anthem dental complete payer id

Electronic Payer ID: 07000. Blue Cross Blue Shield of Michigan 0000001857 00000 n On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. Get access to your agent portal. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> Monday through Friday, Care Management--Mail Code C355 . You can also visit bcbs.com to find resources for other states. You can write to us by matching your area code with the relevant mailing address. Type at least three letters and we will start finding suggestions for you. For costs and complete details of the coverage, please contact your agent or the health plan. Anthem makes it easy to find dental providers. Hospitals or facilities: 1-800-249-5103 ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 2^)+Vt>t]H>!@'/m )eEae;X4HmX^B$C%]Ul|&~+g[EFgL#+UWoBS/D~ v]`?CC-3~`Yz| #$X!7octxpw"w{&\6@:F|-! You can search by Payor Name or Payor ID. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Log in to your account to know if you are covered and how much you may need to pay. Learn more about Anthem Medicare plans, the benefits they may offer and how you can find plans that may be available where you live. Blue Cross Complete claims P.O. 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. You can search by Payor Name or Payor ID. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. The resources for our providers may differ between states. You can verify or update your address by logging in to your member account. A Payer ID routes electronic data transactions to the appropriate payer. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims 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. Dental Provider Resources | Anthem.com Find information that's tailored for you. 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. P.O. UI(g!q-)po 8:30 a.m. to noon and 1 to 5 p.m. Log in to https://www.availity.com. After you apply: Our automated interactive voice response system provides claims, benefit and cost-share information. Pay outstanding doctor bills and track online or in-person payments. 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 8 a.m. to noon and 1 to 5 p.m. 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. Looking for affordable family dental coverage? Find a Medicare plan that fits your healthcare needs and your budget. Read more in the Communications section below. 1-877-258-0167 0000001729 00000 n <> 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. !T@ +YY0wYfE+9De;i2L,5?fBsRLg&zM`0>93??L>ZZ.iB&fTG;oa}|&OFvw| Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Not sure which region you're in? Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. If your life and disability coverage is not combined billed with your health plan, you can pay your organizations bill at Anthem Life Resources. Reduce overhead and administrative costs by eliminating paper claim submissions. Medicare Complaints, Grievances & Appeals. 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 Register Now, Not registered? Payer ID Payer Name Enrollment 10001 AARP 13187 Access Medicare . Costs for covered services may increase when you visit a dentist outside the network. 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. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. 711. Our web portalpowered by Availitymakes doing business with Anthem even easier. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Register Now, Not registered? . 8:30 a.m. to noon and 1 to 5 p.m. 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) Click on the and follow the instructions listed. The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). Note:It can take up to 30 days for a claim to be processed. %PDF-1.7 Have you used our online dental claims, eligibility, and benefits website? Pay online. Individual & Family Plans. Finding a dentist is easy. Southfield, MI 48075, 1-877-293-2788 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. All rights reserved. Detroit, MI 48231-2599, Blue Cross Complete claims How do Medigap plans and Medicare Advantage plans differ? Available for iOS and Android devices. (Special Enrollment). Dental Provider Resources P.O. endobj Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Box 7355 Blue Care Network To select a dentist by name or location, do one of the following: Essential Vision providerssubmit claims throughHeritage Vision Plan. 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. We help Medicaid members get the health care they need in 32 Michigan counties across the state. On the Applications tab, select Provider Online Reporting. When you're contracted with us you have access to a provider consultant. Automated information is available anytime. 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. 0000017083 00000 n 0000005966 00000 n P.O. Medicare Complaints, Grievances & Appeals. 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. London, KY 40742. Check ereferrals.bcbsm.com for detailed prior authorization information. : Refers to dentist or dental entity in box #42. 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. Health equity means that everyone has the chance to be their healthiest. o The billing provider's complete name, address, and phone number must be in . If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). c7M'0@[v;m6 EU. Visit MedicareAdvantage.com to compare multiple Medicare Advantage plans, side by side. %PDF-1.5 % 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. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Box 7355 London, KY 40742 . A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . Say "date of service" to learn about a different claim. You can write to us by finding your ZIP code with the relevant mailing address. Physicians and professionals: 1-800-344-8525 Log in to your member account to access your payment options. Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. Choose your location to get started. Or Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. stream 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 There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. You can write to us by finding your area code with the relevant mailing address. Blue Cross Blue Shield of Michigan 1-800-249-5103 1-844-876-7917 Select the payer tile that corresponds to your market. The resources for our providers may differ between states. Price a medication, find a pharmacy,order auto refills, and more. ; EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. Monday through Friday Step 4: Say "no" when asked if you have additional questions about the determination of a claim. 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. 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. We look forward to working with you to provide quality service for our members. Older adults with tooth loss often ask, "Does Medicare cover dentures?" Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. 3Wly&Y^(^ M ciV \as ,Ks,p_g?>y(\,}) m v3Hv5_|m%M}-w&t?_6jo($.MJm,xW}';/;<9z=yy&g!o ]Op?>D5g Your online account is a powerful tool for managing every aspect of your health insurance plan. 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 . We offer flexible group insurance plans for any size business. <> Log in to your member account and enter your banking information to make premium payments online. Not sure if a procedure is covered? Your administrator will need to add Provider Enrollment to your user role in order to access Anthem's digital provider enrollment in Payer Spaces. The automated system is available anytime. stream Just keep in mind you'll need to go through the prompts before you're connected to someone. 1-855-504-2583 4 0 obj 8 a.m. to 7 p.m. Step 6:Tell the system the total amount charged. Grand Rapids, MI 49516-8710, BCN Advantage Claims Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. 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. xref Submit prior authorization requestselectronicallythrough CoverMyMeds. Check Your Anthem Benefits . 1 0 obj 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). The Internal Revenue Service requires that either the Social From pediatrics to adults, Anthems got you covered. It can also send you a copy of your claim's status. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. 1-800-822-2761 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). If you call before 30 days, we may not be able to check your claim through our automated phone system. Taking time for routine mammograms is an important part of staying healthy. 8 a.m. to 5 p.m. Employers can manage their Anthem bill pay through EmployerAccess. /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 A third-party practice or revenue cycle management system capable of generating EDI batch files is required. including Payor Name and Complete Address. 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> P.O. 415 S. McClellan Ave. London, KY 40742. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Monday through Friday xATi\Tt^\UUOWQ+/ES**pzQEU%QYUOr Anthem makes it easy to find dental providers. P.O. 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. WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y