BCBSM Transition to DNoA- FAQs

///BCBSM Transition to DNoA- FAQs

Last month BCBSM Blue Dental members received an AFG Blues Alert announcing Blue Cross Blue Shield of Michigan’s (BCBSM) transition of dental administrative services to the Dental Network of America, also known as DNoA. The partnership will help manage costs and provide consumers with access to more dental service locations in Michigan. In light of recent issues with the transition, however, below is a list of frequently asked questions in regards to BCBSM’s partnership with DNoA.

What is BCBSM’s relationship with Dental Network of America?

BCBSM’s partnership with DNoA expanded the dental PPO network and improves Blue Dental.

  • DNoA is a national third party administrator for dental claims and inquiries.
  • DNoAs Preferred PPO network has the largest number of access points nationally.
  • Blue Cross Blue Shield remains the primary carrier.

What is happening with Blue Dental customer service?

As of July 29, DNoA now handles commercial member and provider inquiries from 8 a.m. to 6 p.m. Monday-Friday, Eastern Standard Time. Affected members should have or will receive a new ID card with the new phone number listed as “DNoA Pref Network” on the back. You can expect a new ID card now through December 2011. Use the most current card you receive.

What happens if I call the old Customer Service number?

Calls to the old customer service number will not be provided a transfer. An interactive voice response will direct the caller to the DNoA phone number at 888-826-8152. There are no changes for group servicing.

 

Where do I submit a claim or receipt for services received by non-participating dentists?

Submitting claims or receipts will not change and should be sent to:

 

Blue Cross Blue Shield of Michigan

P.O. Box 49
Detroit, MI 48231

 

What if I have an appeal?

The appeal message and procedure is location on your Explanation of Benefits. The address to send the appeal is:

 

DNoA Executive Inquiry Unit

701 East 22nd Street

Lombard, IL 60148

 

Common Issues Since Transition to DNoA

Some of our clients have experienced difficulty confirming their dental eligibility with BCBSM. For example, providers are either not able to obtain confirmation of dental benefits when contacting the provider verification line or claims are being rejected. BCBSM and DNoA are working to correct this.

 

Who to contact for more information

Austin Financial Group will continue to support and assist you with any issues. Please contact your Account Manager with questions and concerns.

 

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2017-01-26T13:13:41-05:00 BCN & BCBSM Alerts|