You can register here. PO Box 385018 Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices This is only a brief list of the plan benefits. Get access to your agent portal. You may access the Nondiscrimination and Accessibility notice Grand Rapids, MI 49516-8753, Blue Cross Complete Claims To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Please Select Your State The resources on this page are specific to your state. Each account comes with tools that let you quickly and easily get your work done. View our map (PDF). Grand Rapids, MI 49516-8710, BCN Advantage Claims Get access to your agent portal. Check to see if your dentist is in our network or choose from our many providers. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 2021 BlueCare Dental PPO (Mid-Market) Plans. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. To get credentialed, you'll need to visit CAQH.org. BlueCare Dental PPO SM * BlueCare Dental HMO SM * The site may also contain non-Medicare related information. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? That means better service and better care for your patients. . Learn more >, Not registered? Get access to your member portal. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Individuals attempting unauthorized access will be prosecuted. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. Credentialing is a verification process you'll need to pass before you can join our provider network. Enter your City and State or Zip Code and desired. Southfield, MI 48075, 1-877-293-2788 TTY users should call 711. 8:30 a.m. to noon and 1 to 5 p.m. Blue Care Network You should not think BCBSTX endorses all views you find on this other site. To view this file, you may need to install a PDF reader program. Just use our online search. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists (specialists in diseases of the nerve within the tooth) and periodontists (specialists in diseases of the gums and tissues). For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. What do I need to know about credentialing? Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . We offer resources to support your practice in serving patients covered by our dental plan. Monday through Friday Box 230589 The above is a listing of common services available through your network of Participating Dentists. Register Now, Not registered? For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Box 68753 If youre a professional provider office, you have access to a provider consultant. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Within the United States, to search for a dentist by location, supply your city (optional) and state. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . google drive shared folder empty The Blue Cross Blue Shield of Georgia Premier Plus PPO health care plans offer the highest level of benefits available. Dental Provider Services Contact our dental team to report changes to your practice or for questions about Blue Cross NC dental contracts, policies and procedures. If your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Log In to Availity Don't have an Availity account? Box 7355 Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. If you need additional guidance, read the Dentaquest Dental Manual (PDF). P.O. NEW CLAIMS SUBMISSION MAILING ADDRESS. London, KY 40742. A dentist may refer you If your General Box 310166 Are you unable to find your provider in the search results? Blue Cross and Blue Shield of Texas (BCBSTX) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Individuals attempting unauthorized access will be prosecuted. Referrals to the University of Michigan Health System and Henry Ford Health System Referrals to these two health systems require using specialty group NPIs rather than referring to an individual practitioner. Federal Employee Program providers and facilities: 1-800-482-3600 Most PDF readers are a free download. Detroit, MI 48231-2599, Blue Cross Complete claims Health Savings Accounts and Health Care Accounts, 2023 BlueCare Dental PPO (Small Group) Plans, 2022 BlueCare Dental PPO Small Group SBCs, savings for employers and their employees, out-of-network claims paid at SMA or usual and customary (U&C). Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Referrals to a hospital Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Dentist cannot provide the treatment you need, they may refer you to a specialist. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. 15. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Need help understanding our plans? Individuals attempting unauthorized access will be prosecuted. Individuals attempting unauthorized access will be prosecuted. Pediatric Dentists specialize in dental treatment for young and special needs children. Box 33248 Watch our videos to learn how specialty benefit plans offered by your employer may work for you so you can make informed decisions during open enrollment. Quickly find a general dentist or specialist. Our nationwide plans are available to almost anyone. 1-888-803-4960 State and Federal Privacy laws prohibit unauthorized access to Member's private information. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). . Detroit, MI 48232-0593, UB-04 claims Provider Finder Find a dentist in . Get health assessments, treatment support, and help understanding your plan. 1-877-258-0167 periodontal services, like deep cleanings (scaling and root planning), they will often refer 8 a.m. to 7 p.m. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. 20500 Civic Center Drive Call DentaQuest (toll free) at 1-855-418-1622. Dental Care websites are listed below. ACCESS MANUALS. You can find yours by selecting your region below. 232 S Capitol Ave Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Automated information is available anytime. London, KY 40742. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Blue Cross Blue Shield of Michigan The automated system is available anytime. Register Now. Many Periodontists also provide dental implant services. Today's top 32,000+ Clinic Manager jobs in United States. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . If your General Dentist feels that you require a specialist, 1-855-504-2583 The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, The information on this other site does not replace professional health care. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. After you've enrolled, you can register for a provider portal account. and Prevention (CDC), and state and local public health departments. To view this file, you may need to install a PDF reader program. We offer two ways to find patient eligibility information by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. P.O. Get access to your employer portal. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. If your the Blue Cross and Blue Shield of Oklahoma (BCBSOK) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. 28 Years Experience. Passive plan options pay out-of-network dental services at U&C. Marquette, MI 49855, Employee Inquiry on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. P.O. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. 8 a.m. to 7 p.m. It's more than just business when you join the Blue Cross network. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. This trademark application was filed with the USPTO (United States Patent and Trademark Office) under the trademark classification: Medical, Beauty & Agricultural Services ; Insurance & Financial Services; The BLUE . Oral health touches every aspect of our lives but is often taken for granted. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Endodontists specialize in the treatment of dental pulp and perform services like root canals, Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Monday through Friday Your first stop will usually be a General Dentist. Monday through Friday. TennCare's current dental benefits manager is DentaQuest. You'll have access to reward programs that seek to transform health care. As an alternative, you may enter a ZIP code. TTY users: To reach any number listed here, dial 711. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. 40 Years Experience. Our plans include BlueCare SM, TennCare Select and CoverKids. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. When a ZIP code is supplied, the city and state values are ignored. Log In to the Shopping Cart, Need to Make a Payment? 8 a.m. to 5 p.m. If you have a health plan and a dental plan, keep in mind that dental plans and health plans have different networks and different benefits. Welcome to DNoA Connect, a provider self-service tool where dental offices can conveniently connect to patient information for members serviced by Dental Network of America (DNoA).