Important Notice: Provider EFT Enrollment Federal Mandate & Other Enhancements

Our EFT system is now available. Read more in the Communications section below.

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Dental Provider Resources

Have you used our online dental claims, eligibility, and benefits website? Our web portal—powered by Availity—makes doing business with Anthem even easier.

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Don't have an Availity account? You can register here.

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.

 

Additional details and links to exclusive discounts can be found in the brochure.

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Availity Gives You the Tools You Need

 

  You get one easy website for claims and attachments.

 

  You can check eligibility and benefits, manage claims, view remittances and complete secured administrative tasks online.

 

  It’s easy to create an account with Availity if you don’t already have one.

 

  You can view your patients' health records, including prescriptions, ER visits, lab results, and care alerts if your patient has a chronic condition.

 

  Training is free online and available at your convenience—there's no need to schedule!

 

  For more on how these features can support your practice, read or download our informational brochure.

 

Visit our Availity page to learn what tasks you can accomplish using Availity, how to register, and where to find training materials.

 

Learn more about Availity 

Patient Health Record

 

Recent enhancements and original features on Patient Health Record (previously called Patient Health History) can help your office become more efficient by delivering critical health information so you can better prepare for your patients. For members with Anthem dental benefits and an affiliated medical plan, you can:

 

  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.

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  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.

 

Patient Health Record can positively affect your patients’ care and your practice. To learn more, read more about What it Is or review Frequently Asked Questions. To get started now, visit Availity.

Communications

 

We are excited to announce an important transition in our communication platform. Effective August 1, 2024, we are moving from this location to a new, dynamic site called Provider News, accessible at Provider News. This new platform is designed with usability in mind, providing enhanced features such as the ability to search articles by key terms and organization of articles by category. You can also print articles or save them as PDFs, to share crucial information with your colleagues. This enhancement enables Anthem to deliver essential updates to you in a more timely manner. We're thrilled to share this upgrade with you and look forward to the continued enhancement of our communications.

 

Check the Communications section regularly for ongoing communications to our participating dental providers. Our semi-annual newsletter, Dental Dispatch, has all the news and information you need to know, including details on new products and tools, policy updates, industry news, helpful tips, and more.

 Update on Change Healthcare's cybersecurity incident

 

 Important notice: Provider EFT Enrollments – Federal Mandate and Other Enhancements

 

 Teledentistry Guidance

 

 CDT Updates (Effective 01/01/2024)

 

 Dental Newsletter - Winter 2023

 

 Dental Newsletter - Summer 2023

 

 Dental Newsletter - Winter 2022

 

 Dental Newsletter - Summer 2022

 Dental Claims Submission Requirements

 

 CAQH ProView

 

 California Language Assistance Program

 

 Third Party Administrators, Other Payors and our Affiliates

 

 Availity Gives You the Tools You Need

 

 Augmented Intelligence Dental Claims Processing

 

 Health Watch: Opioids and Dentistry

 

 Change Healthcare cybersecurity event frequently asked questions

Reference Manual

 

Looking for the latest Dental Provider reference manual?
We’ve got you covered.

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Forms & Guides

 

A library of the forms and guides most frequently used by our providers. Need help finding a document? Please contact your Network Services Representative toll free at 866-947-9398.

Download Dental Forms

Dental Provider Services & Help

 

Please contact us if you have questions related to your network status, if you need assistance using our online tools, for Dental ProviderAccess technical support, or if you need help finding information. For help using the Availity portal for dental providers, read our frequently asked questions.

Provider Services

1-866-947-9398 (toll free)


Monday - Friday, 7 a.m. - 5 p.m. CST

Member Services

Varies. Please see back of Member ID card for contact information.

 

Related Resources

Electronic Data Interchange (EDI) Services
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Ready to become a provider in the Anthem network?

We look forward to working with you to provide quality service for our members.

 

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.

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