Horizon bcbs dental provider phone number how to#
Horizon bcbs dental provider phone number professional#

Horizon bcbs dental provider phone number professional#

The GRID Dental Corporation is a separate company that provides dental network services on behalf of Horizon Blue Cross Blue Shield of New Jersey, an independent licensee of the Blue Cross Blue Shield Association. OMNIA Health Plans give enrolled members the flexibility to use any hospital participating in our Horizon Hospital Network and any physician, other health care professional or ancillary provider participating in our Horizon Managed Care Network. Claims are paid by the Blue Plan where the member’s group is located. Send claims to the address on the member’s ID card. Members with access to a GRID Network will have GRID or GRID+ on their dental ID card, along with a phone number to call for benefit or eligibility questions. The GRID networks are administered by GRID Dental Corporation for the exclusive use by Blue Cross and Blue Shield plan members nationwide. National Dental GRID/GRID+ network participation will not change your reimbursement or participating provider agreement in any way.

There is no separate fee schedule for GRID or GRID+.

You’ll be reimbursed based on your current participating dental agreement. Physicians who limit their practice to providing services only in their office use this form to advise us of an established arrangement with other participating physicians/groups to care for patients requiring acute care at a network hospital, thereby satisfying our credentialing requirement to have network hospital privileges.

You can treat members from other Blue Plans, increasing your access to patients. Built in partnership by two of New Jerseys most trusted health care leaders: Hackensack Meridian Health and Horizon Blue Cross Blue Shield of New Jersey.To register, visit the Webinars and Workshops page.If you participate in the Horizon PPO or Horizon Traditional dental networks, you automatically participate in the National GRID or GRID+ networks, respectively. Worldwide healthcare solutions aimed at improving and engaging people everywhere in their health. (CT),Ĭomplimentary training for PPO providers, billing services, clinical and administrative staff who are new or already participating in the BCBSIL network Worldwide health insurance solutions and services that provide peace of mind to employers, non-profits, universities and individuals ensuring members get access to the care they need, when they need it. If you do not have online access, use our automated phone system for eligibility and benefits and other self-service requests View Provider Network Consultant Assignments Members also have online access to claim status and other services to help make their health care experience more. to 6 p.m., Eastern Time (ET), so members can get the help they need. Plus, Horizon BCBSNJ offers toll-free customer service Monday through Friday, 8 a.m.

Horizon bcbs dental provider phone number how to#

Our PNCs can offer information on how to use online tools, BCBSIL products and initiatives, provider education opportunities and personalized office visits. All Horizon Direct Access providers handle all of the paperwork for them. Durable medical equipment, such as wheelchairs, crutches or oxygen. Pharmacy benefits, including home delivery service or the cost of a medicine. Government Provider Network Services Hotlinesīlue Cross Community Health Plans SM (BCCHP SM)īlue Cross Community MMAI (Medicare-Medicaid Plan) SMīlue Cross Medicare Advantage SM (HMO and PPO) Sign in to to send your question through My Messages or Live Chat. We facilitate electronic transactions that will result in decreased paperwork, reduced errors, faster payment and better service. Report concerns to the BCBSIL Special Investigations Department (SID) As of October 1, 2019, all behavioral health professionals and ancillary providers will work with Horizon BCBSNJ to complete the initial credentialing of nonparticipating behavioral health professionals and ancillary providers who are seeking to join one of our network (s). Electronic Data Interchange (EDI) Electronic Data Interchange (EDI) services provide a more efficient and rapid exchange of information between physicians, other health care professionals and customers. Verify eligibility and benefits and/or check claim status for FEP members Obtain benefit preauthorization for certain care categories Register with Availity Essentials to verify eligibility and benefits, submit benefit preauthorization requests, obtain claim status, view provider claim summaries and moreĬlient Services: 1-800-AVAILITY (282-4548)Ĭall for out-of-state member eligibility and benefits

Obtain or confirm a patient’s Radiology Quality Initiative (RQI) number