| 57601NH0490008 |
Anthem Bronze Blue Connection EPO 7000/50%/8000 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490009 |
Anthem Bronze Blue Connection EPO 8500/50%/9450 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350001 |
Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350002 |
Anthem Bronze Preferred Blue PPO 8500/50%/9450 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0420003 |
Anthem Dental Family |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0420004 |
Anthem Dental Family Enhanced |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0420006 |
Anthem Dental Family Preventive |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0420005 |
Anthem Dental Family Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490010 |
Anthem Gold Blue Connection EPO 1000/20%/7500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490011 |
Anthem Gold Blue Connection EPO 2000/0%/6500 RxD |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490012 |
Anthem Gold Blue Connection EPO 2000/10%/4725 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490013 |
Anthem Gold Blue Connection EPO 2000/10%/8000 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490014 |
Anthem Gold Blue Connection EPO 2000/10%/8000 WH |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490015 |
Anthem Gold Blue Connection EPO 2000/20%/4725 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490016 |
Anthem Gold Blue Connection EPO 3000/0%/5500 RxD |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490017 |
Anthem Gold Blue Connection EPO 500/25%/7500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350003 |
Anthem Gold Preferred Blue PPO 1000/20%/7500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350005 |
Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350035 |
Anthem Gold Preferred Blue PPO 2000/10%/4725 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350007 |
Anthem Gold Preferred Blue PPO 2000/10%/8000 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350020 |
Anthem Gold Preferred Blue PPO 2000/10%/8000 WH |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350006 |
Anthem Gold Preferred Blue PPO 2000/20%/4725 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350008 |
Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350024 |
Anthem Gold Preferred Blue PPO 500/25%/7000 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490018 |
Anthem Platinum Blue Connection EPO 250/10%/3000 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350032 |
Anthem Platinum Preferred Blue PPO 250/10%/3000 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490020 |
Anthem Silver Blue Connection EPO 2000/30%/9450 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490021 |
Anthem Silver Blue Connection EPO 3000/20%/8500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490001 |
Anthem Silver Blue Connection EPO 3000/30%/9000 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490022 |
Anthem Silver Blue Connection EPO 3200/20%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490023 |
Anthem Silver Blue Connection EPO 4000/0%/8500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490024 |
Anthem Silver Blue Connection EPO 4000/0%/8500 RxD |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490025 |
Anthem Silver Blue Connection EPO 4000/10%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490026 |
Anthem Silver Blue Connection EPO 4000/20%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490027 |
Anthem Silver Blue Connection EPO 4000/20%/8500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490028 |
Anthem Silver Blue Connection EPO 4000/30%/9000 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490029 |
Anthem Silver Blue Connection EPO 5000/0%/8000 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490030 |
Anthem Silver Blue Connection EPO 5000/0%/9000 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490031 |
Anthem Silver Blue Connection EPO 5000/0%/9000 WH |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490032 |
Anthem Silver Blue Connection EPO 5000/10%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490033 |
Anthem Silver Blue Connection EPO 5000/20%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490034 |
Anthem Silver Blue Connection EPO 5000/20%/7250 w/HSA WH |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490035 |
Anthem Silver Blue Connection EPO 5000/30%/9000 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490036 |
Anthem Silver Blue Connection EPO 6500/0%/9000 RxD |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0490019 |
Anthem Silver Blue Connection EPO 6500/30%/9450 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350033 |
Anthem Silver Preferred Blue PPO 2000/30%/9000 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350013 |
Anthem Silver Preferred Blue PPO 3000/20%/8500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350034 |
Anthem Silver Preferred Blue PPO 3000/30%/9000 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350012 |
Anthem Silver Preferred Blue PPO 3200/20%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350036 |
Anthem Silver Preferred Blue PPO 4000/0%/8500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350023 |
Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350037 |
Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350014 |
Anthem Silver Preferred Blue PPO 4000/20%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350015 |
Anthem Silver Preferred Blue PPO 4000/20%/8500 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350027 |
Anthem Silver Preferred Blue PPO 4000/30%/9000 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350031 |
Anthem Silver Preferred Blue PPO 5000/0%/8000 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350016 |
Anthem Silver Preferred Blue PPO 5000/0%/9000 |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350021 |
Anthem Silver Preferred Blue PPO 5000/0%/9000 WH |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350038 |
Anthem Silver Preferred Blue PPO 5000/10%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350029 |
Anthem Silver Preferred Blue PPO 5000/20%/7250 w/HSA |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350030 |
Anthem Silver Preferred Blue PPO 5000/20%/7250 w/HSA WH |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350028 |
