Reduce reimbursement time with electronic insurance claims. 0000110519 00000 n Monday through Friday. $^mL'oY&n[cR4G@Hh?BNSdWM(1Rhui}tmev((El),"5 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 can pay your premiums over the phone by calling the Member Services number on the back of your ID card. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. 0000002292 00000 n Get access to your online account.Register Now, Not registered? Blue Vision providers submit claims electronically directly toVSP. Does Anthem Medicare Cover SilverSneakers? Hospitals or facilities: 1-800-249-5103. Register Now, Not registered? Step 6: You will then be transferred to the servicing center for assistance. 0000110278 00000 n 0000016209 00000 n endobj Log in to https://www.availity.com. 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. Anthem members may log into an online portal to find participating dentists, dental offices and more. We offer affordable health, dental, and vision coverage to fit your budget. oCol1uvs3. If your state isn't listed, check out bcbs.com to find coverage in your area. 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 . If you call before 30 days, we may not be able to check your claim through our automated phone system. 0000000962 00000 n 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 Choose an administrator to register your organization. Essential Vision providerssubmit claims throughHeritage Vision Plan. Detroit, MI 48231-2599, Blue Cross Complete claims 711. Choose your location to get started. Note: some payers may have other Payor IDs that are used dependently on the Clearing House participation. 13223 Anthem Vivity 13109 Arbor Health Plan 13405 Arise Health Plan Medicare Select Policy Monday through Friday, Care Management--Mail Code C355 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. Box 7355 0000017759 00000 n For costs and complete details of the coverage, please contact your agent or the health plan. 0000165070 00000 n The resources on this page are specific to your state. Corporate Address: Delta Dental of Minnesota Blue Cross Blue Shield of Michigan See our Medicare enrollment guide for more information about eligibility and enrollment dates. Box 68753 Get access to your agent portal.Register Now. stream endobj (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). 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). Grand Rapids, MI 49516-8710, BCN Advantage Claims 1-855-504-2583 Get access to your employer portal. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. 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 Monday through Friday. Blue Cross Blue Shield of Michigan 11589 0 obj <> endobj P.O. 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. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. 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. If youre a professional provider office, you have access to a provider consultant. New member? 8 a.m. to noon and 1 to 5 p.m. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Anthem Life members can call 855-383-7247 to pay by phone. On top of that basic coverage requirement, Medicare Advantage plans are then able to provide some extra benefits not found in Original Medicare. 8:30 a.m. to 6 p.m. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Dental Provider Resources %PDF-1.7 Not sure if a procedure is covered? Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. TTY users: To reach any number listed here, dial 711. Vision and hearing providers: 1-800-482-4047. 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 Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. 1-800-482-5982 Marquette, MI 49855, Employee Inquiry Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Blue Care Network 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. Anthem makes it easy to find dental providers. stream Monday through Friday, Care Management--Mail Code C355 Your dashboard may experience future loading problems if not resolved. Tax ID or Social Security number ready before calling. Birmingham, AL 35238-0518. Select a State Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements Our EFT system is now available. To select a dentist by name or location, do one of the following: You can also set up automatic bill pay to make convenient, automatic payments through your online account. Well try to get them added. Original Medicare does not provide coverage for routine dental care and only covers dental services in rare circumstances. 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. Quickly and easily submit out-of-network claims online. <]>> Detroit, MI 48226. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. You can write to us by finding your ZIP code with the relevant mailing address. Reduce overhead and administrative costs by eliminating paper claim submissions. Provide your mailing address to receive bills by mail. Detroit, MI 48232-0593, UB-04 claims The Anthem network of dental providers includes thousands of dentists, orthodontists, suppliers of dental equipment and more. P.O. : Refers to dentist or dental entity in box #42. . endstream endobj 11619 0 obj <>/Size 11589/Type/XRef>>stream Type at least three letters and we will start finding suggestions for you. 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^ You can also visit bcbs.com to find resources for other states. =6e Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. 1-800-344-8525 Follow the steps to enroll as a trading partner. Call our Customer Service number, (TTY: 711). The plans are required by law to include all of the same benefits as Original Medicare (Medicare Part A and Part B). . Log in to your member account and enter your banking information to make premium payments online. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. If you arent registered with EmployerAccess, EasyPay lets you make secure online premium payments as a guest. Step 5:Tell the system the date of service provided. To make a quick, one-time payment visit us here. 8 a.m. to 4 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. 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 Note: some payers may have other Payor ID's that are used dependently on the Clearing House participation. Phone: 1-877-268-3384. Monday through Friday Dental Prime & Complete Login EasyPay Forms Library . (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v04.27 . 