Check back often to view information to help you and your practice, along with updates about our plans.
As part of our Quality Assurance and Utilization Management program, we conduct periodic audits of dental records to assess the delivery of necessary and appropriate care. As a result, you may receive an encrypted email from our clinical operations team requesting specific patient records. It will be sent from clinicalreviews@lsvusa.com. These…
The 2023 fee schedules for all BlueDental plans are now in effect. You’ll be prompted to log in to a secure site by using your Type 1 national provider identifier (NPI) number to access the schedules.…
Please note that we have a new claims submission mailing address. Claims for all BlueDental plans (except FEP, GRID, and prepaid plans) submitted by mail should be sent to:
FCL Dental
P.O. Box 69436
Harrisburg, PA 17106-9436
Claims that
…Our online provider directory helps our members locate participating providers. Please visit the directory web page and verify that the information listed regarding your practice is current. Up-to-date information also ensures fast and accurate claim processing.
If there have been any changes, please complete a change document, which can be found
…If you’re a participating provider in our BlueDental Copayment network, you’re also an in-network provider in our new Medicare Advantage network, which launched on January 1. The network offers the opportunity to provide essential dental care to more than 100,000 Florida Blue Medicare Advantage members.
Please note:
Until this year, CMS rules stipulated that if a provider opted out of Medicare, neither the patient nor the provider would get paid by a Medicare Advantage (MA) plan except for emergency or urgently needed services. However, as of January 1, 2022, the Medicare opt-out status no longer applies to supplemental dental services covered by dental…
The second annual Florida Blue Foundation-Florida Combined Life (FCL) Symposium, held virtually August 24, was attended by hundreds of health care professionals, educators, state and county health officials, and nonprofit community organizations. Attendance was more than triple that of last year’s event. This year’s theme was “Integrated Health…
Effective January 1, 2023, we’re adding three more conditions to our Oral Health for Overall HealthSM program so that more of your patients can take advantage of this unique program. The new conditions are end-stage renal disease (ESRD), chronic obstructive pulmonary disease (COPD), and metabolic syndrome (MetS).
Members enrolled in the program
…The American Dental Association’s (ADA’s) Code Review committee has made the most recent updates available to the dental community for inclusion in the CDT 2023 Dental Procedure Codes.
We will review and revise the Schedule of Allowances and the CDT 2023 Dental Procedure Guidelines and Submission Requirements to reflect the ADA’s most recent
…We’ve realigned our dental network management team to better serve you. This means you may have a new network manager assigned to your practice. As such, we ask that you please review the new map below (dental network managers are assigned to specific counties). If you have any questions, please email us at dentalproviderrelations@fclife.com and…
Real-time teledentistry encounters through phone or video chat are covered for your patients of record on all our commercial dental plans. When billing for telephonic real-time emergency services, please submit two CDT codes:
D0140: Limited oral evaluation: problem-focused
D9995: Synchronous teledentistry
There’s little or no cost to members for
…Please remember to renew your license with the Florida Board of Dentistry no later than midnight, EST, on Feb. 28, 2022. Registering early is strongly encouraged to avoid termination of your network contract with Florida Combined Life. If you have not renewed your license by Feb. 28, your license will be considered delinquent, and your contract…