Bcbsnc blue local providers. 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. The Blue e User you identify for EFT access is designated as the Authorized Signatory of the Electronic Funds Transfer record. Blue Cross NC makes health insurance easy. Email: providerupdates@BCBSNC. About Mental Health (cdc. This agreement means that WakeMed will remain an in-network provider for BCBSNC members, ensuring stable access to outstanding health care for the millions of North Carolina residents who have BCBSNC insurance coverage. Only providers with a Blue Cross NC contract can receive direct payment. Blue Cross NC provides the telehealth program for your convenience and is not liable in any way for the goods or services received. ' Select 'Drug or pharmacy' option. 1 Blue Cross NC has collaborated with Atrium Health to bring you Blue Local with Atrium Health, a health insurance plan offered by Blue Cross NC that provides access to Atrium Health’s comprehensive network of providers. – WakeMed and Blue Cross and Blue Shield of North Carolina (BCBSNC) announced today that they have entered into a multi-year agreement. Atrium Health is an independent company and is solely responsible for the physicians and medical facilities it owns/operates. com; PROVIDERS ; COVID-19 Information COVID-19 Information. 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. Visit any of our locations for help understanding or purchasing a new health plan from Blue Cross NC. Take a look at some of our programs you can ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Find a doctor near me. COVID-19 Information ; Update: Coverage and Reimbursement for COVID-19 Testing to change Update: Coverage and Reimbursement for COVID-19 Testing to change RALEIGH, N. Get help with all your health care needs at the Blue Cross NC Centers. ' Then select 'Browse as a guest of a group plan. BCBS. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. BCBSNC agrees to inform the Authorized Signatory by email, and to provide confirmation, by US postal service, of any creation of or change to the record. Choose option 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. %PDF-1. Blue e services are available for both the local proprietary format and HIPAA compliant transactions. The SBC shows you how you and the plan would share 5 days ago · And in many areas, Blue Cross NC is collaborating with local health systems to offer plans that feature a smaller, curated network of high-quality providers, at a lower cost than a similar broad network PPO plan. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. will be covered at the out-of-network benefit level for covered Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. It is a health insurance plan offered by Blue Cross NC that provides access to Atrium Health Wake Forest Baptist's comprehensive network of providers. Find a Select Network doctor or facility in or outside of your home area. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. 16, 2003, as well as %PDF-1. 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. Be aware your network provider might use an out-of-network provider for some services (such as lab work). 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. 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. There are exceptions to make sure your BlueHPN patients get the care they need. Providers can submit claims for members with Blue Medicare HMO and PPO plans electronically through Blue e or EDI. Medicaid Expansion Tools and Resources. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. When using out-of network providers, in addition to deductible and coinsurance amounts, you may be responsible for the difference between the BCBSNC allowed amount and the provider's actual charge. COVID-19 tests that are administered by a provider, consistent with Centers for Disease Control (CDC) guidance and cleared, approved or given EUA by the Food and Drug Administration (FDA) are covered based on each individual’s insurance plan, and members may be responsible for a portion of their costs 1 to include copayments, coinsurance and deductible amounts. gov) Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. Individuals living in Granville and Vance counties who are currently on Blue Local with Duke Health and WakeMed will be mapped to the Blue Advantage plan for 2019. Better care starts here. HIPAA affects almost the entire health care industry, including employers. 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 With Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you can explore resources, wellness programs, and more to get the most out of your plan. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. In the Triad, Triangle, and Charlotte regions, Blue Cross NC will continue to offer Blue Local ℠ and Blue Home ℠ plans. Take care of your dental health by making the most of your Dental Blue Select℠ plan. Blue Cross NC has robust search tools to help you find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. Instructions for Commercial Claims Commercial Provider Blue Book. This includes Duke Health and WakeMed. Members may also wish to discuss their questions and individual medical situation with their physician. Members are still expected to select a primary care physician (PCP). Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. You can also call us to learn more about purchasing a plan. The BCBSNC Blue Advantage Plan has the widest network of doctors and specialists. 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 and Blue Shield of North Carolina: Blue Local Bronze Standard |with Atrium Health Coverage for: Individual +Family Plan Type: EPO B0012198 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . 5 %âãÏÓ 4 0 obj > endobj xref 4 93 0000000016 00000 n 0000002493 00000 n 0000002601 00000 n 0000003255 00000 n 0000003709 00000 n 0000004145 00000 n 0000004179 00000 n 0000005799 00000 n 0000006372 00000 n 0000006730 00000 n 0000006765 00000 n 0000008651 00000 n 0000010505 00000 n 0000012266 00000 n 0000014033 00000 n 0000015792 00000 n 0000017862 00000 n 0000019620 00000 n Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. Select 'Look Up a Drug or Doctor. indd 1 9/26/11 3:56 PM Local network using only UNC Health and its affiliates Local network using only Atrium Health and its affiliates Limited statewide network that balances access and cost with Atrium Health Home Alliance Except for Blue Advantage plans, most providers outside of NC and the U. If you can't remember your User ID, please call eSolutions HelpDesk at 1-888-333-8594 or your local help desk administrator. Try our Find Care search tool to find them. Linking your Blue Connect account helps you quickly access: Claims information and online EOBs; Up-to-date information about your deductible and coinsurance; Estimated out-of-pocket costs for specific providers and services; Register or log in to Blue Connect to get started You will pay the most if you use an out-of-network provider ,and you might receive abill from a provider for the difference between the provider’s charge and what your plan pays (balance billing ). Naturally, our priority is the health of our members. To find out more, contact your Local Blue Plan. If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. BACK back to www. If you have any problems logging into the Blue e network, please call eSolutions HelpDesk at 1-888-333-8594 or your local help desk administrator. 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. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for damages, losses, or non-covered charges resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. Proof of prior dental coverage with less than 63 days lapse in coverage is required. Please contact Blue Cross NC by using the Provider Blue Line at 800-214-4844. 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. C. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. SM, ® marks of the Blue Cross and Blue Shield Association. 5 %âãÏÓ 26 0 obj > endobj xref 26 73 0000000016 00000 n 0000002144 00000 n 0000002255 00000 n 0000003464 00000 n 0000003601 00000 n 0000004149 00000 n 0000004512 00000 n 0000004790 00000 n 0000005398 00000 n 0000005954 00000 n 0000006067 00000 n 0000006178 00000 n 0000006213 00000 n 0000029325 00000 n 0000052755 00000 n 0000076044 00000 n 0000099078 00000 n 0000122348 00000 n 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. Access tools, policies and the latest information to help you care for our members. 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. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. All other marks and names are property of their respective owners. These tools are offered for your convenience and should be used only as reference tools. Enter your location information and connect with a doctor near you. For help with Blue Premier registration or account management, please contact your account administrator. However, there are unique circumstances when claims filing directions will differ based on the type of provider and service. Get help from Blue Cross and Blue Shield to find a doctor or specialist. Health plan members Medicare members 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. horizonblue. The examples provided on this page relate to in-network services only. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Blue Cross NC is working with providers to improve how and when behavioral health concerns are identified and treated. Mail to: Blue Cross NC PO Box 2291 Durham, NC 27702. Please contact 888-206-4697 ( TTY : 711) for assistance. 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. You will need to contact Blue Cross NC Provider Service at 800-777-1643. S. Individual and family plans (under age 65) 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. 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. You can search by name, specialty, location and more. 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"). You will pay the most if you use an out-of-network provider ,and you might receive abill from a provider for the difference between the provider’s charge and what your plan pays (balance billing ). On the 'Select your Rx letter code screen,' choose which letter code matches the drug you're searching for. 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. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Claims Filing brochure. . Blue Cross NC has collaborated with Atrium Health Wake Forest Baptist to bring you Blue Local with Atrium Health. com. Blue Cross NC reserves the right to discontinue or change the program at any time without prior notice Visit the Find Care page. Search for many different types of providers, like: Generally, as a health care provider you should file claims for your Blue Cross and Blue Shield patients to your local Blue Plan - Blue Cross and Blue Shield of North Carolina (BCBSNC). call your local Blue Plan or visit www. Jun 12, 2015 · Blue Cross and Blue Shield of North Carolina’s (BCBSNC) new Blue Local SM health plan, a new partnership with Duke Medicine and WakeMed Key Community Care, will make that choice available to customers in the greater Triangle region beginning with the 2016 Annual Enrollment period this fall. Blue Cross, Blue Shield, the Blue Cross and Blue Shield symbols, BlueCard and BlueCard Worldwide are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Mar 25, 2021 · Toggle menu. Use our search tool below to find a plan provider close to home. ulzevokchjaxpspnagdlffdhbgpivcvyemrhejrvdobrwxmi