Bcbs of nc provider phone number

Bcbs of nc provider phone number. Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. You can also call us to learn more about purchasing a plan. Sign up for Healthy Blue emails and learn about the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Contact Customer Support by phone or Live Chat. 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. will prevent us from returning your payment. 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. For help with Blue Premier registration or account management, please contact your account administrator. Blue Cross NC makes health insurance easy. Log in to Blue e portal to manage claims, eligibility, prior authorization and more. Nov 1, 2022 · For existing Blue Cross NC groups, Blue Cross NC will transfer medical and pharmacy authorizations to Brighton by Jan. You can also access your plan information, forms, claims and more on the Blue Connect portal. Members are still expected to select a primary care physician (PCP). Please complete forms related to pre-certification, behavioral health treatment, and other similar cases before rendering service. 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. These drugs are generally high-cost drugs, ranging from approximately $6,000 to $350,000 per patient, per year. See "San Antonio and Laredo" Lubbock. 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. Don’t have your ID Within 90 days of claim adjudication date, complete and submit the level I provider commercial appeal form. Forms to add or remove a Blue e user or NPI. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Providers. Monday through Friday, 8 a. 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. Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. 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. It also means not having to worry if a check is lost, stolen or damaged. - 7:00 p. Find the phone numbers for provider services, eligibility verification, authorizations, claims status, and more. The “Notice Contact” may be different from your billing address and physical address. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. This includes Provider Blue Books, enrollment forms and more. com or Healthy Blue P. 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. 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. Find your local BCBS company to log in. healthybluenc. Better care starts here. . 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. NC01 07/21 Submit medical claims to: Availity. Phone: 1-877-258-3334 Fax: 1-919-765-1920. Agents have been choosing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) since 1933. 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. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Proof of prior dental coverage with less than 63 days lapse in coverage is required. 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. 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). Try our Find Care search tool to find them. Blue Cross and Blue Shield of North Carolina P. Providers can continue any previously scheduled and approved services/procedures. 16, 2003, as well as Contact Information BCBSNC Customer Service . On the 'Select your Rx letter code screen,' choose which letter code matches the drug you're searching for. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. Where to Find Us. 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. %PDF-1. Call 1-877-258-3334 for Customer Service or access online services like Blue Connect and Provider Search. Schedule an appointment today. 1, 2023, for any Brighton-administered member benefits, so there is no need to act on any previously scheduled and authorized services/procedures. Forms: https://provider. Find out how to contact Blue Cross NC by phone, chat, secure message or visiting a store. This results in faster payment than paper checks. 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. Log in to find contact information specific to your area and plan. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. 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. Select 'Look Up a Drug or Doctor. By phone: Blue Cross NC Utilization Management - 800-672-7897. 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. Access your benefits, replace a card and find information about your coverage. 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. Navigation. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. S. Appeals & Grievances (Blue Cross & Blue Shield of NC) To appeal a claim decision or to file a grievance. Make checks payable to Blue Cross NC or the State Health Plan, depending on which company paid the claim. 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. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. See important dates, forms, resources, policies and more. Apr 25, 2020 · BCBS Provider Phone Number. com. It is a participating provider’s/group’s contractual obligation to notify BCBSNC of any change to the Notice Contact. Blue e is the provider portal for Blue Cross NC. 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. North Carolina Help Center: Important contact information for Blue Cross and Blue Shield of North Carolina. O. Online: Authorization requests can also be sent through https://www. Also get information on eligibility, benefits, claims, and medical policies. Laredo. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. to 5 p. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. Columbia, SC 29219. Submit CMS1500 and UB04 claims electronically through Blue e. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. availity. 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. ' Then select 'Browse as a guest of a group plan. m. 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. Please Select Your State. For admissions and private duty nursing. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. Find answers to common questions about BCBSNC plans, benefits, providers and drugs. Virgin Islands. Connect to My BCBS in your local region. 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. We'll have someone ready to help at our Blue Cross NC Charlotte location. 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. Individual and family plans (under age 65) ©2024 Blue Cross and Blue Shield of North Carolina. Medical: 1-844-445-6649. BCCHP – 877-860-2837. Providers; Agents; Contact Us; Español; menu1; menu2; call the Customer Service number on the back of your Blue Cross NC member ID card. . 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. 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. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Our general phone number is: ©2024 Blue Cross and Blue Shield of North Carolina. ' Select 'Drug or pharmacy' option. Find which documents are required and where to send them based on your patient’s health plan. Mail completed appeal form and any supporting documents to: Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. ©2024 Blue Cross and Blue Shield of North Carolina. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Specialty medications are most commonly used for chronic diseases such as rheumatoid arthritis and multiple sclerosis. Box 35 Durham, NC 27702. 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"). Durable Medical Equipment/Home Health Infusions: 1-844-451-2793. Find the phone number for Blue Cross NC providers by category, such as commercial, Medicare, BlueCard, behavioral health, chiropractic, and more. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. ® Marks of the Blue Cross and Blue Shield Association. Visit the Find Care page. 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 join, update or access the Blue Cross NC network of providers. 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. 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. MMAI – 877-723-7702. Access tools, policies and the latest Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. ET After hours, you may leave a voice message. In the United States, Puerto Rico and U. 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). HIPAA affects almost the entire health care industry, including employers. You can find this number on the back of your ID card. Behavioral health: 1-844-429-9636. Find information to help you get ready and stay updated. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. 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. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. com/ north-carolina-provider/forms. 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. Medicaid Expansion Tools and Resources. oyo aghpe dthejod yeicul sqw ctfage xogb jodit ibolo vpaghja