Bcbsnc dental provider search

Bcbsnc dental provider search. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. Pratt is a Board Certified Specialist in Pediatric and Adolescent Dentistry. View the dental network page and Dental eManual for more details. See important dates, forms, resources, policies and more. Access tools, policies and the latest information to help you care for our members. Find which documents are required and where to send them based on your patient’s health plan. com/Find-a-Doctor-or-Facility and select Dental. Pediatric dentistry, TMJ issues and injury to sound natural teeth should be submitted under the member's commercial policy. Be aware your network provider might use an out-of-network provider for some services (such as lab work). North Carolina residents of all ages and their dependents are eligible. Also, many employers have a directory The Blue e User you identify for EFT access is designated as the Authorized Signatory of the Electronic Funds Transfer record. View Provider Blue Book Dental eManual (PDF) November 2021 Online Provider Office Portal: Our new portal is now available with new and enhanced features **Click here to learn about the new portal benefits!** Directory Information Verification (DIV): Update your provider directory information via our online portal and stop calls to your office to validate Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Providers Disclosure of Ownership & Control Interest Form Requirements Contract With Us Join Our Network Provider Portal Registration Value-Based Program (VBP) Secure Email Portal Provider Resource Library Directory Information Validation (DIV) Provider TeleDentistry Resources Provider COVID-19 Resources Clinical Criteria Guidelines & Practice Pediatric Dentists specialize in dental treatment for young and special needs children. ACS is an independent company providing dental benefit administration services on behalf of Blue Cross and Blue Shield of North Carolina. To search our broad dental network, use the Find a Doctor tool on BlueCrossNC. Search Provider News BCBSNC in the News Blue Card Blue Medicare Claims & Coding COVID-19 Dental Federal Employee Program Medical Policy & Clinical Guidelines On this site, you will find resources that help health care professionals do what they do best — care for our members. We have consolidated our resources for dental providers to make it easier to find the tools and information you need. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Members may be enrolled in only one Dental Blue for Individuals plan, regardless of whether they are the subscriber or the member. Choose option Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. He received both his Undergraduate degree and his Doctorate of Dental Surgery degree at the University of North Carolina at Chapel Hill. The Blue Book Dental eManual is your guide to Blue Cross NC policies and procedures used in the administration of member dental benefits. com to register for our web portal and find policies, forms, and the latest newsletter. GDC is an independent company that is solely responsible for the services it is providing. Blue Cross NC has robust search tools to help you find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. Claims information and online EOBs; Up-to-date information about your deductible and coinsurance; Estimated out-of-pocket costs for specific providers and services Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. Better care starts here. Look for a doctor, hospital, laboratory, or any other medical provider by name, specialty or location anywhere in Louisiana, and print directory results for your search. To find a provider in the Healthy Blue network, click the search for a provider button below or contact Member Services at 844-594-5070 or TTY 711. Douglas B. The best dental plans make it easy for you to find a trusted dentist and know what’s covered before you see them. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Get Started Shop Plans Anthem - Provider Finder is a platform to locate in-network Anthem providers and estimate healthcare costs. Blue Cross NC makes health insurance easy. Blue Dental makes it easy to find a dentist you trust. You can also check to see if your current eye doctor is in our provider network. Rather than assuming your dentist or orthodontist will cover any cost associated with dental work, it is best to contact your dental office and have them run your insurance. If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. DENTAL BLUE – PARTICIPATING DENTISTS For more information, contact your Blue Cross NC Ancillary representative. 4 The national GRID+ Dental Network is managed by the GRID Dental Corporation (GDC), a separate company that provides access to dental networks and services on behalf of Blue Cross NC. Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. Sometimes referred to as healthcare or medical networks, commercial networks contain several specialty networks such as dental (Dental Blue), InterPlan Program (IPP) and Blue High Performance Network (BlueHPN). In the United States, Puerto Rico and U. Providers can proactively send medical records and other required documents to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) before claims are processed to help avoid denials or delays. bcbsnc. Individuals who want to see a provider who is not. Your Dental Blue plan can help take care of your health by giving you regular and reliable access to dental care. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Most Pediatric Dentists provide different levels of sedation, when needed, and some even have privileges to provide services in a hospital setting. 3 Blue Cross NC Provider Data Management Report as of May 1, 2023. You can search by name, specialty, location and more. Use the right search tools to find a doctor. Blue Cross NC 2/24 Step-by-step instructions for finding a Clear Pricing Project provider in the Aetna network for 2025. If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. Not all providers offer acupuncture service. Have you already registered your NPI? If you are an out-of-network provider who previously received payment for services from Blue Cross NC, you have already registered your NPI with us. Member Services: 844-594-5070 Provider Services: 844-594-5072 Behavioral Health Crisis Line: 844-594-5076 AnthemBlueCross providers access to networks of license dentist for insurance carriers, health maintenance organizations, employers, labor unions, trusts, third-party administrators, affiliated and nonaffiliated companies, or other groups of individuals which extend dental care benefits to employees, dependents, members, enrollees and participants eligible to receive such dental care benefits National Provider Search As a BCBS member, your coverage travels with you. Effective 1/1/2008, Blue Medicare HMO and Blue Medicare PPO members have the freedom to choose in-network providers and specialists without a referral. North Carolina State Health Plan. com and select Members, click on Find Care,2 then click on Look up a Doctor or Drug. You can choose an eye doctor nearest you or who offers the services you want. Member Appeal Representation Authorization Form. WHAT YOU GET. Search nationwide for physicians, specialists or hospitals. Visit Anthem. with each plan. BCBSNC agrees to inform the Authorized Signatory by email, and to provide confirmation, by US postal service, of any creation of or change to the record. Custom Dental plans are not included in this guide. Members are still expected to select a primary care physician (PCP). com, click on Find Care, then select Find a Dentist. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Find a Doctor and see Blue Distinction®Centers highlighted, or search for them directly: Find a Blue Distinction®Center Clinical Labs, Home Medical Equipment and Specialty Pharmacy Please call the toll free Member Services phone number listed on the back of your ID card for independent (non-hospital based) clinical laboratory services 4 The national GRID+ Dental Network is managed by the GRID Dental Corporation (GDC), a separate company that provides access to dental networks and services on behalf of Blue Cross NC. Dental procedure not directly associated with dental disease; Procedures not performed in a dental setting; Procedures that are considered to be experimental, including pharmacological regimens not accepted by the American Dental Association (ADA) Council on Dental Therapeutics; Placement of dental implants, implant-supported abutments and Provider Blue Books. We have an easy-to-use Find Care tool that lets you search for an in-network eye doctor. Providers; Disclosure of Ownership & Control Interest Form Requirements; Contract With Us; Join Our Network; Provider Portal Registration; Value-Based Program (VBP) Secure Email Portal; Provider Resource Library; Directory Information Validation (DIV) Provider TeleDentistry Resources; Provider COVID-19 Resources Find all the Dental Blue Select forms and contact information you need to manage your policies if you’re an employer or group administrator. A person is considered ineligible for the individual dental plan if they are already covered under another Dental Blue for Individuals policy. Most dental work - including cleaning, exams, fillings, root canals and implants - can be submitted as a dental claim to Blue Cross NC. Only providers with a Blue Cross NC contract can receive direct payment. Which plan is right for you? or seeing dentists that are in the Blue Cross NC network. Contact us for more details about our plans, coverage, costs and more. Please view our list of acupuncture providers (PDF) to find providers in your area that may offer acupuncture. That’s Dental Blue® from Blue Cross NC. Our public Find Care tool is only for plans not in a Select Network. Using it may result in visiting an out-of-network doctor and higher health costs if you're in a Select Network. S. Use our search tool below to find a plan provider close to home. Virgin Islands. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. A Google Maps powered search that will help you find providers and facilities that are close by; The ability to access more information about a provider without having to begin a separate search; The new tool offers a more straight-forward way to get the information you need. Find Care Near You with the Find a Doctor Tool. Commercial and Dental Networks. Blue Cross Blue Shield FEP Dental makes the following available: Dec 22, 2021 · Providers Disclosure of Ownership & Control Interest Form Requirements Contract With Us Join Our Network Provider Portal Registration Value-Based Program (VBP) Secure Email Portal Provider Resource Library Directory Information Validation (DIV) Provider TeleDentistry Resources Provider COVID-19 Resources Clinical Criteria Guidelines & Practice You will pay the most if you use an out-of-network provider ,and you might receive abill from a provider for the difference between the provider’s charge and what your plan pays (balance billing ). Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). These tools are offered for your convenience and should be used only as reference tools. Jul 30, 2024 · 09/11/2024 LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for the State of Emergency for the Airport and Bridges Fires located in Los Angeles, Orange, Riverside, and San Bernardino Counties Issued on September 11, 2024 Providers should bill with an ADA form, using the appropriate CDT code The 2012 ADA form is encouraged; however, we will still accept the 2006 version until IDC-10 goes into effect on October 1, 2015. You can also go to BlueCrossNC. The Provider Search information is updated weekly. * The City Search displays only providers located within city limits. To find the closest provider, please search by distance using the zip code search. Access the most up-to-date provider information with our Find Care search tool in Blue Connect ℠. You will need to contact Blue Cross NC Provider Service at 800-777-1643. 2 Dental Provider Network Log in to BlueConnectNC. Find out if your doctor, drug, or pharmacy is in-network, or explore other care options. Simply visit www. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. • For Compass Group Gold Plus, Silver Plus or Bronze PPO Plans - enter "CGQ" as the identification prefix to find participating providers in the Blue Options PPO Network or click here Linking your Blue Connect account helps you quickly access:. With it, you can locate providers by name, specialty, county or ZIP Code. com, click on Find a Doctor and select Dental. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services : Dentist Last Name: : Office Name: : Office Address: : NPI #: : License #: : Language Spoken: : Please note that * indicates a required field . Providers. Contact Us. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. 3200 Atlantic Ave Aug 9, 2022 · Dr. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Find our commercial, Medicare and dental online reference manuals for providers. You can also contact Customer Service at 877-258-3334 for help locating a provider. Dental Blue Dental Blue Product Standards and Guidelines 2024 This guide is intended to act as a resource for Standard Dental Blue plans that are currently available for all segments. Search for many different types of providers, like: For questions concerning your dental assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 866-544-4350, TTY users: 877-855-8039 DOWNLOAD US - The free LIBERTY Dental mobile app gives you access to all our self-service tools 24/7. Try our Find Care search tool to find them. Due to legislation changes, Blue Cross NC now covers acupuncture services for Medicare Advantage members. fzkm vyc bqgnzs rwjyveqv gjj mgtft mcrhvkq acrrrlbk tkuiod qubx