Bcbs of nc provider phone number

Bcbs of nc provider phone number. 888-234-2416 x: 919-765-2322 M-F 8AM to 6PM: State Health Plan c/o BCBSNC Appeals Department PO Box 30055 Durham, NC 27702: Base PPO Plan (70/30) & Enhanced PPO Plan (80/20) Members: Smart NC is a program provided by the NC Department of Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Individual and family plans (under age 65) ©2024 Blue Cross and Blue Shield of North Carolina. Access tools, policies and the latest Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. This includes Provider Blue Books, enrollment forms and more. You can also call us to learn more about purchasing a plan. Blue e Provider Access - Blue Cross and Blue Shield of North Carolina | BCBSNC If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. Better care starts here. Blue Cross NC makes health insurance easy. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Our general phone number is: ©2024 Blue Cross and Blue Shield of North Carolina. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide. Make checks payable to Blue Cross NC or the State Health Plan, depending on which company paid the claim. It also means not having to worry if a check is lost, stolen or damaged. Don’t have your ID Within 90 days of claim adjudication date, complete and submit the level I provider commercial appeal form. Phone: 1-877-258-3334 Fax: 1-919-765-1920. 1, 2023, for any Brighton-administered member benefits, so there is no need to act on any previously scheduled and authorized services/procedures. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. BCCHP – 877-860-2837. Columbia, SC 29219. Proof of prior dental coverage with less than 63 days lapse in coverage is required. See important dates, forms, resources, policies and more. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Appeals & Grievances (Blue Cross & Blue Shield of NC) To appeal a claim decision or to file a grievance. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 1-361-878-1623 Fax Get the Blue Cross NC forms and documents for providers that you need all in one place. How do I know the name of my Medicare plan? You'll find the name of your Medicare plan at the top right of your member ID card or the bottom left. The Blue Cross NC Care Management Department works with physicians and members to facilitate the most medically appropriate, cost-effective, quality care for our members. The “Notice Contact” may be different from your billing address and physical address. Nov 1, 2022 · For existing Blue Cross NC groups, Blue Cross NC will transfer medical and pharmacy authorizations to Brighton by Jan. will prevent us from returning your payment. Forms to add or remove a Blue e user or NPI. Navigation. to 5 p. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. North Carolina Help Center: Important contact information for Blue Cross and Blue Shield of North Carolina. 7 %âãÏÓ 163 0 obj > endobj 181 0 obj >/Filter/FlateDecode/ID[6C7DDC7A967A8447BC1EBC98FD409020>689133792C9FEC40BF2B9F865733C38F>]/Index[163 47]/Info 162 0 R provider agreement and the provider manual for more details. Find out how to join, update or access the Blue Cross NC network of providers. Specialty medications are most commonly used for chronic diseases such as rheumatoid arthritis and multiple sclerosis. Also get information on eligibility, benefits, claims, and medical policies. Schedule an appointment today. Forms: https://provider. In the United States, Puerto Rico and U. MMAI – 877-723-7702. If you have a Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, you'll find the name of your plan at the top of your member ID card. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. Service Number; Arkansas Blue Cross Doctor and Hospital Service: 501-378-2307 or 800-827-4814 (Arkansas policies only) BlueCard® Service: 800-810-BLUE (2583): The BlueLine: 800-676-BLUE (2583) Provider Customer Service – Government Programs. Find out how to contact Blue Cross NC by phone, chat, secure message or visiting a store. HIPAA affects almost the entire health care industry, including employers. . Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Please contact the Provider Blue Line at 800-214-4844 if you need additional assistance. Providers can proactively send medical records and other required documents to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) before claims are processed to help avoid denials or delays. Blue e is the provider portal for Blue Cross NC. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. Online: Authorization requests can also be sent through https://www. Apr 23, 2020 · BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) North Carolina: 888-206-4697 800-672-7897 800-214-4844: North Dakot: 800-368-2312: Ohio Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Access your benefits, replace a card and find information about your coverage. com. Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. Apr 25, 2020 · BCBS Provider Phone Number. For health plans, providers and health care clearinghouses, the critical portions of the act are the Administrative Simplification provisions, which include new standards for electronic transactions that took effect Oct. Box 35 Durham, NC 27702. Find the phone number for Blue Cross NC providers by category, such as commercial, Medicare, BlueCard, behavioral health, chiropractic, and more. Use these numbers for claims and other inquiries for Blue Cross Community Health Plans SM (BCCHP SM), Blue Cross Community MMAI (Medicare-Medicaid Plan) SM and Blue Cross Medicare Advantage SM (HMO and PPO). Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Have questions? Call or write us! Member Services: 844-594-5070 (TTY 711) Already a member? Log in to your account and send us a message. Find which documents are required and where to send them based on your patient’s health plan. If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. These drugs are generally high-cost drugs, ranging from approximately $6,000 to $350,000 per patient, per year. S. Monday through Friday, 8 a. On the 'Select your Rx letter code screen,' choose which letter code matches the drug you're searching for. Agents have been choosing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) since 1933. Find answers to common questions about BCBSNC plans, benefits, providers and drugs. You can also access your plan information, forms, claims and more on the Blue Connect portal. NC01 07/21 Submit medical claims to: Availity. Contact Customer Support by phone or Live Chat. Log in to find contact information specific to your area and plan. Select 'Look Up a Drug or Doctor. Visit the Find Care page. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. ET After hours, you may leave a voice message. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. For admissions and private duty nursing. Medicare Advantage – 877-774-8592 For purposes of determining the Blue Cross NC Rate, the total reimbursement amount that provider and Blue Cross NC have agreed upon for the applicable provider type(s) for Covered Services provided under this Agreement shall be one hundred percent (100%) of the Blue Cross NC Medicaid Fee Schedule(s) in effect on the date of service. This results in faster payment than paper checks. Effective 1/1/2008, Blue Medicare HMO and Blue Medicare PPO members have the freedom to choose in-network providers and specialists without a referral. Log in to Blue e portal to manage claims, eligibility, prior authorization and more. Outside the United States *Select Blue Cross Blue Shield Global™ or GeoBlue if you have additional international coverage and need to find care outside the United States. BCBS Federal Phone Number; Ambetter Claims address and Phone Number; North Carolina (800) 222-4739 (800) 672-7897 (888) 234-2415: If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. You can find this number on the back of your ID card. com or Healthy Blue P. O. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Find the phone numbers for provider services, eligibility verification, authorizations, claims status, and more. Sign up for Healthy Blue emails and learn about the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Billing Provider Name: Billing National Provider Identifier: Billing Provider Tax ID Number: Claim Number: Subscriber ID Number: Date of Service(s): (include prefix) Subscriber Name: Patient Name: If you're a member and need immediate help with your account, claims or any other health insurance issues, you’ll get the fastest service by calling your plan-specific Customer Service phone number Monday - Friday, 8:00 a. Please Select Your State. ' Then select 'Browse as a guest of a group plan. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current information about how If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. Providers; Agents; Contact Us; Español; menu1; menu2; call the Customer Service number on the back of your Blue Cross NC member ID card. Virgin Islands. Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. Laredo. See "San Antonio and Laredo" Lubbock. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news If yes, and you want to contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you will need to confirm your supervising physician (if required for licensure) is already credentialed with Blue Cross NC by calling 800-777-1643 option 6. ' Select 'Drug or pharmacy' option. Connect to My BCBS in your local region. Medical: 1-844-445-6649. Mail completed appeal form and any supporting documents to: Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. Blue Cross and Blue Shield of North Carolina P. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. By calling 800-672-7897, Care Management staff are available to assist with arranging care for services for our commercial and State Health Plan membe Blue Cross and Blue Shield of Texas 1800 West Loop South, Suite 600 Houston, TX 77027-3279 800-637-0171, press 3 1-713-663-1149 Fax: 713-663-1227 Email to submit provider inquiries and questions. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. com/ north-carolina-provider/forms. By phone: Blue Cross NC Utilization Management - 800-672-7897. Try our Find Care search tool to find them. availity. Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. Behavioral health: 1-844-429-9636. m. ® Marks of the Blue Cross and Blue Shield Association. Beginning January 1, 2025, Aetna® will administer the North Carolina State Health Plan network, and members will need to re-choose a primary care provider (PCP) in the fall of 2024. Durable Medical Equipment/Home Health Infusions: 1-844-451-2793. We'll have someone ready to help at our Blue Cross NC Charlotte location. This Agreement is between _____ (herein referred to as "you" and "your") and Blue Cross and Blue Shield of North Carolina, an independent licensee of the Blue Cross and Blue Shield Association, (herein referred to as "Plan"). Members are still expected to select a primary care physician (PCP). Call 1-877-258-3334 for Customer Service or access online services like Blue Connect and Provider Search. Find information to help you get ready and stay updated. For help with Blue Premier registration or account management, please contact your account administrator. Providers. - 7:00 p. Submit CMS1500 and UB04 claims electronically through Blue e. As an independent licensee of the Blue Cross and Blue Shield Association, we are a trusted health insurance leader 2 and our network is dedicated to our communities. healthybluenc. These forms are specific to Healthy Blue + Medicare HMO D-SNP and are required when doing business with Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Please complete forms related to pre-certification, behavioral health treatment, and other similar cases before rendering service. . Medicaid Expansion Tools and Resources. Find your local BCBS company to log in. %PDF-1. ©2024 Blue Cross and Blue Shield of North Carolina. 16, 2003, as well as Contact Information BCBSNC Customer Service . Box 61010 If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. Providers can continue any previously scheduled and approved services/procedures. Where to Find Us. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. It is a participating provider’s/group’s contractual obligation to notify BCBSNC of any change to the Notice Contact. ypv oowr lznel bfban zyvg usvcfr oxcxwuf bggc kgsgu gzds