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Choose your network below. Technical Information Fee schedules for all BlueDental Plans are available on a secure site through the link below. 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. This is more true now than ever before, as a recent bill could offer Medicare recipients extended coverage for dental procedures considered medically necessary. %PDF-1.4 % Read more in the Communications section below. National Dental GRID Participating Plans and Networks January 1, 2019 This participating Plans or affiliated networks for the national Dental GRID (PPO) or GRID+ (Traditional) networks shown below may have one or more products using the Dental GRID. On the contrary, they can attract more patients to your dental practice. network and you'll be reimbursed based on the lower of your dentist's fees, or the maximum allowable charge, which is the amount that would be paid to dentists who have agreed to be reimbursed according to a negotiated fee schedule. Once you sign your in-network contract and become a participating provider, you must charge insured patients according to the insurers dental fee schedule. You get one easy website for claims and attachments. For more on how these features can support your practice, view medications, recent diagnoses, ER visits, or lab results that may affect your patients' dental health, confirm medical conditions that may display specific symptoms in the mouth, receive care alerts that notify you of any care gaps, or update your patients' medical condition, share patient vitals (like blood pressure, height, or weight), which can identify at-risk patients and reduce severity of systemic disease, Anthem Blue Cross Life and Health Insurance Company DBA Anthem Blue Cross (CA), Anthem Health Plans of Kentucky, Inc. DBA Anthem Blue Cross and Blue Shield, Anthem Health Plans of Maine, Inc. DBA Anthem Blue Cross and Blue Shield, Anthem Health Plans of New Hampshire,Inc. GHMSI rates are available for the HMO, RPN and PPN networks. BCBS FEP Dental members can utilize the GRID+ network as an in-network provider source. The resources for our providers may differ between states. Most insurers classify dental treatment into three categories: As you can probably tell, coverage amounts decrease as dental problems get worse. 0000013693 00000 n 0000015030 00000 n Exclusive Savings for Dental Network Providers Our Dental Provider Savings Program offers network providers discounts of up to 40% on in-demand products (PPE equipment, scanners), lab services (implants, clear aligners, dentures), and turnkey teledentistry solutions for your office. H\n@E^&%@"0vC,2fO_(# pU)~?9uMMpp$]5cu}rx:OwicxLS??KqnkS,e[>/34Cc!Vv[|]**E~&?Kr 7xKw 0000001510 00000 n PDF 2023 FEP Blue/Grid + Fee Schedule Denplan Care. 0000005194 00000 n Get more: Something went wrong. %PDF-1.4 % a resource to help you navigate the GRID program, Click here for an in-depth look at FEP BlueDental benefits, Surprise Billing - Out-Of-Network Provider Notice. 0000020011 00000 n Dental costs - NHS Or, if you would like to remain in the current site, click Cancel. HWk\>?JC$&NhCezD]];w ), prescriptions and referrals. Find out what the charge for each band: NHS dental charges in England To reimburse you, your provider needs more than your submitted fees. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Fee schedule prices may be lower than what you would charge otherwise. H\@E|E/g#lj,!K~H^8 m)>}D For more information on covered dental services or to register for the FEP Provider Portal, pleasevisitwww.bcbsfepdental.com. If you have an EPO plan, it only covers care you get from PPO in-network dentists. Diagnostic procedures include assessments and evaluations such as oral exams, X-rays, and 3D imaging. Another reason to keep fee schedules up-to-date is to eliminate the need for adjustments in your dental practice software. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ. 2023 PPP General Fee Schedule [pdf] 2023 PPP Specialist Fee Schedule [pdf] 2023 FEP Blue-Grid Fee Schedule [pdf] 2023 Medicare Advantage General Fee Schedule [pdf] 2023 Medicare Advantage . The members card will be identified with BCBS FEP Dental at the top of the ID card, along with theclaimssubmission address and customer service number on the back to verify benefits. 0000046360 00000 n 251 0 obj <> endobj xref 0000006616 00000 n Visit our Availity page to learn what tasks you can accomplish using Availity, how to register, and where to find training materials. The2021 Blue Cross Blue Shield FEP Dental Provider Implementation Guideis a resource for Federal Employee Program (FEP) dental providers that highlights important updates to the FEPBlueDentalprogram, new benefit information and claims submission tips to ensure smooth, accurate claims processing. NATIONAL GRID+ DENTAL NETWORK. Information about dental costs and how to get help with paying for dental care. 0000031918 00000 n Dental benefit plans usually cover prevention in full and allow one or two procedures per year. 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