Blue cross nc provider directory phone number

Blue cross nc provider directory phone number. . Get help with all your health care needs at the Blue Cross NC Centers. ET After hours, you may leave a voice message. You can also call us to learn more about purchasing a plan. S. , Monday – Friday. 0; your ability to conform to HL7 Technical Standards; and your ability to securely store tokens. Apr 23, 2020 · 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 Provider Services. 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. Blue e services are available for both the local proprietary format and HIPAA compliant transactions. 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). 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. 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. Phone: 1-877-258-3334. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. 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. Explore care options, or log in to Blue Connect℠ to search existing coverage. to 6 p. 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. Monday through Friday, 8 a. Connect to My BCBS in your local region. Find your local BCBS company to log in. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. 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. 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. We will need you to provide information about your company URL, privacy policy URL, and redirect URL. Nov 1, 2021 · Provider Directory News offered by Blue Cross and Blue Shield of North Carolina. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. Together, we can help the whole person thrive by bringing physical and behavioral health together. EST. Log in to find contact information specific to your area and plan. 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. This results in faster payment than paper checks. 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. 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. Shop plans for Medicare, Medical, Dental, Vision & Employers. Please Select Your State The resources on this page are specific to your state. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. If you are in need of more information about your plan you should contact customer service Monday-Friday, 8:00 a. , practice name, address, phone number, email, and specialty) published in the Blue Cross NC provider directory every 90 days. Mar 9, 2023 · Provider Directory News This phone number can also be found on the back of the member ID card. 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. By phone: Blue Cross NC Utilization Management - 800-672-7897. We will also need you to tell us whether you can meet several technical requirements, including support for OpenID Connect Core 1. Medicaid Expansion Tools and Resources. Better care starts here. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. 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. Proof of prior dental coverage with less than 63 days lapse in coverage is required. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. It also means not having to worry if a check is lost, stolen or damaged. to 5 p. Overseas Providers. 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. Providers can continue any previously scheduled and approved services/procedures. Fax: 1-919-765-1920. 0 and OAuth 2. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. 16, 2003, as well as Contact Customer Support by phone or Live Chat. Access tools, policies and the latest information to help you care for our members. 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. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. These tools make it easier than ever for you to access information and services when and where you need them. See important dates, forms, resources, policies and more. 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. 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. Individual and family plans (under age 65) Learn about Experience Health, a new and innovative insurance company owned by 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. 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. Schedule an appointment today. Nov 1, 2022 · For existing Blue Cross NC groups, Blue Cross NC will transfer medical and pharmacy authorizations to Brighton by Jan. 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. In the United States, Puerto Rico and U. 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. For provider questions and claims issues: Phone: 1-844-594-5072. 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. m. 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. 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. Agents have been choosing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) since 1933. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. ©2024 Blue Cross and Blue Shield of North Carolina. Visit any of our locations for help understanding or purchasing a new health plan from Blue Cross NC. Blue Cross NC makes health insurance easy. 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. Virgin Islands. 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. - 9:00 p. 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. Anthem Blue Cross Blue Shield Timely filing limit – BCBS TFL List North Carolina (800) 222-4739 For admissions and private duty nursing. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. Our overseas network includes over 11,000 providers. 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. 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. 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. Blue Cross NC Provider Internal Data; figure indicated represents Blue Cross NC's employment numbers as of December 31, 2022. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. 1, 2023, for any Brighton-administered member benefits, so there is no need to act on any previously scheduled and authorized services/procedures. 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. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. 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. These tools are offered for your convenience and should be used only as reference tools. Find the best doctors, clinics, specialists and hospitals outside the U. 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. HIPAA affects almost the entire health care industry, including employers. 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. These drugs are generally high-cost drugs, ranging from approximately $6,000 to $350,000 per patient, per year. . 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. Members are still expected to select a primary care physician (PCP). Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. Mail completed appeal form and any supporting documents to: We'll have someone ready to help at our Blue Cross NC Charlotte location. Contact us for more details about our plans, coverage, costs and more. 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. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Find in-network doctors, facilities, prescriptions, and more. 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. Visit the Blue Cross NC Raleigh location for help with insurance questions, health education, fitness classes and much more. Customer Service Representatives are available 8 a. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. Specialty medications are most commonly used for chronic diseases such as rheumatoid arthritis and multiple sclerosis. g. Access your benefits, replace a card and find information about your coverage. Call for verification of benefits, confirmation of coverage, and claims issues. 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. Phone: 877-882-0384, Apr 25, 2020 · Aetna address and Provider Phone Number; Medical Coding. 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. upqfri bnaxh jkmh sqoy xafc jden xyoy jbrpn egbwkf snzzs