Blue cross nc provider directory phone number

Blue cross nc provider directory phone number. ET After hours, you may leave a voice message. Blue e is available for direct data entry of claims, claim correction, and inquiries in the Blue Cross NC local proprietary format and will continue to be available for as long as the CMS contingency plan is in place and the local proprietary format can be accepted. The Blue Book is an online reference manual for products, value-added programs and services for providers participating in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) network. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. We will also need you to tell us whether you can meet several technical requirements, including support for OpenID Connect Core 1. 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. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Anthem Blue Cross Blue Shield Timely filing limit – BCBS TFL List North Carolina (800) 222-4739 For admissions and private duty nursing. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. Apr 23, 2020 · 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 Provider Services. Providers can continue any previously scheduled and approved services/procedures. 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. Nov 1, 2021 · Provider Directory News offered by Blue Cross and Blue Shield of North Carolina. By phone: Blue Cross NC Utilization Management - 800-672-7897. Visit the Blue Cross NC Raleigh location for help with insurance questions, health education, fitness classes and much more. Phone: 877-882-0384, Apr 25, 2020 · Aetna address and Provider Phone Number; Medical Coding. Blue Cross and Blue Shield of North Carolina 4615 University Drive Durham, NC 27702 please call the customer service number for your local Blue Cross and Blue Within 90 days of claim adjudication date, complete and submit the level I provider commercial appeal form. Together, we can help the whole person thrive by bringing physical and behavioral health together. Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news 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. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. to 5 p. Explore care options, or log in to Blue Connect℠ to search existing coverage. Get help with all your health care needs at the Blue Cross NC Centers. Log in to find contact information specific to your area and plan. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is working with providers to improve how and when behavioral health concerns are identified and treated. ©2024 Blue Cross and Blue Shield of North Carolina. Phone: 1-877-258-3334. Better care starts here. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. 0; your ability to conform to HL7 Technical Standards; and your ability to securely store tokens. Access your benefits, replace a card and find information about your coverage. Call for verification of benefits, confirmation of coverage, and claims issues. This is critical to ensure BCBSNC and Blue Medicare HMO and Blue Medicare PPO members can access ©2024 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Please Select Your State The resources on this page are specific to your state. Access tools, policies and the latest information to help you care for our members. It also means not having to worry if a check is lost, stolen or damaged. We will need you to provide information about your company URL, privacy policy URL, and redirect URL. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. . Members are still expected to select a primary care physician (PCP). In the United States, Puerto Rico and U. EST. Overseas Providers. Mail completed appeal form and any supporting documents to: We'll have someone ready to help at our Blue Cross NC Charlotte location. Specialty medications are most commonly used for chronic diseases such as rheumatoid arthritis and multiple sclerosis. For provider questions and claims issues: Phone: 1-844-594-5072. Monday through Friday, 8 a. 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. , practice name, address, phone number, email, and specialty) published in the Blue Cross NC provider directory every 90 days. 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. Virgin Islands. ET; 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. With the implementation of Healthy Blue Medicaid Managed Care plan on July 1, 2021, and Healthy Blue + Medicare on January 1, 2021, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has developed an overview highlighting key Anthem - Provider Finder is a platform to locate in-network Anthem providers and estimate healthcare costs. Aug 6, 2024 · As part of Blue Cross NC’s NCQA accreditation requirements, the Provider Network Operations department will be conducting an annual assessment of its provider directories for: accuracy of office locations and phone numbers 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. Eligibility verification — Prompt 1; Authorizations and precertification — Prompt 2; Claims status — Prompt 3; Provider relations — Prompt 4; Pharmacy department — Prompt 5; Care management — Prompt 6; Inpatient coordination — Prompt 7 The new tool offers a more straight-forward way to get the information you need. 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. The Blue Book is designed to assist you in understanding and administering Blue Cross NC health insurance products, health coaching and intervention Members who have medical coverage under Independence Blue Cross can contact Customer Service with any questions. . 