Dental Guideline
Questions? This guideline details what you need to know.
General Dental FAQ
If the service is a dental service and the member has a new member ID, the service should be submitted on a dental claim form to UCD. The service will deny as ‘no coverage’ but then should interface to BCBSWY medical, provided the service has a secondary coverage of medical and the member has active medical coverage.
Dental Claims Administrator
PO Box 69406
Harrisburg, PA 17106-9406
Please submit to UCD at:
Dental Customer Service – Appeals
PO Box 69420
Harrisburg, PA 17106-9420
Or call 1-844-653-4057
Please follow the BCBSWY appeals process.
Register for My Patients’ Benefits at: wy.ourdentalcoverage.com and submit your claims electronically through Speed eClaim®
For questions related to electronic claim submission via Speed eClaim® or through your Practice Management Software Vendor or Clearinghouse, please contact Dental Electronic Services at 800-633-5430.
The BCBSWY Payer ID is 53767. If you don’t recognize this Payer ID, contact your Practice Management Software Vendor or Clearinghouse.
If you are directly contracted with BCBSWY OR you are contracted with both BCBSWY and United Concordia Advantage Plus, you will be reimbursed based on your existing BCBSWY schedule. If you are only contracted with United Concordia Advantage Plus, you will be reimbursed according to the United Concordia Maximum Allowable Charge schedule.
Patient information such as eligibility, benefits, claim status, maximums/ deductibles, procedure history, procedure code information, orthodontic information and Maximum Allowable Charge schedules can be obtained through My Patients’ Benefits and can be accessed at wy.ourdentalcoverage.com
Predeterminations will be valid for 1 year from when the service was approved. Providers can insert the date of service in My Patients’ Benefits via the Claim Status feature; or can insert the date of service on the Predetermination Notification form and return it via the USPS.
United Concordia will be reviewing pre-authorization requests for medically necessary orthodontia using United Concordia criteria.
FEP FAQ
Dental Claims Administrator
PO Box 69401
Harrisburg, PA 17106-9401
Paper claims can be submitted on an ADA 2012 or ADA 2019 form. Be sure to include the BCBSWY Member ID on the form. If paper dental claims are submitted to BCBSWY in Cheyenne, they will be returned to the dental office and need to resubmit to UCD directly.
Use codes D7220, D7230, or D7240. Anesthesia should be billed using D9222 for the first fifteen minutes. For each additional fifteen minutes bill using D9223 and the appropriate number of units.
Example: One hour of anesthesia; the first would be D9222 (FIRST 15 MINUTES) then D9223 (EACH SUBSEQUENT 15 MINUTE INCREMENT) with units showing as 3.
If the extraction codes crossover, then the anesthesia codes will crossover as well.
For FEP claims please submit appeals to BCBSWY.
If you are in need of help with HCPCS or CPT codes call Provider Support at 888-359-6592 or email Provider.relations@bcbswy.com.
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Dental Provider Portal
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Provider Resources
United Concordia is an independent company providing administrative services for Blue Cross Blue Shield of Wyoming members and providers.