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MICHIGAN PROVIDERS

Treating Blue Cross Blue Shield of Michigan Members

Enrolled in Blue Dental and Medicare Advantage plans

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Appointment and timely access to care standards

Please schedule your patients within the timeframes outlined below

  • Emergency appointments: Immediately, 24/7
  • Urgent appointments: Within 48 hours
  • Routine appointments: Within 21 business days 
  • Preventive appointments: Within six weeks 
  • Initial appointments: Within eight weeks 
     

Claim Submission

You may submit your claims one of three ways:

  1. Clearinghouse: Payor ID BBMDQ
  2. Provider portal: Provider portal for electronic claims submission and eligibility verification for Blue Dental and Medicare Advantage members
  3. Paper Claims for Blue Dental and Medicare advantage can be mailed to:
    • Blue Cross Blue Shield of Michigan
      Attn: Claims
      PO Box 49
      Detroit, MI 48231

Important Documents and Links

Additional documents, including Office Reference Manuals, can be found on the Provider Web Portal.

Live Training Schedule

Join us for our upcoming Network Webinars and Micro-Learning sessions.

No current trainings. Check back soon!

Micro-Learning Network Series

You are cordially invited to join our exciting new micro-learning webinar series. These webinars are approximately 15 minutes, making them perfect for your lunch break. Expand your knowledge with fresh subjects or deepen your understanding of familiar topics. Come learn and grow with us!

Get Paid Faster with Direct Deposit

Electronic Funds Transfer (EFT) which is commonly referred to as direct deposit, is the fastest, easiest and safest way to receive your claim payments. After a claim is successfully submitted, funds will be deposited within 3 business days. Your remittance will be available online in the Provider Web Portal and no longer mailed to you.

How to Enroll: Click here to access the EFT form. Print out the form and fill it out and submit per the instructions on page 2 of the form.

Reporting Fraud, Waste & Abuse or Misuse of Services

Blue Cross and DentaQuest are committed to detecting, reporting, and preventing potential fraud and abuse. To report an incident, call 800-237-9139.

 

To report Medicaid fraud and abuse:

  • Call 855-MI-FRAUD or 855-643-7283
  • Visit michigan.gov/fraud and click on File a Complaint – Medicaid Complaint Form
  • Write to the Inspector General at
    Office of Inspector General
    PO Box 30062
    Lansing, MI 48909

Oral Health News & Resources

Smiling girl

News Release

DentaQuest, part of Sun Life U.S., donates $100,000 to Healthfirst Foundation to support access to dental care for underserved communities

Sponsorship is funding grants to New York-based dental schools and professional associations

Tony Mollica

News Release

Sun Life U.S. names Tony Mollica as new dental business leader

Former Humana executive to lead all of Sun Life U.S. Dental, focused on growth and promoting improved oral health for all

Dr. Todd Gray

News Release

DentaQuest’s Chief Dental Officer Named to TeamSmile Board of Directors

Dr. Todd Gray’s passion for oral healthcare aligns with Sun Life and TeamSmile missions to provide children in need with life-changing dental care

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PREVENTISTRY PULSE

The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities.