Dental Member Services

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Member Services
If the front of your ID card reads Anthem Dental Prime, Complete or Smart Access then click here for your Dental Member Services
 
Anthem Dental Member Services
 
Anthem Dental Prime, Anthem Dental Complete and Anthem Dental Smart Access Member Services
Dental Claim Form
Authorization to Release Information - English
Authorization to Release Information - Spanish
International Emergency Dental Program Frequently Asked Questions
Emergency Dental Treatment for the International Traveler
Disabled Dependent/Michelle’s Law
Extra Cleaning Benefit Form for Diabetic and Pregnant Members (Dental Prime and Dental Complete members only):

For group and individual members in Indiana

For group and individual members in CO, Anthem GA, KY, ME, MO, NV, NH, OH and WI; and group members in VA

For individual members in Virginia

Provider Nomination Form
 
Anthem Dental Prime, Anthem Dental Complete and Anthem Dental Smart Access Contact Information

For members in: 
Colorado: 855-769-1467 
 
Nevada: 855-769-1462 
Connecticut: 866-956-8604 
 
New Hampshire: 877-567-1806 
Indiana: 877-604-2142 
 
Ohio: 877-604-2156 
Kentucky: 855-769-1464 
 
Virginia: 866-956-8607 
Maine: 877-567-1757 
 
Wisconsin: 877-567-1805 
Missouri: 855-769-1465 
 
Anthem Georgia: 877-604-2158 
 
 

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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use