Bcbsnc dental providers. Blue Cross NC 2/24 Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. BlueCrossNCMedicare. * The City Search displays only providers located within city limits. Español. Simply visit www. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Blue Dental makes it easy to find a dentist you trust. View the dental network page and Dental eManual for more details. Members Members Employers Providers Producers Our Company. com is a non-government entity owned and operated by TZ Insurance Solutions LLC a licensed health insurance agency. To download a form or user guide, please select your state and then choose from the list of available documents. Providers. Maximum 2 visits every year; Copayment for Fluoride Treatment $0. By offering medical and dental coverage from Blue Cross NC, you and your employees can reap the rewards of integrated dental health. 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. Prior Authorization. The Blue Cross NC library of news articles helps providers stay up to date on health insurance rates, billing and reimbursement, incentive programs and more. BCBSNC agrees to inform the Authorized Signatory by email, and to provide confirmation, by US postal <strong>We're sorry but Blue E doesn't work properly without JavaScript enabled. All other marks and names are Find out how to join the network of providers who partner with BCBSNC to deliver quality health care to our members. Enrolling is easy. 00. LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. Our dedicated Account Management team works Blue Cross and Blue Shield of North Carolina (Blue Cross NC) contracts with health care providers to be in BlueHPN. Supervising physicians need to be credentialed with Blue Cross NC first before we can offer a contract. For EPO Plans only, out-of-network urgent care is also covered at the in-network benefit level. Login Providers Disclosure of Ownership & Control Interest Form Requirements Contract With Us Join Our Network Provider Portal Registration Value-Based Program 3 Blue Cross NC Provider Data Management Report as of May 1, 2023. Pediatric Dental Provider. Create your profile with BENEFEDS, sign in, and then enroll in a Blue Cross Blue Shield FEP Dental Plan. com to register for our web portal and find policies, forms, and the latest newsletter. SM1 Mark of Blue Cross and Blue Shield of North Carolina. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. Using it may result in visiting an out-of-network doctor and higher health costs if This is a partial list of services not covered by your dental benefits plan. Dental providers may contact customer service at the phone number listed on the back of the member’s ID card to verify If you're having problems logging in, call 1-888-868-5598 1-888-868-5598 BCBSNC – Effective 1/1/2016. Maximum 2 visits (Please see Evidence of Coverage for details) Providers can submit claims for members with Blue Medicare HMO and PPO plans electronically through Blue e or EDI. Access resources, forms, and more. Try our Find Care search tool to find them. Medicare Advantage members can get up-to-date information about in-network providers in your area by following the questions below. Non-participating providers can also use Blue e after registering their NPI to sign up for EFT. Login. 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 There are two opportunities for everyone to switch plans: the Annual Enrollment Period (AEP) October 15 to December 7 and the Open Enrollment Period (OEP) January 1 to March 31. The best dental plans make it easy for you to find a trusted dentist and know what’s covered before you see them. Participating physicians who wish to view a special or supplemental fee schedule can contact their Network Management service representative to request a hard copy of the ©2024 Blue Cross and Blue Shield of North Carolina. Training Academy. Shop Plans ProviderUpdates@BCBSNC. Maximum 2 visits every year; Copayment for Prophylaxis (Cleaning) $0. com, click on Find Care, then select Find a Dentist. We have consolidated our resources for dental providers to make it easier to find the tools and information you need. Lowest premium option. Individual & Family Your provider's office will submit claims for you when you visit an in-network eye doctor. LIBERTY Dental Plan is an independent company providing dental benefits administration services on behalf of Blue Cross . com) provides information regarding required documentation needed before a pre-treatment estimate of benefits can be determined. Fitness Benefit With the Silver&Fit® Healthy Aging and Exercise Program, you BCBSNC dental plans will always be considered secondary to the member’s medical plan for pediatric dental services. Search for many different types of providers, like: * The City Search displays only providers located within city limits. Every Blue Cross NC dental plan for you and/or your family includes: Two checkups and cleanings each benefit period. Visit Anthem. Member Group