anthem dental complete payer id

Check ereferrals.bcbsm.com for detailed prior authorization information. 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. 1-888-803-4960 Say "no" when asked if you have additional questions about the determination of a claim. Practice Development, Training and Coaching, Do Not Sell or Share My Personal Information, Custom Design Benefits Inc. of OH (Claims are printed & mailed), MBA Benefit Administrators (Salt Lake, UT), Blue Cross Blue Shield of Nevada (No FEP Claims), BCBS of Georgia FEP (Colorado Springs, CO), Trigon Blue Cross Blue Shield- Colorado Dental, Blue Cross Blue Shield of Connecticut (Anthem), Blue Cross Blue Shield of Indiana (Anthem), Blue Cross Blue Shield of Indiana FEP (Anthem), Blue Cross Blue shield of Kentucky (Anthem), Blue Cross Blue Shield of Kentucky FEP (Anthem), Blue Cross Blue Shield of New Hampshire (Anthem), Blue Cross Blue Shield of Ohio FEP (Anthem), Children's of Women Vietnam Veterans-VA HAC. Payer ID Payer Name Enrollment 10001 AARP 13187 Access Medicare . Just keep in mind you'll need to go through the prompts before you're connected to someone. The automated system is available anytime. xref ZeY6[+!LV/=C}J>O4L7 A third-party practice or revenue cycle management system capable of generating EDI batch files is required. You can verify or update your address by logging in to your member account. 0000002292 00000 n The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. UI(g!q-)po Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. Understand your care options ahead of time so you can save time and money. Electronic Data Interchange (EDI) | Anthem Blue Cross and Blue Shield 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. 0000000962 00000 n Medicare Complaints, Grievances & Appeals. You can also visit bcbs.com to find resources for other states. CX083 Anthem Health Plans of Kentucky - OSB High & Low (Admin by LIBERTY Dental Plan) Par Batch CX083 Anthem Health Plans of Kentucky - PPOB & PPOD (Admin by LIBERTY Dental Plan) Par Batch . 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 %%EOF 0000013938 00000 n Marquette, MI 49855, Employee Inquiry 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 . Anthem Blue Cross and Blue Shield Provider Maintenance Form It can also send you a copy of your claim's status. If you call before 30 days, we may not be able to check your claim through our automated phone system. Automated information is available anytime. Use existing clearinghouse or billing vendor. 1-800-249-5103 Payer Lists | Change Healthcare - Support Federal Employee Program providers and facilities: 1-800-840-4505. The 835 eliminates the need for paper remittance reconciliation. Facility and Special Programs 711. 11589 32 Anthem makes it easy to find dental providers. Start a Live Chat with one of our knowledgeable representatives. 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. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Corporate Address: Delta Dental of Minnesota Explore programs available in your state. You can use Anthem bill pay to pay your monthly or quarterly plan premiums. Dentist's Social Security number or T.I.N. Monday through Friday Contact will be made by an insurance agent or insurance company. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Say "fax or email" to receive a copy of your claim's status. 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> Just keep in mind you'll need to go through the prompts before you're connected to someone. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Find answers to all your questions with an Anthem representative in real time. Call our Customer Service number, (TTY: 711). Detroit, MI 48231-0166, Federal Employee Program claims Box 33248 You can search by Payor Name or Payor ID. You can verify or update your address by logging in to your member account. Get Started. There may or may not be a premium for the plan as a whole. Individual & Family Plans. Payer name Anthem Blue Cross and Blue Shield Payer ID Professional: 00950 Facility: 00450 Availity supports the following HIPAA transactions: Healthcare Claim: Professional (837P) Healthcare Claim: Institutional (837I) Healthcare Claim: Dental (837D) Non-members can choose their state and see a directory of participating dental providers in their state and zip code. Or 8:30 a.m. to 4:30 p.m. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. TTY users: To reach any number listed here, dial 711. 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. Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claimsCOB = Coordination of Benefits; indicates secondary/COB claims accepted electronicallySmart Edits = Apply to electronic claims submissions; Not applicable to DSNP lines of business 2023 UnitedHealthcarePage 2 of 23/2/2023 Your browser is not supported. 0000016383 00000 n If you need more information, you can transfer to a customer service representative during business hours. 8 a.m. to 7 p.m. To make a quick, one-time payment visit us here. 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. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Find yours in our list ofphysician organization consultants (PDF). There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. 1-800-482-4047 (ex.907000000) Dental Office Toolkit Helpline: . 0000110278 00000 n If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Pay by mail. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Reduce reimbursement time with electronic insurance claims. 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. All rights reserved. Hospitals or facilities: 1-800-249-5103. If youre a professional provider office, you have access to a provider consultant. 1-800-344-8525 Or Step 5: Tell the system the date of service provided. 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. <> 8:30 a.m. to noon and 1 to 5 p.m. Monday through Friday For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. 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. 0000004309 00000 n Step 6:Tell the system the total amount charged. Say "claims" when the system asks why you're calling. 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. Click on the and follow the instructions listed. Make your mental health a priority. X ]]sF}OUC?M% y$*VE7D;E= n2N% 9qOw 7bgQZcqP%iT;LQ*.fYGM**R%{u$a,?J:'IYfQ[oW]o6_~/~G@3)iY4%uTu z6'Odq>'tk You can also set up reminders, so you never miss a payment. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 0000001857 00000 n Anthem has a large network of dental providers that accept standalone dental plans and Anthem Medicare Advantage plans that include dental coverage. 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. 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 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. Read more in the Communications section below. %PDF-1.5 % For California residents, CA-Do Not Sell My Personal Info, Click here. 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. For Providers: Contact us | BCBSM <> P.O. 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. 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. Costs for covered services may increase when you visit a dentist outside the network. Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| For costs and complete details of the coverage, please contact your agent or the health plan. 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. Anthem Dental Family PPO Insurance Plans. We offer affordable health, dental, and vision coverage to fit your budget. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Log in at availity.com. Your dashboard may experience future loading problems if not resolved. P.O. 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. After you apply: Monday through Friday. 0 Our web portalpowered by Availitymakes doing business with Anthem even easier. 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. Anthem members may log into an online portal to find participating dentists, dental offices and more. 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. Contact - Delta Dental of Minnesota Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Monday through Friday Not connected with or endorsed by the U.S. Government or the federal Medicare program. Member Resources: ID Cards, Billing, Claims, & More | Anthem Tax ID or Social Security number ready before calling. Physicians and professionals: 1-800-344-8525 One Woodward Avenue, Suite 2020 Monday through Friday Choose an administrator to register your organization. Hospitals or facilities: 1-800-249-5103 Note:It can take up to 30 days for a claim to be processed. Reviewing your options is the best way to ensure you enroll in a plan that suits the needs of your dental care and budget. 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. 8 a.m. to noon and 1 to 5 p.m. 0000009101 00000 n . }-k>OwA5y6 dUfJ5|mrp nW~BLR\~}]Px x Need help finding the right plan? 4 0 obj Grand Rapids, MI 49523-0589, Provider Inquiry Detroit, MI 48226. 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. Log in to your member account and enter your banking information to make premium payments online. Say "date of service" to learn about a different claim. Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. Register Now, Not registered? 0000010692 00000 n Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . Find a Medicare plan that fits your healthcare needs and your budget. Understand your care options ahead of time so you can save time and money. xA 04hFz\GczC. 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. If your state isn't listed, check out bcbs.com to find coverage in your area. <> A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . P.O. Note: The FEP phone system has a different set of prompts than the others. Log in to your account to know if you are covered and how much you may need to pay. Our EFT system is now available. 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. 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 This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Step 1: Say "claims" when the system asks why you're calling. 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. . Please update your browser if the service fails to run our website. Compare plans available in your area and apply today. Blue Care Network Birmingham, AL 35238-0518. Call our Customer Service number, (TTY: 711). 8:30 a.m. to noon and 1 to 5 p.m. Dental Insurance. Dental Provider Resources | Anthem.com Find information that's tailored for you. You can use this insurance payer id lookup tool to search the verified latest payer ID information of all insurances in USA. Monday through Friday. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Automated information is available anytime. Monday through Friday, Care Management--Mail Code C355 8:30 a.m. to noon and 1 to 5 p.m. 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). Monday through Friday. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Monday through Friday, 1-800-431-1059 To select a dentist by name or location, do one of the following: On the Applications tab, select Provider Online Reporting. Blue Cross Blue Shield of Michigan How to Find Anthem Dental Providers | HelpAdvisor.com We help Medicaid members get the health care they need in 32 Michigan counties across the state. Detroit, MI 48231-2599, Blue Cross Complete claims London, KY 40742. 2 0 obj Reduce overhead and administrative costs by eliminating paper claim submissions. 0000165070 00000 n 2005 - 2023 copyright of Anthem Insurance Companies, Inc. %PDF-1.7 USA: Anthem Health & Life Insurance of NJ - A H & L 80705: USA APA Partners, Inc. 16140 Commercial: USA APIPA - (Arizona Physicians IPA) Claims Only . From pediatrics to adults, Anthems got you covered. 8 a.m. to 6 p.m. 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). PDF Payer Identification Information Claims Information - Vyne Dental Call our Customer Service number, (TTY: 711). lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" Not registered? 2^)+Vt>t]H>!@'/m )eEae;X4HmX^B$C%]Ul|&~+g[EFgL#+UWoBS/D~ v]`?CC-3~`Yz| #$X!7octxpw"w{&\6@:F|-! 0000016903 00000 n Use the company's online search tool to find Anthem dental providers near you. Upload files through secure file transfer protocol (SFTP) or through the Availity Portal. Our resources vary by state. The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). For costs and complete details of the coverage, please contact your agent or the health plan. Payer IDs route EDI transactions to the appropriate payer. 2022 Provider fee schedule notification - Anthem ~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 11589 0 obj <> endobj Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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 Phone: 1-877-268-3384. Payer ID Lookup 2023 - Updated List Of Payer IDs Select the payer tile that corresponds to your market. stream Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Step 5:Tell the system the date of service provided. Read more in the Communications section below. 1-800-822-2761 Among the most popular extra benefits is dental coverage. Once account is verified, admin will agree to the disclaimer, set up security questions, and change password and set up authorized users. New member? Anthem Life members can call 855-383-7247 to pay by phone. If you don't have an account yet, you can check claims for with our automated system. 44. Review medical and pharmacy benefits for up to three years. Your online account is a powerful tool for managing every aspect of your health insurance plan. %PDF-1.7 8 a.m. to 5 p.m. Say "another member" to inquire on another member. Blue Vision providers submit claims electronically directly toVSP. 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. Monday through Friday. Pay by mail. Does Anthem Medicare Cover SilverSneakers? Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Anthem Blue Cross and Blue Shield - Kentucky - BCBS: SB660: APAC CUSTOMER SERVICES INC - WORK COMP: Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Step 6: You will then be transferred to the servicing center for assistance. 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. 0000017948 00000 n 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. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Don't have a secured provider portal account yet? When the admin is ready to register, choose the. We use Availity Essentials as our provider portal. 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. Anthem makes it easy to find dental providers. Health equity means that everyone has the chance to be their healthiest. 833-901-1364 (TTY: 711) Home. London, KY 40742. The resources for our providers may differ between states. [/PDF /Text /ImageB /ImageC /ImageI] 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. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. 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.

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