Bcbsnc federal provider phone number. Contact us. . Blue Cross Blue Shield of North Carolina Contact Us. I’m interested in learning about BlueCross health plans. Contact us for more details about our plans, coverage, costs and more. Helpful plan information for Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx (PDP) members. Federal Employee Program 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. - 9:00 p. ©2024 Blue Cross and Blue Shield of North Carolina. 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. Providers can submit claims for members with Blue Medicare HMO and PPO plans electronically through Blue e or EDI. Apr 23, 2020 · BCBS Provider Phone Number. Contact Name Phone/E-mail/URL; Provider Service Unit. Contact Blue Cross NC FEP Customer Service for questions and support at 888-333-8594. 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. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Some prescriptions may require prior authorization or prior plan approval. Call for verification of benefits, confirmation of coverage, and claims issues. 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. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. For all other inquiries, including member support questions, please contact Blue Cross NC at 800-214-4844 or PNC. Contact Us National Information Center 1 (800) 411-BLUE Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. Access tools, policies and the latest information to help you care for our members. Email customer service or call 1 800-492-8872. Don’t have your ID card? Call: 1-888-206- Carelon Provider Portal. Phone: 1-877-258-3334 Fax: 1-919-765-1920. , CT; and 9 a. Here's what you need to know about Blue Cross and Blue Shield of North Carolina's coverage. SpecialtyPharmUpdates@bcbsnc. Search for many different types of providers, like: Blue Cross NC makes health insurance easy. Learn how to submit claims for Federal Employee Program® (FEP) plans through Blue e, EDI, and mail. I’m an agent looking for information on selling BlueCross plans. Contact us if you have a specific Alabama-related question or would like additional information about the products and services available through the Federal Employee Program. Use My Health Toolkit ®. A: For the most up-to-date provider information, access our online Provider Search. Here, providers are located by name, specialty, county or zip code. • Attach Explanation of Benefits if these services are covered by another insurance policy. Get the Blue Cross NC forms and documents for providers that you need all in one place. 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. 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. • Do not file a claim if the provider is filing for the same services or if the provider is in-network. For general inquiries and questions about the Service Benefit Plan, overseas and pharmacy coverage, call the National Information Center at 1-800-411-BLUE. Better care starts here. 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. O. All Blue Cross NC makes health insurance easy. All providers and mid-level practitioners must be credentialed through BCBSNC Electronic Funds Transfer (EFT) is a requirement of the BQPP program Learn more about applying for credentialing or email your questions about credentialing, provider numbers, contracts and sample fee schedules to network management at: NMSpecialist@bcbsnc. Claim adjustments call 1-800-451-0287* 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. Providers. Our free app makes it easy to search for in-network providers, pharmacies and urgent care centers near you. Box 2291 Durham, NC 27702-2291. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Whether you want to find a doctor for yourself or a family member, we can help you get to the right place. 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). to noon, CT on weekends and holidays Claim status inquiries contact Availity or other electronic connectivity. Contact Us ©2024 Blue Cross and Blue Shield Association. Find the phone numbers for general inquiries, claims, customer service, precertification, case management, and care management programs for federal employees in North Carolina. 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. 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. 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. Availity 800-282-4548: Eligibility and Benefits Your provider's office will submit claims for you when you visit an in-network eye doctor. I need the BlueCross address or phone number. You can search by name, specialty, location and more. Find a doctor, dentist or hospital near you. National Information Center 1 (800) 411-BLUE; Download the fepblue App; This is a partial list of services that are not covered by Dental Blue for Individuals PPO, Dental Blue for Individuals PPO 1500 or Dental Blue for Individuals. For provider questions and claims issues: Phone: 1-844-594-5072 Eligibility verification — Prompt 1; Authorizations and precertification — Prompt 2 Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Providers and admins can submit claims for members with SHP and commercial plans electronically with EDI or Blue e. 800-777-1643. EST. com . Need help doing so or want to check if you qualify for EFT? Contact eSolutions Help Desk: 888-333-8594, option 1. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . Call 800-222-4739 for assistance with health management, prescription drugs, pre-approvals and more. Self Service available 24/7 through this phone number. Email: ProviderUpdates@BCBSNC. www. BCBSND providers will file claims on your behalf. to 6 p. Customer Service 877-774-8592. Carelon Contact Center – 866-455-8415 (Monday through Friday, 6 a. bcbsnc. I’m a health care provider caring for a BlueCross member. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Fax: 919-765-4349. m. Non-participating providers can also use Blue e after registering their NPI to sign up for EFT. Try our Find Care search tool to find them. BCBS Federal Phone Number; 866-594-0521 (Blue Card Provider Phone Number) 855-854-1438 (Exchange Kentucky/Indiana) 800-456-3967 (FEP) Get access to your statements, health records, provider directories, real-time nurse chats and more. 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. This includes Provider Blue Books, enrollment forms and more. Federal Employees Plan (FEP) Mon, Tues Provider Services. If you are in need of more information about your plan you should contact customer service Monday-Friday, 8:00 a. Claim adjustments call 800-451-0287* *interactive voice response (IVR) system – to access, you must have document control number (claim number) Blue Cross Medicare Advantage. HOW IMPORTANT IS IT FOR PROVIDERS TO MAINTAIN THEIR CONTACT INFORMATION FOR BCBSNC MEDICAL RECORD REQUESTS? BCBSNC network providers are required to report how they wish to Contact Information BCBSNC Customer Service . Eligibility and benefits contact Availity or other electronic connectivity vendor or call 1-800-442-4607* Claim status inquiries contact Availity or other electronic connectivity. Telephone. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Please contact the Provider Blue Line at 800-214-4844 if you have any further questions. 855-462-1781. 800-368-2312. Refer to the member booklet for a full list of exclusions. We do this to ensure personalized service for every member. The web page also provides links to other resources and information for BCBS Federal plans. 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. Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. 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"). These tools are offered for your convenience and should be used only as reference tools. 1. federal dental plan,Blue Dental,BlueDental,FEP,Federal Employee Program,Federal Government,BCBS,Federal Provider Login contact the customer service number 1 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. • Claims must be filed within 18 months from the date services were received, or they will be denied. For questions about your plan, bills or claims, call the Customer Service number on the back of your Blue Cross NC member ID card. A specific customer service center supports each member. Take care of your dental health by making the most of your Dental Blue Select℠ plan. 25: For questions regarding benefits or provider inquiries for the 2025 benefit year. Federal Employee Program® (FEP®) — PPO. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Blue Cross and Blue Shield companies' contract with doctors and health care professionals across the country. Members are still expected to select a primary care physician (PCP). Mail: Blue Cross NC P. For other languages or TTY relay services, call the customer service number for your local Blue Cross and Blue Shield company. com. I would like to report a suspected fraud. Apr 25, 2020 · Find the statewise customer service, precertification, mental health and case management phone numbers for BCBS Federal providers and members. Contact Information BCBSNC Customer Service. Participating providers already using Blue e must set up EFT in the provider portal. Learn about the programs and benefits available to federal employees through your FEP plan. Physical address: Blue Cross NC 5901 Chapel Hill Road Durham, NC 27707 Find the phone number for your local BCBS company for specific questions regarding your benefits, including claims, prior approval and care management. Medical Records for the Federal Employee Program (FEP) are requested by an Explanation of Payment (EOP) with the remark code, “EMR”. Or by fax at 888-348-7332. 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. I’m a member and I have questions about my plan, coverage or claims. 833-690-1037 TTY: 711 (#833-690-1037) M-F 8AM to 5PM Explore Aetna's health insurance plans for individuals and families in Oregon. You will need to contact Blue Cross NC Provider Service at 800-777-1643, choose option 6 to continue the enrollment process. Care Management Programs. The Provider Search information is updated weekly. Use our search tool below to find a plan provider close to home. Claims/Customer Service. Medical drug requests submissions are preferred electronically through MHK Provider Portal (accessed via Blue e) only. To obtain benefits, eligibility, or adjust a claim. Please enter your username. If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. Federal Employee 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. wtko wnva ksuf dmpczui nincnsf zvlgbf niehq uxjmilifv flrbqw qcyyv