Bcbsnc provider phone number

Bcbsnc 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. EST. Medical drug requests submissions are preferred electronically through MHK Provider Portal (accessed via Blue e) only. It’s helpful if you have your provider number or NPI and, if applicable, the member’s ID number, account number and claim number handy when you call. Phone: 1-877-258-3334 Fax: 1-919-765-1920. SAMPLE. Contact Utilization Management 800-672-7897 It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Program offerings vary by insurer. Welcome to BCBSNC, the official website for Blue Cross and Blue Shield of North Carolina providers. Nov 1, 2021 · Contact Information: Phone: 877-882-0384, from 9 a. Visit Anthem. Your health care provider will submit the prior authorization to your health insurance company. Explore care options, or log in to Blue Connect℠ to search existing coverage. Don't have your member ID card? Please call: 888-206-4697 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. Linking your Blue Connect account helps you quickly access:. We have consolidated our resources for dental providers to make it easier to find the tools and information you need. Claims information and online EOBs; Up-to-date information about your deductible and coinsurance; Estimated out-of-pocket costs for specific providers and services Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. C. the Notice Contact is the name or title and address that you and BCBSNC are required to use to send certain notices regarding your provider agreement. Providers can submit claims for members with Blue Medicare HMO and PPO plans electronically through Blue e or EDI. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Your Commercial agreement with us must contain a “Notice Contact” provision listing the Helpful plan information for Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx (PDP) 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. National Information Center 1 (800) 411-BLUE; Download the fepblue App; 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. Provider Services. See important dates, forms, resources, policies and more. - 9:00 p. Email for Electronic Inquiries: NC_Provider@healthybluenc. If you are in need of more information about your plan you should contact customer service Monday-Friday, 8:00 a. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. View our Healthy Blue + Medicare D-SNP resources for the provider claims support you need, including forms, policies, contact information and more. m. You can also contact Customer Service at 1-877-258-3334 for assistance locating a provider or to obtain a paper copy of a directory. gov) Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. Direct provider access afterhours (50 points) – offer a direct phone number to provider-on-call for urgent issues (doesn't include nurse line triage) Not Available for OB/GYN practices. Better care starts here. That’s Dental Blue® from Blue Cross NC. Medicare Advantage and Community Plan 800-600-9007. Here you can find the latest news, updates, and resources to help you deliver quality care to your patients. If you are a Blue Distinction Specialty Care (BDSC) or Total Care designated healthcare provider and have a signed agreement to participate in BlueHPN, you are considered a BDSC and/or Total Care Designated Health Care provider. Claims/Customer Service. If you need assistance with provider bills, please contact Customer Service at 1-877-258-3334. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. All NC Providers must provide their 5-digit BCBSNC provider ID# below. Incomplete forms may delay processing. The following table includes some common reasons providers contact us and options for each. The Provider Search information is updated weekly. For all other inquiries, including member support questions, please contact Blue Cross NC at 800-214-4844 or PNC. Call 919-881-2320. Find in-network doctors, facilities, prescriptions, and more. Find the phone number for Blue Cross NC providers by category, such as commercial, Medicare, BlueCard, behavioral health, chiropractic, and more. It does not include a phone number for providers to contact Blue Cross NC. Try our Find Care search tool to find them. Visit an out-of-network provider. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available. This address is the “Notice Contact” listed in your agreement with us. Blue Cross NC provides the telehealth program for your convenience and is not liable in any way for the goods or services received. 1-800-676-BLUE (2583) (toll free) Blueline voice response unit. This includes Provider Blue Books, enrollment forms and more. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . 287. Search for many different types of providers, like: Apr 23, 2020 · United States List BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) If you are a Blue Distinction Specialty Care (BDSC) or Total Care designated healthcare provider and have a signed agreement to participate in BlueHPN, you are considered a BDSC and/or Total Care Designated Health Care provider. Please Select Your State The resources on this page are specific to your state. Receive medical services in another country (use the international claim form) or while on a cruise ship (use the member claim form). Finding a provider near you; Choosing or changing your PCP; Getting your ID card; Member handbooks; Free translation services; 24/7 NurseLine. • For Compass Group Gold Plus Out-of-Area, Silver Plus Out-of-Area, or Bronze Plus Out-of-Area Plans - enter "CID"a as the identification prefix to find participating providers in the Classic Blue Network or click here. For provider questions and claims issues: Phone: 1-844-594-5072. com . Visit the Blue Cross NC Raleigh location for help with insurance questions, health education, fitness classes and much more. org; Note: EnrollSafe is an independent company providing electronic funds transfer (EFT) services for Healthy Blue + Medicare providers on behalf of Blue Cross and Blue Shield of North Carolina. Our employees bring energy and creativity to the workplace and it shows in our innovative approach to improving the health and well-being of North Carolinians. 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. All providers practicing under that TIN will be part of CPP. Contact Information BCBSNC Customer Service . Our large provider network gives them access to care across all 50 states and nearly 200 countries and territories around the world. Contact Us. If you have any questions about EFT, please contact your Healthy Blue Provider Relations representative or call Provider Services at 844-594-5072 for more information. A medical drug is a medication that will be billed under a member's medical benefit, including "buy and bill" scenarios (IV medications, injections administered in a provider’s office). If you are an out-of-network provider who previously received payment for services from Blue Cross NC, you have already registered your NPI with us. You can find this number on the back of your ID card. www. Box 3248 Omaha, NE 68180 402-390-1820 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"). Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. com to register for our web portal and find policies, forms, and the latest newsletter. You can access these in-network health care providers in all 50 states, and Washington, D. Here, providers are located by name, specialty, county or zip code. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. 833-690-1037 TTY: 711 (#833-690-1037) M-F 8AM to 5PM Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. They can also submit claims for Federal Employee Program members via mail. 3. Phone: 1-877-258-3334. Also get information on credentialing, enrollment, electronic claims, and other services. If you have a health insurance plan through your employer: You must notify your employer or group administrator to add a newborn to your coverage. Contact LIBERTY Denatal Plan. through BlueCard®. Office Locations Omaha Headquarters. Get answers to your medical questions anytime, day or night. California: (888) 703-6999 Providers/hospitals: For preapproval/billing information, call 844-594-5072. Greater than 300 pages: Mail a copy of the bar-coded cover sheet followed by the medical LIBERTY received HITRUST CSF v8. The Plan continues to offer its members copay waivers and reductions for those that visit CPP Providers in 2023. Contact Information BCBSNC Customer Service. 8816. 1 If you're having problems logging in, call 1-888-868-5598 1-888-868-5598 Providers and admins can submit claims for members with SHP and commercial plans electronically with EDI or Blue e. Some employer groups opt for a 60-day notice. Less than 300 pages: The fax cover sheet, followed by the medical records, should be faxed directly to 1. Providers may request payment of the copayment amount at the time of service. com. 800-368-2312. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. To find out which services and providers (including hospital based physicians) are covered under your policy, or to learn about Local Blue Plan Criteria, contact your Local Blue Plan; and contact your provider before making an appointment to verify its current Network and Blue Distinction Centers status. Verify benefits or eligibility for BlueCard members. Specialty pharmacies wanting more information on the Free Market Health program or in need of program assistance can contact the FMH team at 877-787-0520 or via email at Support@FreeMarketHealth. You can search by name, specialty, location and more. Visit any of our locations for help understanding or purchasing a new health plan from Blue Cross NC. This web page provides information for providers who are part of or want to join the Blue Cross NC network. 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 The parent has 60 days to contact Customer Service to add the newborn to their existing plan. For assistance with finding a network dentist, please contact Member Services Monday through Friday. - 8 p. Access tools, policies and the latest information to help you care for our members. A: Access the most up-to-date provider information with our online Provider Search. Eastern time (except public and/or bank holidays) Email: support@payeehub. 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. 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 State Health Plan c/o BCBSNC PO Box 30085 Durham, NC 27702: Base PPO Plan (70/30) & Enhanced PPO Plan (80/20) Members: Third Party Administrator Aetna Health Concierge (Customer Service) as of 1. But if you go to an out-of-network eye doctor, you'll be responsible for filing your own claims and may have to pay a higher fee for services. Use our search tool below to find a plan provider close to home. Telephone. You can get advice about: Symptoms you or your child are having; Medications you are Blue Cross NC makes health insurance easy. Call for verification of benefits, confirmation of coverage, and claims issues. f. Log in or register today to get started. Improving Cost | 75-400 points 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"). A Google Maps powered search that will help you find providers and facilities that are close by; The ability to access more information about a provider without having to begin a separate search; The new tool offers a more straight-forward way to get the information you need. This allows you to access self-service tools or connect to a chat advocate for support. Find providers numbers for claims, correspondence, managed care and traditional products and more Contact audience Provider Contacts ‌ Physician Services The best dental plans make it easy for you to find a trusted dentist and know what’s covered before you see them. Please contact the Provider Blue Line at 800-214-4844 if you have any further questions. For a list of carved-out services, see your member handbook. Insurer-specific resources. Your provider and / or your insurance company will let you know if it is approved. *This is the 2023 fee schedule, which will be updated in May of 2024 and again May of 2025 as it is dependent on CMS. 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. 919. You will need to contact Blue Cross NC Provider Service at 800-777-1643, choose option 6 to continue the enrollment process. Toll-free: 800-288-2227. • Attach Explanation of Benefits if these services are covered by another insurance policy. BCBSNC Medical Policy Use the Medical Policy search to review medical guidelines and payment guidelines. Submit CMS1500 and UB04 claims electronically through Blue e. Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. 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. 25: For questions regarding benefits or provider inquiries for the 2025 benefit year. Blue e is the provider portal for Blue Cross NC. SpecialtyPharmUpdates@bcbsnc. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. We encourage you to review the FAQs for each patient’s plan for any custom program details for that insurer. 1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17 Get help with all your health care needs at the Blue Cross NC Centers. Your health insurance company will review the prior authorization and decide if it should be approved or denied. You’re being reimbursed for vision or prescription products or services. 1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17 Apr 25, 2020 · BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama (800) 248-2342 For questions concerning your dental assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 866-544-4350, TTY users: 877-855-8039 DOWNLOAD US - The free LIBERTY Dental mobile app gives you access to all our self-service tools 24/7. Forms to add or remove a Blue e user or NPI. For help with Blue Premier registration or account management, please contact your account administrator. Find providers numbers for claims, correspondence, managed care and traditional products and more Contact audience Provider Contacts ‌ Physician Services Your health care provider will submit the prior authorization to your health insurance company. Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 1-800-451-0287* Claim status inquiries contact Availity or other electronic connectivity. Calling the phone number on the back of your member ID card provides the fastest and most direct service for questions. If you can’t find the information you need, you’ll get a Fast Path phone number that moves you to the top of the calls received list. You can also access Blue e, the secure online portal that lets you check eligibility, claims status, and more. Approved prior reviews are sent back to your provider. UnitedHealthcare Oxford Health Plan 800-666-1353 Providers. Don’t have your ID card? Call: 1-888-206- A: For the most up-to-date provider information, access our online Provider Search. For Benefits & Eligibility questions, check Availity first. To find a provider in the Healthy Blue network, click the search for a provider button below or contact Member Services at 844-594-5070 or TTY 711. Schedule an appointment today. Self Service available 24/7 through this phone number. Get immediate member information by phone or fax. Contact us for more details about our plans, coverage, costs and more. We do this to ensure personalized service for every member. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. 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. 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. We're here to help answer your questions. Fax: 1-919-765-1920. Out-of-Network Benefit Exceptions. To reach the right team,please select from below. Requesting Provider Information Servicing Provider Or Facility Location (for services to be performed outside of the physician office) Provider Name Servicing Provider/ Facility Name Provider #, Tax ID # or NPI Servicing provider or Providers can submit claims for members with FEP plans electronically. Providers. • Claims must be filed within 18 months from the date services were received, or they will be denied. Blue Cross Blue Shield of North Carolina Contact Us. 1. The program links participating health care providers with the independent Blue Cross and Blue Shield Plans across the country, and in more than 200 countries and territories worldwide, through a single electronic network for claims processing and reimbursement. 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. 844-545-1427 (TTY 711) 24 hours a day, seven days a week. Take care of your dental health by making the most of your Dental Blue Select℠ plan. We are committed to supporting you in providing quality care and services to Healthy Blue members. 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. Providers Home. 711 NC01 NC01 SMaxwell 02/03/2021 10:11 AM Card Back SAMPLE. LIBERTY received HITRUST CSF v8. - 7:00 p. Here, you can locate providers by name, specialty, county or zip code The Provider Search information is updated weekly. If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. Provider contact information (BCBSNC will contact the individual listed if we have any questions about the records received) 2. 3 Call the BlueCard number on the back of your BCBSNC ID card or try our Find A Doctor search tool to find a provider near you. Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC's PPO network as of July 28, 2022. Providers Home Your provider's office will submit claims for you when you visit an in-network eye doctor. Members are still expected to select a primary care physician (PCP). Health plan support All Savers® Health Plan 800-291-2634. 1 Support for agencies of all sizes Our team is ready to support yours. In an emergency, in situations where in-network providers are not reasonably available as determined by Blue Cross NC's access to care standards, or in continuity of care situations, out-of-network benefits will be paid at the in-network benefit level. Get the Blue Cross NC forms and documents for providers that you need all in one place. Or by fax at 888-348-7332. For emergency admissions, notify report it. O. Claim adjustments call 800-451-0287* Our general phone number is: 803-788-0222. . Use My Health Toolkit ®. Provider News Get the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription A specific customer service center supports each member. bcbsnc. • Do not file a claim if the provider is filing for the same services or if the provider is in-network. Blue Cross NC provides search tools to find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. For questions about your plan, bills or claims, call the Customer Service number on the back of your Blue Cross NC member ID card. Federal 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. About Mental Health (cdc. Omaha Headquarters 1919 Aksarben Drive Omaha, NE 68106 (Wheelchair accessible) P. com FOR PROVIDER USE ONLY o help expedite your review, please complete this form in its entirety: PLEASE MAIL ALL INQUIRIES TO: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA P. BCBSNC Customer Service. wqa sex xwjjpqb xrtrr bfmztlsq lkdu utmr gusqve havgfft ucxb