Anthem Silver Preferred Blue PPO 5000/30%/9000 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350019 |
Anthem Silver Preferred Blue PPO 6500/0%/9000 RxD |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350039 |
Anthem Silver Preferred Blue PPO 6500/30%/9450 Value |
2024 |
PARTICIPATING [PCP] [Dentist]
|
Aug 15, 2023 |
| 57601NH0350025 |
Anthem Bronze Preferred Blue PPO 5000/25%/7450 w/HSA |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350026 |
Anthem Bronze Preferred Blue PPO 5000/25%/7450 w/HSA WH |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350001 |
Anthem Bronze Preferred Blue PPO 6500/50%/7450 w/HSA |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350002 |
Anthem Bronze Preferred Blue PPO 8450/50%/9100 |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0420003 |
Anthem Dental Family |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0390003 |
Anthem Dental Family |
2023 |
NHN005
|
May 22, 2023 |
| 57601NH0420004 |
Anthem Dental Family Enhanced |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0390004 |
Anthem Dental Family Enhanced |
2023 |
NHN005
|
May 22, 2023 |
| 57601NH0420006 |
Anthem Dental Family Preventive |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0420005 |
Anthem Dental Family Value |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350003 |
Anthem Gold Preferred Blue PPO 1000/20%/8000 |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350005 |
Anthem Gold Preferred Blue PPO 2000/0%/7000 RxD |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350007 |
Anthem Gold Preferred Blue PPO 2000/10%/8000 |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350020 |
Anthem Gold Preferred Blue PPO 2000/10%/8000 WH |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350006 |
Anthem Gold Preferred Blue PPO 2000/20%/4300 w/HSA |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350008 |
Anthem Gold Preferred Blue PPO 3000/0%/6000 RxD |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350024 |
Anthem Gold Preferred Blue PPO 500/25%/7000 |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350012 |
Anthem Silver Preferred Blue PPO 3000/20%/7250 w/HSA |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350013 |
Anthem Silver Preferred Blue PPO 3000/30%/9100 |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350023 |
Anthem Silver Preferred Blue PPO 4000/0%/9100 RxD |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350014 |
Anthem Silver Preferred Blue PPO 4000/20%/7250 w/HSA |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350015 |
Anthem Silver Preferred Blue PPO 4000/20%/9000 |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350027 |
Anthem Silver Preferred Blue PPO 4000/30%/9000 Value |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350016 |
Anthem Silver Preferred Blue PPO 5000/0%/9000 |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350017 |
Anthem Silver Preferred Blue PPO 5000/0%/9000 RxD |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350021 |
Anthem Silver Preferred Blue PPO 5000/0%/9000 WH |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350028 |
Anthem Silver Preferred Blue PPO 5000/30%/9000 Value |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350019 |
Anthem Silver Preferred Blue PPO 6500/0%/9000 RxD |
2023 |
PARTICIPATING [PCP] [Dentist]
|
May 22, 2023 |
| 57601NH0350001 |
Anthem Bronze Preferred Blue PPO 6400 50 7050 w HSA |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350002 |
Anthem Bronze Preferred Blue PPO 8000 50 8700 |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0390003 |
Anthem Dental Family |
2022 |
NHN001
|
Apr 04, 2022 |
| 57601NH0420003 |
Anthem Dental Family |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0390004 |
Anthem Dental Family Enhanced |
2022 |
NHN001
|
Apr 04, 2022 |
| 57601NH0420004 |
Anthem Dental Family Enhanced |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0420006 |
Anthem Dental Family Preventive |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0420005 |
Anthem Dental Family Value |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350003 |
Anthem Gold Preferred Blue PPO 1000 10 8000 |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350004 |
Anthem Gold Preferred Blue PPO 1500 20 8000 |
2022 |
NHN001
|
Apr 04, 2022 |
| 57601NH0350005 |
Anthem Gold Preferred Blue PPO 2000 0 6500 RxD |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350007 |
Anthem Gold Preferred Blue PPO 2000 10 8000 |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350020 |
Anthem Gold Preferred Blue PPO 2000 10 8000 WH |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350006 |
Anthem Gold Preferred Blue PPO 2000 20 4350 w HSA |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350008 |
Anthem Gold Preferred Blue PPO 3000 0 6500 RxD |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350009 |
Anthem Gold Preferred Blue PPO 3000 10 7500 |
2022 |
NHN001
|
Apr 04, 2022 |
| 57601NH0350010 |
Anthem Gold Preferred Blue PPO 4000 0 7000 RxD |
2022 |
NHN001
|
Apr 04, 2022 |
| 57601NH0350011 |
Anthem Platinum Preferred Blue PPO 200 20 3225 |
2022 |
NHN001
|
Apr 04, 2022 |
| 57601NH0350012 |
Anthem Silver Preferred Blue PPO 3000 20 7050 w HSA |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350013 |
Anthem Silver Preferred Blue PPO 3000 20 8700 |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350014 |
Anthem Silver Preferred Blue PPO 4000 20 7050 w HSA |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350015 |
Anthem Silver Preferred Blue PPO 4000 20 8700 |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350016 |
Anthem Silver Preferred Blue PPO 5000 0 8700 |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350017 |
Anthem Silver Preferred Blue PPO 5000 0 8700 RxD |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350021 |
Anthem Silver Preferred Blue PPO 5000 0 8700 WH |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
| 57601NH0350018 |
Anthem Silver Preferred Blue PPO 5000 20 6700 w HSA |
2022 |
NHN001
|
Apr 04, 2022 |
| 57601NH0350022 |
Anthem Silver Preferred Blue PPO 5000 20 6700 w HSA WH |
2022 |
NHN001
|
Apr 04, 2022 |
| 57601NH0350019 |
Anthem Silver Preferred Blue PPO 6500 0 8700 RxD |
2022 |
PARTICIPATING [PCP] [Dentist]
|
Apr 04, 2022 |
