Bcbs of nc provider phone number

Bcbs of nc provider phone number. Q: How can I check the status of my claim? A: You can check the status of a claim by logging on to My Member Services at bcbsnc. Behavioral health: 1-844-429-9636. Nov 1, 2022 · For existing Blue Cross NC groups, Blue Cross NC will transfer medical and pharmacy authorizations to Brighton by Jan. McClellan Ave. MMAI – 877-723-7702. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. 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. Contact us for more details about our plans, coverage, costs and more. Blue E. BCBSNC Customer Service. Find which documents are required and where to send them based on your patient’s health plan. healthybluenc. Get the Blue Cross NC forms and documents for providers that you need all in one place. We do this to ensure personalized service for every member. * STATchat can be accessed with Google Chrome or Mozilla Firefox. If medical records are needed to support a medical necessity review and are not received by Blue Cross NC before the claim adjudicates, the member will receive an Explanation of Benefits (EOB), the provider will receive an Explanation of Payment (EOP), and both will receive a claim denial letter addressing the specific reason(s) for the denial. Box 7168 San Francisco, CA 94120-7168. , Monday-Friday. Area code: 906. Provider Inquiry Blue Cross Blue Shield of Michigan P. Individual and family plans (under age 65) Receive Healthy Blue emails from Blue Cross and Blue Shield of North Carolina. This results in faster payment than paper checks. com/ north-carolina-provider/forms. Please Select Your State. • BCBSNC will not take any recoupments from the provider’s account. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Medicare Advantage – 877-774-8592 We are committed to supporting you in providing quality care and services to Healthy Blue members. - 7:00 p. 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. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. You can also access your plan information, forms, claims and more on the Blue Connect portal. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. For Commercial Claims: Blue Cross and Blue Shield of Oklahoma P. Health care providers and administrators, get access to verify eligibility and benefits, submit claims, and more. Find out how to contact Blue Cross NC by phone, chat, secure message or visiting a store. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Don’t have your ID If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. Navigation. Claims Mailing Address. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. You can find this number on the back of your ID card. Blue Cross and Blue Shield of Oklahoma 1400 S. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. A specific customer service center supports each member. Register with or log into Availity here. Log in to Blue e portal to manage claims, eligibility, prior authorization and more. Please select the right option for you: If you are interested in additional information concerning Blue Options HSA SM please contact our Direct Sales Department at 1-800-324-4973, 8 a. Under the Centers for Medicare & Medicaid Services (CMS) regulations for Medicare Advantage plans, non-contract providers have the right to request reconsideration for a post service denial of payment by Blue Medicare HMO and Blue Medicare PPO if the payment was denied following an organization determination. The Provider Search information is updated weekly. . Forgot User ID? Forgot Password? Don’t have an account? Register Now. ® Marks of the Blue Cross and Blue Shield Association. 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 North Carolina P. For provider questions and claims issues: Phone: 1-844-594-5072. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. Fax: (888) 697-8122. Access tools, policies and the latest We have specialized agents to ensure you receive the information you need. ; Login; Log in for full access to: Time-sensitive news, fee schedules, eTools for administrative transactions, and more. Forms: https://provider. availity. Medical: 1-844-445-6649. O. 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. Phone: 1-877-258-3334 Fax: 1-919-765-1920. Fax: 919-765-4349. You can also contact Customer Service at 1-877-258-3334 for assistance in locating a provider or to obtain a paper copy of a directory. Lawrence, Tompkins Access the forms you need to make service requests requiring prior plan approval, pre-certification, or certification when being reimbursed through the benefits of members of Blue Cross and Blue Shield of North Carolina. o. Agents have been choosing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) since 1933. Find the phone number for Blue Cross NC providers by category, such as commercial, Medicare, BlueCard, behavioral health, chiropractic, and more. Fax: 1-919-765-1920. Also get information on eligibility, benefits, claims, and medical policies. Here, providers are located by name, specialty, county or zip code. Try our Find Care search tool to find them. Select 'Look Up a Drug or Doctor. Nov 1, 2021 · Please note, this communication applies to Healthy Blue + MedicareSM (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina. Apr 23, 2020 · BCBS Provider Phone Number; Alabama: 866-594-0521 (Blue Card Provider Phone Number) North Carolina: 888-206-4697 800-672-7897 Find your specific customer service phone number on the back of your membership card or use My Health Toolkit® to send a secure message. Phone: 1-877-258-3334. 1, 2023, for any Brighton-administered member benefits, so there is no need to act on any previously scheduled and authorized services/procedures. Access tools, policies and 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. This includes Provider Blue Books, enrollment forms and more. -5 p. Should the plan please contact the Blue Cross NC Provider Service department at 1-800-777-1643 ©2024 Blue Cross and Blue Shield of North Carolina. Make checks payable to Blue Cross NC or the State Health Plan, depending on which company paid the claim. Online: Authorization requests can also be sent through https://www. Learn more about the benefits and services offered by BCBSNC. S. ' Select 'Drug or pharmacy' option. Blue. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. The provider portal allows the user to make changes online to the financial information (bank account and routing numbers) when needed. Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC's PPO network as of July 28, 2022. Email: ProviderUpdates@BCBSNC. Box 61010 A: For the most up-to-date provider information, access our online Provider Search. Mail: Blue Cross NC P. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. e. 800-777-1643. Provider Inquiry Blue Cross Blue Shield of Michigan 415 S. 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"). You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. That’s why Blue Cross and Blue Shield of North Carolina uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to Healthy Blue contracted providers. Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. We'll have someone ready to help at our Blue Cross NC Charlotte location. Providers can continue any previously scheduled and approved services/procedures. Use My Health Toolkit®. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Provider Customer Service – Government Programs. Source: U. Contact Customer Support by phone or Live Chat. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 1-361-878-1623 Fax Visit the Find Care page. • Direct deposits are made to a bank account designated by the provider and maintained exclusively by the provider through . For Blue Shield Promise providers. If you need assistance with provider bills, please contact Customer Service at 1-877-258-3334. com or Healthy Blue P. ©2024 Blue Cross and Blue Shield of North Carolina. For Initial Paper Medicare Claims: Blue Cross Medicare Advantage C/O Claims Department PO Box 3686 Scranton, PA 18505 Payer ID: 66006 will prevent us from returning your payment. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live 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. 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 Specialty medications are most commonly used for chronic diseases such as rheumatoid arthritis and multiple sclerosis. Brian Fetterly (315) 731-9671 brian. 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) 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. Filing your claims should be simple. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. It also means not having to worry if a check is lost, stolen or damaged. fetterly@excellus. Schedule an appointment today. You can also contact Blue Cross NC online, by email, or visit a center or a store near you. 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: Home; Contacts & Sites; Provider Directory Review your directory information every 90 days. See "San Antonio and Laredo" Lubbock. Here you will find frequently used forms, PDFs, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to Healthy Blue members. com. For training or assistance with using My Insurance Manager, please contact us at provider. North Carolina Help Center: Important contact information for Blue Cross and Blue Shield of North Carolina. 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 Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Find the phone number for your provider on the back of your Blue Cross NC member ID card or call 1-888-206-4697. Effective November 1, 2021, EnrollSafe replaces CAQH Enrollhub as the electronic funds transfer (EFT) enrollment portal for providers. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) must approve a prior review before your plan will help cover the cost of certain prescription medications, medical procedures, or health care services. On the 'Select your Rx letter code screen,' choose which letter code matches the drug you're searching for. 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. We value you as a member and look forward to working with you to provide quality services. blue cross and blue shield of north carolina p. Phone: (800) 535-9481. Physical address: Blue Cross NC 5901 Chapel Hill Road Durham, NC 27707 Find in-network doctors, facilities, prescriptions, and more. COVERAGE AREA - CNY: Cayuga, Cortland, Jefferson, Lewis, Onondaga, Oswego, St. Access tools, policies and the latest information to help you care for our members. 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. For questions about Blue Cross 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. EST. ' Then select 'Browse as a guest of a group 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. Box 35 Durham, NC 27702. Submit CMS1500 and UB04 claims electronically through Blue e. Find information to help you get ready and stay updated. 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. 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. Medicaid Expansion Tools and Resources. Blue Cross Blue Shield of Michigan P. 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. Box 655924 Dallas, TX 75265-5924. For Blue Shield providers. Blue Shield of California Pharmacy Services P. Log in to find contact information specific to your area and plan. NC01 07/21 Submit medical claims to: Availity. Durable Medical Equipment/Home Health Infusions: 1-844-451-2793. Find out how to join, update or access the Blue Cross NC network of providers. Visit the Blue Cross NC Raleigh location for help with insurance questions, health education, fitness classes and much more. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. Call for verification of benefits, confirmation of coverage, and claims issues. Apr 23, 2020 · 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 Contact Us. If you are in need of more information about your plan you should contact customer service Monday-Friday, 8:00 a. Inquiries about our medical policies can be made by mail to the addresses listed below or you can call our Customer Service Department at 877-258-3334. Members may also wish to discuss their questions and individual medical situation with their physician. Providers. Laredo. The percentage of medical doctors and hospitals is based upon the number of providers that applied for a Blue Cross NC provider number and then contracted with us versus the total number of providers who applied. Members are still expected to select a primary care physician (PCP). Providers; Agents; Contact Us; Español; menu1; menu2; call the Customer Service number on the back of your Blue Cross NC member ID card. All other marks are the property of their respective owners. BCCHP – 877-860-2837. Boston Tulsa, OK 74119-3613 (918) 560-3500. Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. These drugs are generally high-cost drugs, ranging from approximately $6,000 to $350,000 per patient, per year. Box 230589 Grand Rapids, MI 49523-0589. 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. You can also call us to learn more about purchasing a plan. - 9:00 p. Phone: (800) 468-9935 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). Prior review (prior plan approval, prior authorization, prospective review or certification) is the process Blue Cross NC uses to review the provision of certain behavioral health, medical services and medications against health care management guidelines prior to the services being provided. 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. 16, 2003, as well as Contact Information BCBSNC Customer Service . m. com . 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. Box 2227 Detroit, MI 48321-2227. representative name and reference number related to your call. Marquette, MI 49855. Box 2291 Durham, NC 27702-2291. education@bcbssc. Explore care options, or log in to Blue Connect℠ to search existing coverage. Area codes: 231, 269, 616. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. box 2291 durham, nc 27702 please fax to: 1-866-987-4167 provider information clinical information *provider name *claim number *provider mailing address *total charge *city/state *zip code *to-date of service *individual npi number *group npi number *from-date of service Explore resources that help healthcare professionals care for Anthem members. Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. 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 Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. 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. kdmy hyt bkr npbqg hmei jetkuf tgnc amx wqpi kafrk