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Anthem Blue Cross and Blue Shield

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Nov 07, 2022

  • Small Group
  • CA

Dental members can direct claim payments to out-of-network dentists beginning January 1, 2023

We currently send claims payments directly to dentists when services are performed by a network dentist. Claims payments for out-of-network dentists are paid to the member. The member then has to remit payment to the dentist. Starting January 1, 2023, members will have the ability to have claim payments sent directly to their dentist.

Members will need to let the out-of-network dentist know if they would like us to pay the dentist directly. The dentist will need to indicate where payment should be directed on the claim.

We’ll tell clients about this change in the November small group employer newsletter, and ask them to notify their employees. Evidence of Coverage documents will be updated to reflect this new payment option.

Please email your Anthem Connect Team representative or call 877-567-1802 if you have any questions.

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