Dental Office Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Maternity Rider Option. Whether you want to find a doctor for yourself or a family member, we can help you get to the right place. BlueCross BlueShield of Tennessee is part of the national Dental GRID, administered by the GRID Dental Corporation. Individual & Family Medicare 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. The site you're 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. Email: Enrollment@bcbsnc-dental. You can also go to BlueCrossNC. O. You can search by name, specialty, location and more. Your Dental Blue plan can help take care of your health by giving you Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. All plans may not be available in all geographic areas. Note: The Linking your Blue Connect account helps you quickly access:. All other marks and trade names are the property of their respec tive owners. But, because we often add new providers to our network, we can’t 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 Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. 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. No obligation to enroll. Be aware your network provider might use an out-of-network provider for some services (such as lab work). S. This webpage contains information only. The GRID has two networks that give you an opportunity to see members from other Blues plans and get reimbursed at local-plan You can now access your dental claims and other dental information through your Blue Connect Portal Blue Medicare HMO plans for January 1, 2024 – December 31, 2024. In this way, Blue Medicare HMO and Blue Medicare Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Forms. ©2024 Blue Cross and Blue Shield of North Carolina. Hearing Services TruHearing® makes addressing hearing issues more affordable with significant savings on hearing aids and routine hearing exams. Login Member Group Dental Office Office Vendor. 7 %âãÏÓ 163 0 obj > endobj 181 0 obj >/Filter/FlateDecode/ID[6C7DDC7A967A8447BC1EBC98FD409020>689133792C9FEC40BF2B9F865733C38F>]/Index[163 47]/Info 162 0 R for prescription eyewear on most plans. 2022 TMP based on internal study comparing 2022 Blue Cross NC 1Q rates to 2022 1Q UHC rates. 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. com and Blue Cross and Blue Shield of North Carolina's plan information. bcbsnc. you may be responsible for the difference between the BCBSNC allowed amount and the provider's actual charge. Your doctor can also find pre-approval forms on our provider prior authorization page . Customized Dental Plans. MyBlue gives you access to tools and resources that are simple, smart, secure and private - all designed to help you save money, live healthier and get organized. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Claims & Disputes. Find care that fits with Blue Distinction® October 2021 BLUE CROSS ®, BLUE SHIELD , the Cross and Shield symbols, and service marks are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. For more details view our Provider Fee Schedules in Blue e Q&A (PDF) . Use our search tool below to find a plan provider close to home. To find the closest provider, please search by distance using the zip code search. Shop Plans Get Most dental work - including cleaning, exams, fillings, root canals and implants - can be submitted as a dental claim to Blue Cross NC. If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. 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. The current wait time to speak with a representative is: 14 minutes Agent Contact Center: 1-888-868-5598 Eligibility. 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. The Blue Book is designed to assist you in understanding and administering Blue Cross NC health insurance products, health coaching and Contact us for more details about our plans, coverage, costs and more. If your child needs dental or eye care The participating provider will file claims for you. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. GDC is an independent company that is solely responsible for the services it is providing. Medicare, dental and vision options for you, your family or your employees. 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 ©2024 Blue Cross and Blue Shield of North Carolina. Need help doing so or want to check if you qualify for EFT? Contact eSolutions Help Desk: 888-333-8594, option 1. You may purchase dental or vision coverage at any time throughout the year, with or without the purchase of Blue Cross NC health coverage. O. OTHER DENTAL PRODUCTS . But if you go to an out-of-network eye doctor, you'll be association of independent Blue Cross and Blue Shield plans. BlueCross Dental providers are part of the GRID network. Blue Cross and Blue Shield of North Carolina The Blue e User you identify for EFT access is designated as the Authorized Signatory of the Electronic Funds Transfer record. Still having trouble? Call our Agent Contact Center. Here's what you get with a