8:30 a.m. to noon and 1 to 5 p.m. Don't have a secured provider portal account yet? We look forward to working with you to provide quality service for our members. 0000016552 00000 n 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Medicare Complaints, Grievances & Appeals. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. 0000002346 00000 n Step 4: Say "no" when asked if you have additional questions about the determination of a claim. To make a quick, one-time payment visit us here. 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. Read more in the Communications section below. Blue Cross Complete claims P.O. 1-800-762-2382 There are several Blue Cross Blue Shield and Medicaid payors that require additional information before they will accept electronic submissions from your office. If you are a new member and just selected a plan, you need to pay your first months bill before coverage starts. Process claims faster by submitting coordination of benefits electronically and fix errors early with in-system notification and correction. 0000007407 00000 n Need help finding the right plan? Step 5: Tell the system the date of service. Box 7355 USA: Anthem Health & Life Insurance of NJ - A H & L 80705: USA APA Partners, Inc. 16140 Commercial: USA APIPA - (Arizona Physicians IPA) Claims Only . Monday through Friday. 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. 1-888-826-8152 Accept the User Agreement (once every 365 days). 0000016728 00000 n Provide your mailing address to receive bills by mail. 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. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. 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. We provide health insurance in Michigan. 2^)+Vt>t]H>!@'/m )eEae;X4HmX^B$C%]Ul|&~+g[EFgL#+UWoBS/D~ v]`?CC-3~`Yz| #$X!7octxpw"w{&\6@:F|-! Plus, you may qualify for financial help to lower your health coverage costs. xref Blue Cross Blue Shield of Michigan Your browser is not supported. 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. Important Notice: Provider EFT EnrollmentsFederal Mandate & Other Enhancements If your state isn't listed, check out bcbs.com to find coverage in your area. We help Medicaid members get the health care they need in 32 Michigan counties across the state. Say "claims" when the system asks why you're calling. Taking time for routine mammograms is an important part of staying healthy. Box 68710 [/PDF /Text /ImageB /ImageC /ImageI] 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 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. Not sure which region you're in? You can also talk to your provider consultant. Read more in the Communications section below. Say "representative" to reach someone who can help. New member? (C) 2014 Tesia . Box 2227 Monday through Friday Monday through Friday. Use existing clearinghouse or billing vendor. Learn How To Use Your Anthem ID Card. The Payor Search Tool helps you identify the electronic connectivity for the Payors/Insurance companies you work with. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Anthem makes it easy to find dental providers. Contact information for corporate headquarters. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000000016 00000 n 833-901-1364 (TTY: 711) Home. Physicians and professionals: 1-800-344-8525 If you need more information, you can transfer to a customer service representative during business hours. Call our Customer Service number, (TTY: 711). endobj Monday through Friday 8 a.m. to 7 p.m. Step 5: Tell the system the date of service provided. Physicians and professionals: 1-800-344-8525 Monday through Friday 1 0 obj Medicare members have the same convenient access to online bill pay. Read on to learn what dental UnitedHealthcare Medicare Dental Coverage. 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 . Make your first payment. Hospitals or facilities: 1-800-249-5103 %%EOF Box 33248 P.O. Hospitals or facilities: 1-800-249-5103 You can find yours by selecting your region: Not sure which region you're in? Physicians and professionals: 1-800-344-8525 ; Grand Rapids, MI 49516-8753, Blue Cross Complete Claims trailer Anthem Dental Family PPO Insurance Plans. Log in to your account to know if you are covered and how much you may need to pay. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. The purpose of this communication is the solicitation of insurance. A third-party practice or revenue cycle management system capable of generating EDI batch files is required. <>/Metadata 192 0 R/ViewerPreferences 193 0 R>> Use our app, Sydney Health, to start a Live Chat. 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 Non-members can choose their state and see a directory of participating dental providers in their state and zip code. Note:It can take up to 30 days for a claim to be processed. 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. The automated system is available anytime. Or A COMPLETE RESOURCE - WORK COMP: WE048: A TOTAL RESOLUTION - WORK COMP: WE051: AAA AUTOMOBILE (MN) - AUTO: . Find a Medicare plan that fits your healthcare needs and your budget. Reviewing your options is the best way to ensure you enroll in a plan that suits the needs of your dental care and budget. Detroit, MI 48232-4248, Provider Inquiry Individual & Family Plans. We offer flexible group insurance plans for any size business. Get Started. Dentist's Social Security number or T.I.N. 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. Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. P.O. Medicare Complaints, Grievances & Appeals. Anthem has a large network of dental providers that accept standalone dental plans and Anthem Medicare Advantage plans that include dental coverage. P.O. You can use our automated system to reach a representative to discuss your claim's outcome. 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. 0000209043 00000 n Southfield, MI 48075. But most Medicare Advantage plans include basic dental care, including those found in the Anthem plan lineup. Find yours in our list ofphysician organization consultants (PDF). 8:30 a.m. to noon and 1 to 5 p.m. 8 a.m. to 7 p.m. 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. We use Availity Essentials as our provider portal. Our web portalpowered by Availitymakes doing business with Anthem even easier. % Just keep in mind you'll need to go through the prompts before you're connected to someone. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. 