Availity Portal

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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

Search our online provider directory when you need a doctor, hospital, or other health care provider.

Dental Provider Resources

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Dental Provider Online Portals:  
Anthem Online Portal

Eligibility, benefits, claim status, and electronic claim submission for Anthem’s Prime, Complete, and Smart Access members.

 
SecureTrack Online Portal

Eligibility, benefits, claim status, and electronic claim submission for all other Anthem members.

 
Tools for Dental Providers
Electronic Data Interchange (EDI) Services
National Provider Identifier (NPI) Registration
Dental ERA Form
Dental EFT Form
HLD Index Score Sheet
 
Communication/Notifications
CDT Updates Effective 1/1/2018
Dental Newsletter – Winter 2017
CDT Updates Effective 1/1/2017
Dental Newsletter – Spring 2017
Dental Newsletter – Winter 2016
Dental Newsletter – Summer 2016
Dental Newsletter – Fall 2015
Dental E-Newsletter - Summer 2015
 
Forms
Dental Claim Form
Electronic ID Cards – Dental Quick Reference Guide
Standardized Maintenance Form
Dental W-9 Form
Dental Review Guidelines
 
Clinical Guidelines
01-101 Prophylaxis
02-901 Crown Buildup
02-902 Veneers
03-001 Endodontic Therapy
03-401 Biological Materials - Tissue Grafting
04-201 Bone Grafts for Surgical Services – Periodontic
04-202 Gingivectomy or Gingivoplasty
04-204 Mucogingival Surgery and Soft Tissue Grafting
04-205 Osseous Surgery
04-206 Crown Lengthening
04-301 Scaling and Root Planing
04-901 Periodontal Maintenance
06-002 Implant Crowns and Fixed Bridges
06-101 Implants
07-101 Removal of Teeth
07-901 Bone Grafts for Dental Surgical Services
08-001 Orthodontia - Medically Necessary Orthodontia Care
08-002 Orthodontia - Non-Medically Necessary Orthodontia Care
09-201 IV Inhalation and Local Anesthesia
Admin-01 Teeth With A Guarded Prognosis
 
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