDI for Providers | Anthem.com EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. 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 Monday through Friday, Care Management--Mail Code C355 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. 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. Get access to your agent portal. Dental Provider Resources | Anthem.com Find information that's tailored for you. Save money by choosing a provider in your plan. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims WwL) !7 82c*}bzK.t!R[.E+TX~^E HfEPc84w.LVyH1a+hGe[Cci#./~zr1x qhNPF ]7-{2?vw~h%E9g +}+}%R#,\C~b4P hOJ@2GMPM+dB. 1-800-482-4047 8 a.m. to 6 p.m. Grand Rapids, MI 49516-8710, BCN Advantage Claims PDF Payer Identification Information Claims Information - Vyne Dental Your browser is not supported. For costs and complete details of the coverage, please contact your agent or the health plan. When the admin is ready to register, choose the. Register Now, Not registered? 1-800-249-5103 0000110278 00000 n Register Now, Not registered? 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. Medicaid renewals are starting. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Southfield, MI 48075, 1-877-293-2788 %PDF-1.7 $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 Among the most popular extra benefits is dental coverage. PDF Your Summary of Benefits Anthem Dental Complete 0000002292 00000 n A third-party practice or revenue cycle management system capable of generating EDI batch files is required. Register Now, Learn more about registering for our web tools. Detroit, MI 48232-0593, UB-04 claims PO Box 385018 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. 0000017313 00000 n 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. 0000016209 00000 n 711. For California residents, CA-Do Not Sell My Personal Info, Click here. If you need more information, you can transfer to a customer service representative during business hours. : Refers to dentist or dental entity in box #42. Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. Box 7355 London, KY 40742 . 8 a.m. to 7 p.m. ; Anthem Dental | Better Business Bureau Profile If youre a professional provider office, you have access to a provider consultant. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. 8:30 a.m. to noon and 1 to 5 p.m. USA: Anthem Health & Life Insurance of NJ - A H & L 80705: USA APA Partners, Inc. 16140 Commercial: USA APIPA - (Arizona Physicians IPA) Claims Only . Essential Vision providerssubmit claims throughHeritage Vision Plan. Box 68753 Get access to your agent portal.Register Now. Become a direct submitter with the Availity EDI clearinghouse. Just keep in mind you'll need to go through the prompts before you're connected to someone. stream Choose Payer Spaces in the top menu bar. For Providers: Contact us | BCBSM Step 5: Tell the system the date of service. The automated system is available anytime. Use the Payor ID that Henry Schein ONE has listed for participation through our services. From pediatrics to adults, Anthems got you covered. Pay online. PDF Payer Identification Information Claims Processing Eligibility and oCol1uvs3. stream 2022 Provider fee schedule notification - Anthem Select your organization type and complete the registration process. Compare plans available in your area and apply today. Choose your state below so that we can provide you with the most relevant information. 232 S Capitol Ave Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield Box 230589 It looks like you're outside the United States. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. 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. Pay by mail. 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^ 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. Facility and Special Programs 11 0 obj Say "no" when asked if you have additional questions about the determination of a claim. P.O. The Payor Search Tool helps you identify the electronic connectivity for the Payors/Insurance companies you work with. Say "another member" to inquire on another member. 0000007407 00000 n 8 a.m. to 4 p.m. You can also talk to your provider consultant. You will see these in the sections marked with Enrollment i.e. .t`.R7bg?RrUr7rO7Pn>*~ro%WXuTT^yWu5X9 g\lxw 7Hl[Rl=j~TUK8X Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Log in to your account to know if you are covered and how much you may need to pay. xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| . 0000164829 00000 n Once account is verified, admin will agree to the disclaimer, set up security questions, and change password and set up authorized users. If you're not a Blue Vision provider, send claims to: VSP PDF Payer Connection Payer List Price a medication, find a pharmacy,order auto refills, and more. 0000017534 00000 n PDF Quick tips to filing a complete and correct professional claim Blue Cross Blue Shield of Michigan 1-844-876-7917 Say "fax or email" to receive a copy of your claim's status. We look forward to working with you to provide quality services to our members. Blue Cross Complete of Michigan lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" We also . Our web portalpowered by Availitymakes doing business with Anthem even easier. Monday through Friday. 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. The purpose of this communication is the solicitation of insurance. %PDF-1.7 The resources for our providers may differ between states. P.O. Choose your location to get started. Blue Cross Blue Shield of Michigan Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. You can write to us by finding your ZIP code with the relevant mailing address. Provider Communications NEVADA - providernews.anthem.com Work with your vendor to ensure connection to the Availity EDI Gateway. Step 6: Tell the system the total amount charged. Step 5: Tell the system the date of service provided. 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. The purpose of this communication is the solicitation of insurance. % For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. P.O. Contact customer service, Heritage Provider service: 1-800-252-2053. All rights reserved. Dental Provider Resources | Anthem.com i|I:8B;OZcpZoW*0|d&2d!E%2e>w`<8}~x(C3(gm4_QT5 4qqpe.g^Eo2#||68JTr6gfm'Qi9+Sv77\ot32N$wV|Rzfu~ Monday through Friday Vision and hearing providers: 1-800-482-4047 Just keep in mind you'll need to go through the prompts before you're connected to someone. Note:It can take up to 30 days for a claim to be processed. 