8:30 a.m. to 4:30 p.m. Please contact Availity Client Services with any questions at 1-800-AVAILITY (282-4548). For plan details, check out our dental family PPO insurance options today. 0000004309 00000 n If youre an administrative office of a medical care group, you have access to a professional organization consultant. P.O. 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. 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. P.O. The purpose of this communication is the solicitation of insurance. P.O. Copyright 2023 Henry Schein One. Say "date of service" to learn about a different claim. 44. You can search by Payor Name or Payor ID. Box 32593 ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The automated system is available anytime. 1-800-482-4047 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. You can also visit. Box 230589 Register Now, Learn more about registering for our web tools. 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. Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. The automated system is available anytime. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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. 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental . UI(g!q-)po You can write to us by matching your area code with the relevant mailing address. The resources for our providers may differ between states. To view bills on your phone, download the AnthemSydneySM Healthapp. A green check box identifies which service is enabled for electronic participation for the payor you are searching for. Large Group You can find yours by selecting your region below. How can you decide which type of plan is Medicare.gov is an important resource for Medicare enrollees. Medicare members with Anthem Extras coverage can also access online bill pay for Anthem Extras. 7r9p po+@T\nAWI5n_frUn2_ WrtZR^+=?Pow/Z,I vp9S9/(eI_aeE{yzpo$Pygy9@8mx)h0. PO Box 385018 Available for iOS and Android devices. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Register Now, Not registered? 11620 0 obj <>stream Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Log in to your member account to access your payment options. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. Federal Employee Program providers and facilities: 1-800-482-3600 1-800-249-5103 Blue Cross Blue Shield of Michigan P.O. i|I:8B;OZcpZoW*0|d&2d!E%2e>w`<8}~x(C3(gm4_QT5 4qqpe.g^Eo2#||68JTr6gfm'Qi9+Sv77\ot32N$wV|Rzfu~ Our EFT system is now available. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. 0000001380 00000 n Say "no" when asked if you have additional questions about the determination of a claim. Pay by phone. Admin should check email to verify account. Automated information is available anytime. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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 837- Dental Claims 835- Electronic Remittance Advice . It can also send you a copy of your claim's status. 711. Individuals attempting unauthorized access will be prosecuted. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 711. After you apply: (ex.907000000) Dental Office Toolkit Helpline: . Older adults with tooth loss often ask, "Does Medicare cover dentures?" Need to submit a claim? Not connected with or endorsed by the U.S. Government or the federal Medicare program. 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). . 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. The Internal Revenue Service requires that either the Social Your online account is a powerful tool for managing every aspect of your health insurance plan. If you will be submitting claims to a payor that has the Special Enrollment notation. Find answers to all your questions with an Anthem representative in real time. Medicare Advantage, or Medicare part C, is a form of private Medicare insurance sold by companies like Anthem. Looking for affordable family dental coverage? The 835 eliminates the need for paper remittance reconciliation. If you don't have an account yet, you can check claims for with our automated system. Not registered? Please update your browser if the service fails to run our website. The automated system is available anytime. From pediatrics to adults, Anthems got you covered. Visit MedicareAdvantage.com to compare multiple Medicare Advantage plans, side by side. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. 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. Price a medication, find a pharmacy,order auto refills, and more. WGaqwlK\&Cfd[|K21C4U[w`7\$5%,n:#x453Y State and Federal Privacy laws prohibit unauthorized access to Member's private information. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Step 6: Tell the system the total amount charged. Provider Inquiry Mail Code 0301 0000016383 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. We also . As of November 1, 2021, use 0000010692 00000 n Box 312599 We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Payer IDs route EDI transactions to the appropriate payer. 11589 32 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. Pay outstanding doctor bills and track online or in-person payments. 8:30 a.m. to noon and 1 to 5 p.m. (Special Enrollment). You'll need to use e-referral for Medicare Plus Blue authorization requests. 8 a.m. to noon and 1 to 5 p.m. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Automated information is available anytime. 8:30 a.m. to noon and 1 to 5 p.m. 2 0 obj Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). 11 0 obj Verify patient eligibility and benefits Register Now, Not registered? Step 1: Say "claims" when the system asks why you're calling. 0000012343 00000 n For costs and complete details of the coverage, please contact your agent or the health plan. xA 04hFz\GczC. Non-members can choose their state and see a directory of participating dental providers in their state and zip code. Payer ID Payer Name Additional Info Status Enrollment Required Type 270s Available . 0000165417 00000 n 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. Check Your Anthem Benefits . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. 0000001857 00000 n Or Guide to Comparing Medicare Advantage Plans, Medicare.gov The Official Medicare Website, Top 10 Best Medicare Supplement Insurance Companies. If you're not a Blue Vision provider, send claims to: VSP You can use Anthem bill pay to pay your monthly or quarterly plan premiums. 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 .