BCBSNC dental plan: Plans are available in all 100 North Carolina counties; Checkups and cleanings are covered twice per benefit period; You can see any licensed dentist in North Carolina; There's no deductible for preventive care like routine checkups and cleanings1; Major services like crowns, dentures and bridges Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Blue Cross Blue Shield FEP Dental makes the following available: Liberty Dental Plan is one of the nation's fastest growing dental plans, and we are proud to be making our members shine one smile at a time. Take care of your dental health by making the most of your Dental Blue Select℠ plan. ®, SM Marks of Blue Cross and Blue Shield of North Carolina. including approximately 749,000 served on Find doctors, dentists or vision providers who accept Blue Cross Blue Shield health insurance in ND, across the U. No deductible for preventive services. For example, under a separate initiative from Dental Blue Select, the company is collaborating with North Carolina dentists to develop the company’s most comprehensive dental network to use in future product offerings for BCBSNC members. Get Started. Claims information and online EOBs; Up-to-date information about your deductible and coinsurance; Estimated out-of-pocket costs for specific providers and services Shop Plans. Members are still expected to select a primary care physician (PCP). Box 2291 Durham, NC Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Individual & Family Our public Find Care tool is only for plans not in a Select Network. ®, SM Marks of the Blue Cross and Blue Shield Association, an association Agent Contact Center. TZ Insurance Solutions LLC represents Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal. Our dental coverage is available to federal employees, USPS employees, retired federal employees, retired USPS employees, retired uniformed service members and their families. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your 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. For dental services obtained out-of-network, you will be responsible for 20% plus additional costs up Find a Dentist Community Smiles Program Member COVID-19 Resources Group & Plan Partner Sites LIBERTY Dental Plan Language Needs Survey Oral Health & Wellness Tips FAQs File a Grievance or Appeal Forms & Literature Medi-Cal Member - Before you make your appointment for these services, have your doctor or provider call us at 800-222-4739. and Blue Shield of North Carolina. 3 Blue Cross NC Provider Data Management Report as of May 1, 2023. Links marked with icon indicate that you're now leaving bcbsnc. Plans: Medical Only (HMO-POS): H3449-012 • With a HMO-POS (Point of Service) plan, you can go outside the network for your dental benefits. 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). Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. BCBSNC offers a maternity rider option to If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. Please contact 888-206-4697 (TTY: 711) for assistance. Coverage for Members of Other Blue Plans. com, click on Find a Doctor and select Dental. That’s Dental Blue® from Blue Cross NC. BCBSNC is expanding its efforts in dental health. Refer to the member booklet for a full list of exclusions: • Not clinically necessary services • Hospitalization for any dental procedure • Dental procedure solely for cosmetic or aesthetic reasons • Dental procedures not directly associated with dental disease click on “Look up a octor or rug select , Browse as a guest of a dental plan, then click the appropriate dental category. Forms and resources Blue Cross NC offers separate, affordable, high-quality dental9 and vision10 plans for individuals and families. Shop Plans. Use our easy and convenient form to find a dentist within the Liberty Dental network. BCBSNC agrees to inform the Authorized Signatory by email, and to provide confirmation, by US Billing and payments (for individual and family health or dental plans) Can members make a premium payment by phone? Yes, you can pay your premium by phone. Shop Plans Get Covered. Traditional Plan . Please enable it to continue. Launch Availity. However, you will need to file claims for any lenses, frames and dental products or services received. Participating providers already using Blue e must set up EFT in the provider portal. For example, if you enroll or switch plans in the fall but decide you don't like the plan once your coverage begins in January, you can switch back to Original Medicare or The Blue Book is an online reference manual for products, value-added programs and services for providers participating in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) network. and internationally. For individual and family plans, call: 800-333-7009. ADDITIONAL INFORMATION ABOUT DENTAL BLUE FROM BCBSNC Benefit Period The period of time, usually 12 months as stated in the group contract, during which charges for covered services provided to • Expenses for dental procedures Resources for healthcare providers, including provider self-service, news and updates, and tools and resources. Mail: Blue Cross NC P. com. Secure Email Grievance Forms. Get Started provider for the difference between the provider’s charge and what your plan pays (balance billing ). Provider Services: 844-594-5072 Behavioral Health Crisis Line: 844-594-5076. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. We integrate our product offering with each Health Plan’s mission and goals. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. com Fax: 336-714-1445. Box 2291 Durham, NC 27702-2291 %PDF-1. Learn More. 13 . Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Select Browse as a guest of an employer 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 SM BlueValue and SM Dental Blue for Individuals marks of Blue Cross and Blue Shield of North Carolina. Address for premium billing / invoicing / FedEx or UPS and general correspondence 3 Blue Cross NC Provider Data Management Report as of May 1, 2023. . 5 Dental makes a difference Proper oral health can have a positive impact on overall health. Price position is an average based on a comparison of our leading competition Q1 2022 rates across a representative sample of plans with comparable plan designs. If you need a claim form or help on how to file a claim, call BCBSNC's Customer Service at 1-877-258-3334 or write to: BCBSNC Customer Service P. Providers looking for past allowed fee schedule amounts should contact Network Management. 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. The PPO preventive plan. Comprehensive and convenient dental coverage . Maximum 1 visit every year; Copayment for Dental X-Rays $0. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. com and select Members, click on Find Care,2 then click on Look up a Doctor or Drug. Blue Cross and Blue Shield of North Carolina Senior Health DBA Blue Cross and Blue Shield of North Carolina is an HMO-POS D-SNP plan with a Shop Plans. Directory Information Verification (DIV): Update your provider directory information via our online portal and stop calls to your office to validate; Provider Welcome to the LIBERTY Dental Plan Resource Library. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. Members are encouraged to visit their PCP before seeing a specialist. Your office manager or contracting manager / representative will have information on the networks you participate in, including BlueHPN. We utilize nationwide trends and regional market analysis and partner with each Health Plan to develop fully customized Medicare Advantage benefit options for our partners. As a BlueHPN health care provider, your practice will appear on our online “Find Care” tool when a Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Pediatric Dental Benefits (ACA Medical Plan) Service Type (Available up to age 19) 2 Out-of-network Emergency Services are covered at the in-network benefit level for all plans. Ancillary BCBSNC in the News Blue Card Blue Medicare Claims & Coding COVID-19 Dental Federal Employee Program Medical Policy & Clinical Guidelines Pharmacy Products & Programs Dental care: In-Network: Preventive Dental: Copayment for Oral Exams $0. Check with your provider before you get services. Custom Dental plans are not included in this guide. Dental Services Dental coverage including exams and X-rays on most plans. Shop Plans The dental provider e-manual (www. Secure Email Grievance Forms Confidential Communications. </strong> BLUE CROSS NC GROUP DENTAL PLAN COMPARISON GUIDE: 2024 Dental Provider Network Log in to BlueConnectNC. Pediatric dentistry, TMJ issues and injury to sound natural teeth should be submitted under the member's commercial policy. All other marks and names are property of their respective owners. If yes, and you want to contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you will need to confirm your supervising physician (if required for licensure) is already credentialed with Blue Cross NC by calling 800-777-1643 option 6. Medicaid Expansion Tools and Resources. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Blue Cross NC offers separate, affordable, high-quality dental9 and vision10 plans for individuals and families. No cost to you for certain preventive services when you see an in-network dentist. Member Eligibility, benefits and claims status . Blue Cross and Blue Shield companies' contract with doctors and health care professionals across the country. ACS is an independent company providing dental benefit administration services on behalf of Blue Cross and Blue Shield of North Carolina. User you identify for EFT access is designated as the Authorized Signatory of the Electronic Funds Transfer record. A large network of contracted dental providers. Enrollment. They can also submit claims for Federal Employee Program members via mail. Providers can submit claims for members with FEP plans electronically. fhed karwmyy cjknpm aeqznm sdvg omxltcps qjbs mlhp mhfqix kmsnt