Bcbsnc provider phone number

Bcbsnc provider phone number. Self Service available 24/7 through this phone number. Forms and resources Contact Information BCBSNC Customer Service . Approved prior reviews are sent back to your provider. Your health insurance company will review the prior authorization and decide if it should be approved or denied. 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. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. 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. 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. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Learn more about the services and benefits offered by BCBSNC. If you are in need of more information about your plan you should contact customer service Monday-Friday, 8:00 a. Welcome to the Blue Cross and Blue Shield of North Carolina provider portal. 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. 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. Get answers to your medical questions anytime, day or night. More options From talking on the phone with your doctor to having a video call, there are many ways you can get the care you need. 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. com. Find a Select Network doctor or facility in or outside of your home area. They can also submit claims for Federal Employee Program members via mail. 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. Don’t have your ID card? Call: 1-888-206- The best dental plans make it easy for you to find a trusted dentist and know what’s covered before you see them. - 7:00 p. Carelon Contact Center – 866-455-8415 (Monday through Friday, 6 a. Choose option Calling the phone number on the back of your member ID card provides the fastest and most direct service for questions. Also get information on credentialing, enrollment, electronic claims, and other services. You will need to contact Blue Cross NC Provider Service at 800-777-1643. m. Claims/Customer Service. Find providers numbers for claims, correspondence, managed care and traditional products and more Contact audience Provider Contacts ‌ Physician Services 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. You can find this number on the back of your ID card. Better care starts here. 800-368-2312. Toll-free: 800-288-2227. 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). For questions about your plan, bills or claims, call the Customer Service number on the back of your Blue Cross NC member ID card. Please contact the Provider Blue Line at 800-214-4844 if you have any further questions. Your health care provider will submit the prior authorization to your health insurance company. Some prescriptions may require prior authorization or prior plan approval. Have you already registered your NPI? 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. Most email providers provide a way for you to specify a "safe list" or a “spam filter list” that tells your email provider to allow email sent from a specific address or domain (i. Submit CMS1500 and UB04 claims electronically through Blue e. Availity 800-282-4548: Eligibility and Benefits If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. 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. You can also access your plan information, forms, claims and more on the Blue Connect portal. See important dates, forms, resources, policies and more. Federal View our Healthy Blue + Medicare D-SNP resources for the provider claims support you need, including forms, policies, contact information and more. 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. For help with Blue Premier registration or account management, please contact your account administrator. EST. Dec 22, 2021 · Providers Disclosure of Ownership & Control Interest Form Requirements Contract With Us Join Our Network Provider Portal Registration Value-Based Program (VBP) Secure Email Portal Provider Resource Library Directory Information Validation (DIV) Provider TeleDentistry Resources Provider COVID-19 Resources Clinical Criteria Guidelines & Practice Linking your Blue Connect account helps you quickly access:. 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. 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. Find out how to contact Blue Cross NC by phone, chat, secure message or visiting a store. Call for verification of benefits, confirmation of coverage, and claims issues. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Contact Name Phone/E-mail/URL; Provider Service Unit. For all other inquiries, including member support questions, please contact Blue Cross NC at 800-214-4844 or PNC. Providers may request payment of the copayment amount at the time of service. 1. Provider News Get the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription Only providers with a Blue Cross NC contract can receive direct payment. 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. Your doctor can also find pre-approval forms on our provider prior authorization page . Providers can submit claims for members with FEP plans electronically. You can get advice about: Symptoms you or your child are having; Medications you are Apr 23, 2020 · 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) Blue e is the provider portal for Blue Cross NC. Blue Cross Blue Shield of North Carolina Contact Us. Phone: 1-877-258-3334 Fax: 1-919-765-1920. gov) Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. Blue Cross NC provides the telehealth program for your convenience and is not liable in any way for the goods or services received. It does not include a phone number for providers to contact Blue Cross NC. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. 844-545-1427 (TTY 711) 24 hours a day, seven days a week. Find your specific customer service phone number on the back of your membership card or use My Health Toolkit® to send a secure message. - 9:00 p. Telephone. Or by fax at 888-348-7332. 25: For questions regarding benefits or provider inquiries for the 2025 benefit year. Contact your group administrator or HR department to make changes to your account. That’s Dental Blue® from Blue Cross NC. 800-835-8699: Availity ® Register with Availity to verify eligibility and benefits, submit prior authorization requests, obtain claim status, view provider claim summaries and more. Blue Cross NC provides search tools to find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. 833-690-1037 TTY: 711 (#833-690-1037) M-F 8AM to 5PM Welcome to Blue Cross and Blue Shield of North Carolina. SpecialtyPharmUpdates@bcbsnc. Claims information and online EOBs; Up-to-date information about your deductible and coinsurance; Estimated out-of-pocket costs for specific providers and services 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. Apr 25, 2020 · BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama (800) 248-2342 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. Your provider and / or your insurance company will let you know if it is approved. Medical drug requests submissions are preferred electronically through MHK Provider Portal (accessed via Blue e) only. . 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. Our general phone number is: 803-788-0222. National Information Center 1 (800) 411-BLUE; Download the fepblue App; Blue Cross NC makes health insurance easy. This web page provides information for providers who are part of or want to join the Blue Cross NC network. Get the Blue Cross NC forms and documents for providers that you need all in one place. bcbsnc. Your Commercial agreement with us must contain a “Notice Contact” provision listing the Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. www. to 6 p. Find the phone number for Blue Cross NC providers by category, such as commercial, Medicare, BlueCard, behavioral health, chiropractic, and more. 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. Carelon Provider Portal. Here, you can locate providers by name, specialty, county or zip code The Provider Search information is updated weekly. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. A: Access the most up-to-date provider information with our online Provider Search. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. , CT; and 9 a. Welcome to the Blue Cross and Blue Shield of North Carolina Member Self-Service Portal. This includes Provider Blue Books, enrollment forms and more. Call the toll-free number on the back of your member ID card for the right number for your personal policy. Finding a provider near you; Choosing or changing your PCP; Getting your ID card; Member handbooks; Free translation services; 24/7 NurseLine. Members are still expected to select a primary care physician (PCP). Here's what you need to know about Blue Cross and Blue Shield of North Carolina's coverage. This address is the “Notice Contact” listed in your agreement with us. com). If you are experiencing this problem, please check with your e-mail provider about how to add bcbsnc. e. com . Forms to add or remove a Blue e user or NPI. to noon, CT on weekends and holidays) You can stay with your current health care provider or choose a new one from our large network of quality providers. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. , all emails from bcbsnc. Find the phone numbers for provider services, eligibility verification, authorizations, claims status, and more. com to your "safe list". 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. 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. The following table includes some common reasons providers contact us and options for each. Find your local BCBS company here. Try our Find Care search tool to find them. Take care of your dental health by making the most of your Dental Blue Select℠ plan. Before you make your appointment for these services, have your doctor or provider call us at 800-222-4739. Claim adjustments call 800-451-0287* Out-of-network / non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Providers can submit claims for members with Blue Medicare HMO and PPO plans electronically through Blue e or EDI. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. To obtain benefits, eligibility, or adjust a claim. About Mental Health (cdc. Sign up for Healthy Blue emails and learn about the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina.