anthem dental complete payer id

by · 17 maig, 2023

0000164829 00000 n Federal Employee Program providers and facilities: 1-800-482-3600 Find yours in our list ofphysician organization consultants (PDF). Understand your care options ahead of time so you can save time and money. Health equity means that everyone has the chance to be their healthiest. 1-800-249-5103 The automated system is available anytime. Payer ID Payer Name Enrollment 10001 AARP 13187 Access Medicare . Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. You'll need to use e-referral for Medicare Plus Blue authorization requests. /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 Large Group Call our Customer Service number, (TTY: 711). enrollsafe.payeehub.org to register and manage EFT account changes. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. As of November 1, 2021, use You can also visit bcbs.com to find resources for other states. P.O. Monday through Friday. P.O. P.O. You can verify or update your address by logging in to your member account. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. endobj Say "claims" when the system asks why you're calling. Our web portalpowered by Availitymakes doing business with Anthem even easier. Not sure if a procedure is covered? 11589 0 obj <> endobj Step 5: Tell the system the date of service provided. 0000209289 00000 n 0 startxref Choose your location to get started. Medicare Complaints, Grievances & Appeals. Pay outstanding doctor bills and track online or in-person payments. Become a direct submitter with the Availity EDI clearinghouse. 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. The Internal Revenue Service requires that either the Social 8 a.m. to noon and 1 to 5 p.m. How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees. Detroit, MI 48232-0593, UB-04 claims Box 7355 We currently don't offer resources in your area, but you can select an option below to see information for that state. 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 . 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. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 We offer flexible group insurance plans for any size business. The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. Say "fax or email" to receive a copy of your claim's status. 0000017083 00000 n Save money by choosing a provider in your plan. %PDF-1.7 Costs for covered services may increase when you visit a dentist outside the network. xA 04hFz\GczC. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Not connected with or endorsed by the U.S. Government or the federal Medicare program. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v04.27 . We help Medicaid members get the health care they need in 32 Michigan counties across the state. Call our Customer Service number, (TTY: 711). Pay online. . The automated system is available anytime. Grand Rapids, MI 49516-8710, BCN Advantage Claims Box 310166 You can write to us by matching your area code with the relevant mailing address. Explore programs available in your state. Detroit, MI 48226. We provide health insurance in Michigan. Anthem makes it easy to find dental providers. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Work with your vendor to ensure connection to the Availity EDI Gateway. 232 S Capitol Ave 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. 8:30 a.m. to noon and 1 to 5 p.m. If your state isn't listed, check out bcbs.com to find coverage in your area. Find out if your dentist is in our network. UI(g!q-)po oCol1uvs3. For California residents, CA-Do Not Sell My Personal Info, Click here. Non-members can choose their state and see a directory of participating dental providers in their state and zip code. stream .t`.R7bg?RrUr7rO7Pn>*~ro%WXuTT^yWu5X9 g\lxw 7Hl[Rl=j~TUK8X 1-800-482-5982 The resources on this page are specific to your state. (Special Enrollment). For costs and complete details of the coverage, please contact your agent or the health plan. 8:30 a.m. to noon and 1 to 5 p.m. 0000005966 00000 n Lansing, MI 48933. Your online account is a powerful tool for managing every aspect of your health insurance plan. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Say "no" when asked if you have additional questions about the determination of a claim. WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. Lets make healthy happen. Southfield, MI 48075. lL S[bBe[J ^m3.`dx(14) 3 =qg-Xv1_-T]Py" 0000013938 00000 n Medicare members have the same convenient access to online bill pay. 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. 0000001380 00000 n endobj . 0000017948 00000 n The purpose of this communication is the solicitation of insurance. Box 7355 You can also set up automatic bill pay to make convenient, automatic payments through your online account. You can write to us by finding your area code with the relevant mailing address. 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 . Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. A green check box identifies which service is enabled for electronic participation for the payor you are searching for. Your browser is not supported. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Monday through Friday, 1-800-431-1059 Taking time for routine mammograms is an important part of staying healthy. Get access to your agent portal.Register Now. Detroit, MI 48231-2599, Blue Cross Complete claims Call 1-844-791-5988: If you are inquiring about Delta Dental of Minnesota members whose ID begins with a 9 and who has an Individual and Family Plan. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 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. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Make your mental health a priority. Medicaid renewals are starting. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. Read more in the Communications section below. A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Among the most popular extra benefits is dental coverage. Monday through Friday, Care Management--Mail Code C355 Essential Vision providerssubmit claims throughHeritage Vision Plan. Blue Cross Blue Shield of Michigan We currently don't offer resources in your area, but you can select an option below to see information for that state. 0000110838 00000 n It looks like you're outside the United States. Not registered? Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Quickly and easily submit out-of-network claims online. Process claims faster by submitting coordination of benefits electronically and fix errors early with in-system notification and correction. Talk to a licensed agent: Select a state to update this screen with information more relevant to you. You can also set up reminders, so you never miss a payment. But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. Apply online: Log onto [https://availity.com] and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin. 833-901-1364 (TTY: 711) Home. Dentist's Social Security number or T.I.N. If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. Anthem and the Anthem family of brands (such as Blue Cross Blue Shield, Empire, Anthem Blue Cross and others) provide dental coverage and other health benefits in a number of states through many of their Medicare Advantage (Medicare Part C) plans. 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. 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. Choose your location to get started. 44. Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. <> Use our app, Sydney Health, to start a Live Chat. 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 This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 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 Facility and Special Programs 711. Well try to get them added. Select the payer tile that corresponds to your market. Monday through Friday, Care Management--Mail Code C355 There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. 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. 0000012343 00000 n Dental Prime & Complete Login EasyPay Forms Library . 0000017759 00000 n We look forward to working with you to provide quality services to our members. Monday through Friday State and Federal Privacy laws prohibit unauthorized access to Member's private information. Choose your state below so that we can provide you with the most relevant information. 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. Reduce overhead and administrative costs by eliminating paper claim submissions. 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. A third-party practice or revenue cycle management system capable of generating EDI batch files is required. London, KY 40742. Individual & Family Plans. <> Monday through Friday Pay by mail. 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. Step 5: Tell the system the date of service. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Understand your care options ahead of time so you can save time and money. 1-877-258-0167 1-800-822-2761 If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. Contact will be made by an insurance agent or insurance company. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Finding a dentist is easy. Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. 2^)+Vt>t]H>!@'/m )eEae;X4HmX^B$C%]Ul|&~+g[EFgL#+UWoBS/D~ v]`?CC-3~`Yz| #$X!7octxpw"w{&\6@:F|-! 0000007407 00000 n We also . c7M'0@[v;m6 EU. You can pay your premiums over the phone by calling the Member Services number on the back of your ID card. Note: The FEP phone system has a different set of prompts than the others. 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. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. L07B 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. 0000110278 00000 n It can also send you a copy of your claim's status. Just keep in mind you'll need to go through the prompts before you're connected to someone. If youre an administrative office of a medical care group, you have access to a professional organization consultant. 4 0 obj There are generally few restrictions for enrolling in a standalone dental plan through Anthem or other carriers. You can also talk to your provider consultant. If you call before 30 days, we may not be able to check your claim through our automated phone system. How do Medigap plans and Medicare Advantage plans differ? Box 32593 Box 2227 You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. 0000009101 00000 n (ex.907000000) Dental Office Toolkit Helpline: . 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 7 p.m. 0000016552 00000 n To report fraud, waste or abuse, call our hotline: 1-800-437-3803 From pediatrics to adults, Anthems got you covered. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. [/PDF /Text /ImageB /ImageC /ImageI] Not sure which region you're in? Our automated interactive voice response system provides claims, benefit and cost-share information. 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 and hearing providers: 1-800-482-4047. Contact information for corporate headquarters. Step 1: Say "claims" when the system asks why you're calling. Provide your mailing address to receive bills by mail. P.O. Log in to your member account and enter your banking information to make premium payments online. 837- Dental Claims 835- Electronic Remittance Advice . Box 68753 Register Now, Not registered? Get access to your agent portal. 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. Register Now, Learn more about registering for our web tools. Looking for affordable family dental coverage? You can search by Payor Name or Payor ID. 1 0 obj Phone: 1-877-268-3384. Use the company's online search tool to find Anthem dental providers near you. Reviewing your options is the best way to ensure you enroll in a plan that suits the needs of your dental care and budget. 0000165417 00000 n 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g 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 . On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. 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. P.O. Non-members can choose their state and see a directory of participating dental providers in their state and zip code. To make a quick, one-time payment visit us here. 20500 Civic Center Drive For costs and complete details of the coverage, please contact your agent or the health plan. 711. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan ; You can write to us by finding your ZIP code with the relevant mailing address. You also must be enrolled in both Medicare Part A and Part B and be at least 65 years old for most (but not all) plans. 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 Verify patient eligibility and benefits Select organization and choose Submit. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. Say "representative" to reach someone who can help. Type at least three letters and we will start finding suggestions for you. You can search by Payor Name or Payor ID. P.O. Available for iOS and Android devices. If you need more information, you can transfer to a customer service representative during business hours. 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. The purpose of this communication is the solicitation of insurance. Monday through Friday Tax ID or Social Security number ready before calling. Blue Cross Blue Shield of Michigan 0000004309 00000 n Physicians and professionals: 1-800-344-8525 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. Dental Provider Resources Admin should check email to verify account. Explore Anthem member resources including billing, claims, ID cards, urgent care, and more. We offer affordable health, dental, and vision coverage to fit your budget. Log in at availity.com. Have you used our online dental claims, eligibility, and benefits website? Blue Cross Complete claims P.O. Our EFT system is now available. Get access to your employer portal. 8:30 a.m. to noon and 1 to 5 p.m. Get access to your online account.Register Now, Not registered? !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| Visit MedicareAdvantage.com to compare multiple Medicare Advantage plans, side by side. Birmingham, AL 35238-0518. 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 1-855-504-2583 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. 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. Say "another member" to inquire on another member. 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. Choose an administrator to register your organization. Blue Cross Blue Shield of Michigan Federal Employee Program providers and facilities: 1-800-840-4505. xko1>lGqd7mv84sRH$8N+K$g8|y3/?xt\wG/O/hy?jie2gf| The resources for our providers may differ between states. : Refers to dentist or dental entity in box #42. You will see these in the sections marked with Enrollment i.e. Our resources vary by state. If you're not a Blue Vision provider, send claims to: VSP You can also visit. Provide your mailing address to receive bills by mail. . Grand Rapids, MI 49516-8753, Blue Cross Complete Claims This includes a wide range of benefits, such as transportation services, a 24-hour nurse help line, vision, hearing and dental coverage. After you apply: Step 5:Tell the system the date of service provided. Physicians and professionals: 1-800-344-8525 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Attention: Claim Processing Business Profile Anthem Dental Dental Insurance Contact Information PO Box 659444 San Antonio, TX 78237 (866) 589-0578 Customer Complaints 1 complaints closed in last 3 years 1 complaints. Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. For costs and complete details of the coverage, please contact your agent or the health plan. 20500 Civic Center Drive Anthem Blue Cross and Blue Shield - Kentucky - BCBS: SB660: APAC CUSTOMER SERVICES INC - WORK COMP: 415 S. McClellan Ave. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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. Payer IDs route EDI transactions to the appropriate payer. Box 312599 11620 0 obj <>stream Blue Care Network Pay by phone. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. 0000165070 00000 n For plan details, check out our dental family PPO insurance options today. Review medical and pharmacy benefits for up to three years. Reduce reimbursement time with electronic insurance claims. endobj 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. 8 a.m. to noon and 1 to 5 p.m. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . (C) 2014 Tesia . 8 a.m. to 7 p.m. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. We use Availity Essentials as our provider portal. Box 33248 Monday through Friday. 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. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. 1-844-876-7917 1-800-344-8525 0000002346 00000 n P.O. If you don't have an account yet, you can check claims for with our automated system. Vision and hearing providers: 1-800-482-4047 Large Group Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims We currently don't offer resources in your area, but you can select an option below to see information for that state. 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. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Make your first payment. Read on to learn what dental UnitedHealthcare Medicare Dental Coverage. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. stream Anthem has a large network of dental providers that accept standalone dental plans and Anthem Medicare Advantage plans that include dental coverage. To make a quick, one-time payment visit us here. Anthem Life members can call 855-383-7247 to pay by phone. i|I:8B;OZcpZoW*0|d&2d!E%2e>w`<8}~x(C3(gm4_QT5 4qqpe.g^Eo2#||68JTr6gfm'Qi9+Sv77\ot32N$wV|Rzfu~ 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. out of your benefits, find the best healthcare, and stay healthy. Detroit, MI 48231-0166, Federal Employee Program claims If you need additional guidance, read the Dentaquest Dental Manual (PDF). Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). New member? Note:It can take up to 30 days for a claim to be processed. Monday through Friday. Contact customer service, Heritage Provider service: 1-800-252-2053. Step 6:Tell the system the total amount charged. Use the companys online search tool to find Anthem dental providers near you. Submit prior authorization requestselectronicallythrough CoverMyMeds. Dental Insurance. Start a Live Chat with one of our knowledgeable representatives. Large Group Box 230589 Contact will be made by an insurance agent or insurance company. Monday through Friday Log in to your member account to access your payment options. Or Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements 45. 0000110519 00000 n

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