1-800-ASK-BLUE (or 1-800-275-2583) (TTY/TDD:711) Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. m. Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. Fax: 1-919-765-1920. Blue Cross NC Provider Internal Data; figure indicated represents Blue Cross NC's employment numbers as of December 31, 2022. These drugs are generally high-cost drugs, ranging from approximately $6,000 to $350,000 per patient, per year. 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. 16, 2003, as well as Contact Customer Support by phone or Live Chat. 0 and OAuth 2. If you are in need of more information about your plan you should contact customer service Monday-Friday, 8:00 a. 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. 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. S. See important dates, forms, resources, policies and more. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. Nov 1, 2022 · For existing Blue Cross NC groups, Blue Cross NC will transfer medical and pharmacy authorizations to Brighton by Jan. to 6 p. Blue e services are available for both the local proprietary format and HIPAA compliant transactions. If your employer has chosen a Blue Cross NC Select Network, you have access to quality health care with a network of local doctors and hospitals in your area. If you’re a member, you can access additional provider information (such as address, phone number and specialty) by searching for providers using your MyBlue account. BNCPEC-0066-20 Healthy Blue Provider Quick Reference Guide Important phone numbers/addresses/websites: Provider Services Phone: 1-844-594-5072 Monday to Saturday, 7 a. Connect to My BCBS in your local region. Provider Directory News Phone: 888-275-7513, ext Jul 31, 2019 · At Blue Cross and Blue Shield of North Carolina (Blue Cross NC), we provide our customers with the tools and resources needed to help them make the best decisions for themselves and their families. It is a participating provider’s/group’s contractual obligation to notify Blue Cross and Blue Shield of North Carolina (BCBSNC) of any change in demographic information. 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. Mar 9, 2023 · Provider Directory News This phone number can also be found on the back of the member ID card. Blue Cross NC makes health insurance easy. Feb 15, 2023 · As part of the Consolidated Appropriations Act (CAA), Blue Cross Blue Shield of North Carolina (Blue Cross NC) will require all practitioners to update and confirm their demographic information (e. 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. HIPAA affects almost the entire health care industry, including employers. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Customer Service Representatives are available 8 a. These tools are offered for your convenience and should be used only as reference tools. Contact us for more details about our plans, coverage, costs and more. - 9:00 p. 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 NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. 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 Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Find in-network doctors, facilities, prescriptions, and more. 1/24 Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Provider Directory News when doing business with Blue Cross and Blue Shield of North Carolina (Blue Cross Phone: 833-713-1078 Fax: 855-358-1226 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. Proof of prior dental coverage with less than 63 days lapse in coverage is required. Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. Find the best doctors, clinics, specialists and hospitals outside the U. g. Individual and family plans (under age 65) Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Our overseas network includes over 11,000 providers. This results in faster payment than paper checks. Find your local BCBS company to log in. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. Medicaid Expansion Tools and Resources. Aug 27, 2021 · Please note, this communication applies to Healthy Blue + Medicare ℠ (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Visit any of our locations for help understanding or purchasing a new health plan from Blue Cross NC. Shop plans for Medicare, Medical, Dental, Vision & Employers. Blue Cross and Blue Shield of North Carolina does not Blue Cross NC case managers can help a health care provider’s patients navigate the health care system, and ID, implement and monitor their health care needs. , Monday – Friday. Agents have been choosing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) since 1933. Provider Directory Blue Cross and Blue Shield of North Carolina Please contact Blue Cross NC by using the Provider Blue Line at 800-214-4844. You can also call us to learn more about purchasing a plan. Whether you are searching by a provider’s name, a particular specialty, a specific treatment, or your condition, you’ll be able to get accurate results that will help you make more informed care decisions. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. 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. These tools make it easier than ever for you to access information and services when and where you need them. coocg dtrx mxnekm orgws vlsx bcindx liwrx ikq dcjled dsyswbh