Bcbs of nc provider phone number

Bcbs of nc provider phone number. 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. 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. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. We do this to ensure personalized service for every member. 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. 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. e. 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. 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). For Blue Shield Promise providers. Box 230589 Grand Rapids, MI 49523-0589. If you need assistance with provider bills, please contact Customer Service at 1-877-258-3334. 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. 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. Log in to Blue e portal to manage claims, eligibility, prior authorization and more. 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. Blue Cross and Blue Shield of Oklahoma 1400 S. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Navigation. 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. 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. 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. Box 61010 A: For the most up-to-date provider information, access our online Provider Search. This results in faster payment than paper checks. 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. Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. 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. Providers can continue any previously scheduled and approved services/procedures. Access tools, policies and the latest We have specialized agents to ensure you receive the information you need. 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. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. For provider questions and claims issues: Phone: 1-844-594-5072. Find information to help you get ready and stay updated. Area codes: 231, 269, 616. -5 p. Visit the Blue Cross NC Raleigh location for help with insurance questions, health education, fitness classes and much more. ; Login; Log in for full access to: Time-sensitive news, fee schedules, eTools for administrative transactions, and more. Blue. Find out how to contact Blue Cross NC by phone, chat, secure message or visiting a store. You can find this number on the back of your ID card. 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. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Fax: 919-765-4349. COVERAGE AREA - CNY: Cayuga, Cortland, Jefferson, Lewis, Onondaga, Oswego, St. Blue e is the provider portal for Blue Cross NC. Submit CMS1500 and UB04 claims electronically through Blue e. Providers; Agents; Contact Us; Español; menu1; menu2; call the Customer Service number on the back of your Blue Cross NC member ID card. Get the Blue Cross NC forms and documents for providers that you need all in one place. All other marks are the property of their respective owners. com . • BCBSNC will not take any recoupments from the provider’s account. Email: ProviderUpdates@BCBSNC. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. Explore care options, or log in to Blue Connect℠ to search existing coverage. Durable Medical Equipment/Home Health Infusions: 1-844-451-2793. Brian Fetterly (315) 731-9671 brian. For training or assistance with using My Insurance Manager, please contact us at provider. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. HIPAA affects almost the entire health care industry, including employers. It also means not having to worry if a check is lost, stolen or damaged. 800-777-1643. o. Phone: 1-877-258-3334. Filing your claims should be simple. - 9:00 p. We'll have someone ready to help at our Blue Cross NC Charlotte location. 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 cross and blue shield of north carolina p. EST. Find the phone number for Blue Cross NC providers by category, such as commercial, Medicare, BlueCard, behavioral health, chiropractic, and more. This includes Provider Blue Books, enrollment forms and more. 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. 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. Agents have been choosing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) since 1933. Mail: Blue Cross NC P. Phone: (800) 535-9481. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. 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. BCBSNC Customer Service. Provider Customer Service – Government Programs. Register with or log into Availity here. Fax: 1-919-765-1920. 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. Box 35 Durham, NC 27702. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. Providers. 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. Effective November 1, 2021, EnrollSafe replaces CAQH Enrollhub as the electronic funds transfer (EFT) enrollment portal for providers. The provider portal allows the user to make changes online to the financial information (bank account and routing numbers) when needed. You can also call us to learn more about purchasing a plan. 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. See "San Antonio and Laredo" Lubbock. Phone: 1-877-258-3334 Fax: 1-919-765-1920. Please Select Your State. Medicare Advantage – 877-774-8592 We are committed to supporting you in providing quality care and services to Healthy Blue members. We value you as a member and look forward to working with you to provide quality services. On the 'Select your Rx letter code screen,' choose which letter code matches the drug you're searching for. 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. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Area code: 906. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. 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. O. Boston Tulsa, OK 74119-3613 (918) 560-3500. Physical address: Blue Cross NC 5901 Chapel Hill Road Durham, NC 27707 Find in-network doctors, facilities, prescriptions, and more. Find the phone number for your provider on the back of your Blue Cross NC member ID card or call 1-888-206-4697. Box 2227 Detroit, MI 48321-2227. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. Find which documents are required and where to send them based on your patient’s health plan. com or Healthy Blue P. 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. 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. You can also contact Blue Cross NC online, by email, or visit a center or a store near you. If you are in need of more information about your plan you should contact customer service Monday-Friday, 8:00 a. representative name and reference number related to your call. • Direct deposits are made to a bank account designated by the provider and maintained exclusively by the provider through . Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Behavioral health: 1-844-429-9636. MMAI – 877-723-7702. Use My Health Toolkit®. 1, 2023, for any Brighton-administered member benefits, so there is no need to act on any previously scheduled and authorized services/procedures. Fax: (888) 697-8122. 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. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. The Provider Search information is updated weekly. 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. Also get information on eligibility, benefits, claims, and medical policies. 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. Forgot User ID? Forgot Password? Don’t have an account? Register Now. com/ north-carolina-provider/forms. Blue E. 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. Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. healthybluenc. ® Marks of the Blue Cross and Blue Shield Association. 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). These drugs are generally high-cost drugs, ranging from approximately $6,000 to $350,000 per patient, per year. Contact us for more details about our plans, coverage, costs and more. Health care providers and administrators, get access to verify eligibility and benefits, submit claims, 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. 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. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Access tools, policies and the latest information to help you care for our members. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Laredo. Members may also wish to discuss their questions and individual medical situation with their physician. m. For Blue Shield providers. You can also access your plan information, forms, claims and more on the Blue Connect portal. Try our Find Care search tool to find them. Blue Shield of California Pharmacy Services P. A specific customer service center supports each member. 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. 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. Contact Customer Support by phone or Live Chat. com. Box 2291 Durham, NC 27702-2291. Log in to find contact information specific to your area and plan. NC01 07/21 Submit medical claims to: Availity. , Monday-Friday. Claims Mailing Address. Blue Cross Blue Shield of Michigan P. 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. fetterly@excellus. Appeals & Grievances (Blue Cross & Blue Shield of NC) To appeal a claim decision or to file a grievance. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number. Select 'Look Up a Drug or Doctor. S. Online: Authorization requests can also be sent through https://www. Learn more about the benefits and services offered by BCBSNC. Provider Inquiry Blue Cross Blue Shield of Michigan P. McClellan Ave. Schedule an appointment today. . Marquette, MI 49855. 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. * STATchat can be accessed with Google Chrome or Mozilla Firefox. Individual and family plans (under age 65) Receive Healthy Blue emails from Blue Cross and Blue Shield of North Carolina. Forms: https://provider. Medical: 1-844-445-6649. Apr 23, 2020 · 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 Contact Us. 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. - 7:00 p. Box 7168 San Francisco, CA 94120-7168. Source: U. Box 655924 Dallas, TX 75265-5924. Make checks payable to Blue Cross NC or the State Health Plan, depending on which company paid the claim. 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"). Call for verification of benefits, confirmation of coverage, and claims issues. 16, 2003, as well as Contact Information BCBSNC Customer Service . Nov 1, 2022 · For existing Blue Cross NC groups, Blue Cross NC will transfer medical and pharmacy authorizations to Brighton by Jan. education@bcbssc. ' Select 'Drug or pharmacy' option. availity. ' Then select 'Browse as a guest of a group plan. Here, providers are located by name, specialty, county or zip code. North Carolina Help Center: Important contact information for Blue Cross and Blue Shield of North Carolina. Members are still expected to select a primary care physician (PCP). For Commercial Claims: Blue Cross and Blue Shield of Oklahoma P. 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. 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. ©2024 Blue Cross and Blue Shield of North Carolina. Blue Cross and Blue Shield of North Carolina P. 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. Find out how to join, update or access the Blue Cross NC network of providers. Medicaid Expansion Tools and Resources. Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC's PPO network as of July 28, 2022. BCCHP – 877-860-2837. Provider Inquiry Blue Cross Blue Shield of Michigan 415 S. kumyjj htsc aiesh falk pzl xtzvn aiwvb wlsm ocjbv tcv