Answers to Common Vision and Dental Benefit Questions
How can we help today?
Dentist
As a dental practice, I have questions about working with PCBG and serving your members.
Eye Care Professional
I provide eye health services and need information about your company and my PCBG patients.
Members
Do I need an ID card?
You do not need an ID card to use your dental or vision benefits. Tell the provider what plan you have, and they will take care of the rest. If you don’t know what plan you have, log in to your online account or call us for assistance.
When does my coverage start?
You coverage begins on the policy effective date. Log in to your account, call us, or talk to your plan administrator to find out when your coverage is effective.
What if my provider is not in-network?
You can still see out-of-network providers, but your costs may be higher. To save money, find an in-network provider online or call us for help.
Benefits Manager
Where can I get a membership roster?
Log in to your account to view, print or manage your membership roster.
What should I do about an invoice question?
Reach out to your designated representative, and they can help address invoice questions. If you don’t know who your contact is, call our customer care team, and they will connect you.
How can I make an enrollment change?
To make group enrollment changes, log in to your online account, reach out to your designated representative, or contact us for help
I’m ready to work with PrimeCare! Where do I start?
We need some basic contact information from you, and a member of our team will reach out to you personally to get started.
Dentist
BrightBenefits Dentists
How do I verify a member’s eligibility or check the status of a claim?
Log in to the dental provider portal to access member eligibility, claim history and claim status. For assistance, call us at (855) 806-5198.
I’m having trouble with the provider portal. Who can I call?
For portal registration, training or support, contact us at (855) 806-5198.
How do I submit a claim?
Submit claims using payer ID “SDCOM” for clearinghouses ChangeHealth, DentalXChange, SmartData and TESIA. Please log in to the Provider Portal to submit claims, or Contact Us for more options.
Nevada Dental Benefits / PrimeCare Administrators Dentists
How do I credential a new associate dentist?
Download and complete the Nevada Credentialing Form. Email the completed form to:
credentialing@primecarebenefits.com or fax to: (702) 852-0260. Be sure to include:
Nevada State Dental License (wallet-size copy with expiration date)
DEA and NV Pharmacy Certificates
Declaration Page of Professional Liability Policy
How do I update my office information?
Complete the Practice Profile Form and contact a Professional Networks representative at (866) 998-3944.
How do I verify a member’s eligibility or check claim status?
Log in to the provider portal for 24/7 access to eligibility and claim information. For assistance, contact our customer service team. at (866) 998-3944
How do I submit a claim?
Submit NDB claims using payer ID “NDB01” and PCA Claims using payer ID "PCA01" for clearinghouses like DentalXchange or Change Healthcare. Please log in to the Provider Portal to submit claims electronically, or Contact Us for more options.
Eye Care Professionals
PrimeCare Benefits Group vision plans are powered by some of the largest vision plan providers in the country. Visit their pages below for carrier-specific FAQs.
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