1-800-762-2382 Reduce reimbursement time with electronic insurance claims. 837- Dental Claims 835- Electronic Remittance Advice 276/277- Claim Status 270/271- Eligibility Request 275- Electronic Medical Attachments 278- Prior Authorizations and Referrals Payer Name and ID Your payer name is Anthem BCBS Nevada and the payer ID is 00265 (If you use a billing company or clearinghouse for your EDI transmissions, please . Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. For dental coverage through a Medicare Advantage plan, you must enroll during certain times of the year such as when you first become eligible for Original Medicare or during the Annual Enrollment Period that takes place each fall. Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 . Or /URwZvs(uijNTYgJ[[q~~>v"Z(-F|DgSB7/R)\=uycgF!Q8GUz^wHgGI";Di}04',5e^+d ek.?z>^*)&9-[i9)!qP:vN7OZwK|Tzv;/zvfopSa 0n-+*68wq#X4yx aDr 3Av;jq{KH:%06asKqaR!4N9;7yl If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . If you will be submitting claims to a payor that has the Special Enrollment notation. Monday through Friday. Monday through Friday Anthem members may log into an online portal to find participating dentists, dental offices and more. Birmingham, AL 35238-0518. Not connected with or endorsed by the U.S. Government or the federal Medicare program. 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. Electronic Payer ID: 07000. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. For costs and complete details of the coverage, please contact your agent or the health plan. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Federal Employee Program providers and facilities: 1-800-840-4505. !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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). 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. Our resources vary by state. 0000016728 00000 n Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. 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. Blue Cross Blue Shield of Michigan 8:30 a.m. to noon and 1 to 5 p.m. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> When you're contracted with us you have access to a provider consultant. Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. Log in to your member account and enter your banking information to make premium payments online. Note: The FEP phone system has a different set of prompts than the others. Monday through Friday Or endobj Select the payer tile that corresponds to your market. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Anthem Dental Family PPO Insurance Plans. 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g 0000209043 00000 n Choose your location to get started. Say "date of service" to learn about a different claim. 0000009101 00000 n If you need additional guidance, read the Dentaquest Dental Manual (PDF). 8:30 a.m. to noon and 1 to 5 p.m. Blue Vision providers submit claims electronically directly toVSP. <> Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. 415 S. McClellan Ave. eServices Dental eClaims Payer List A and I Benefit Plan Administrators of Oregon 00933 Amway Corporation/Dental 38255 A PAPER CLAIM - BC/BS 99999 Anchor Benefit Consulting, Inc. 53085 A PAPER CLAIM - COMMERCIAL 00004 Anthem BCBS (IN, OH, KY, ME & NH) 84105 A PAPER CLAIM - DELTA DENTAL 99997 Anthem Blue Cross (CA) 01045 kC_2=PjoY(Xh7zn#c[,1BCCYK$hRLY4b@YTY(9d6;=Ds=!yN[*CopV:+$ Y5p^_3,P . Detroit, MI 48232-4248, Provider Inquiry We use Availity Essentials as our provider portal. Automated information is available anytime. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. You can use our automated system to reach a representative to discuss your claim's outcome. 0000004309 00000 n 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 . endobj Vision and hearing providers: 1-800-482-4047. Process claims faster by submitting coordination of benefits electronically and fix errors early with in-system notification and correction. Need to submit a claim? Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. One Woodward Avenue, Suite 2020 You can search by Payor Name or Payor ID. You can write to us by finding your area code with the relevant mailing address. Provider Inquiry Mail Code 0301 You can use Anthem bill pay to pay your monthly or quarterly plan premiums. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. (ex.907000000) Dental Office Toolkit Helpline: . 1-800-344-8525 We help Medicaid members get the health care they need in 32 Michigan counties across the state. Find yours in our list ofphysician organization consultants (PDF). L07B 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. Employers can manage their Anthem bill pay through EmployerAccess. Southfield, MI 48075. 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). (C) 2014 Tesia . Find answers to all your questions with an Anthem representative in real time. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. 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. Anthem Bill Pay | How to Pay Your Anthem Bill | Anthem Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Tax ID or Social Security number ready before calling. 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. Contact will be made by an insurance agent or insurance company. }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x P.O. 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 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. Say "representative" to reach someone who can help. Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. Understand your care options ahead of time so you can save time and money. New member? Pay outstanding doctor bills and track online or in-person payments. 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. PDF Anthem Dental Complete - PeopleSolutions If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. 45. Detroit, MI 48231-0166, Federal Employee Program claims 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. Medicare Advantage, or Medicare part C, is a form of private Medicare insurance sold by companies like Anthem. 13223 Anthem Vivity 13109 Arbor Health Plan 13405 Arise Health Plan Medicare Select Policy Our resources vary by state. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000001380 00000 n 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. 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 Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions.