Blue cross shield network providers nc. 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. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. If you’re a member, you can access additional provider information (such as address, phone number and specialty) by searching for providers using your MyBlue account. Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. The form below is the easiest way to report acquisitions and buyouts and provide us with the necessary information to process your acquisition. Members are still expected to select a primary care physician (PCP). Can't find what you're looking for? Get documents, plan benefits, and health care information selected specifically for students at your university or college. You can search by name, specialty, location and more. In the United States, Puerto Rico and U. The new tool offers a more straight-forward way to get the information you need. Behavioral health concerns are on the rise. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Find a Select Network doctor or facility in or outside of your home area. You can see a full list of network providers once you become a Blue Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and 98% of hospitals and 95% of providers in our network - Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC’s PPO Network as of July 28, 2022. Blue Connect is your online portal to manage your BCBSNC health plan, view your benefits, claims, interests and profile. Virgin Islands. 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. S. That’s why Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is excited to offer Blue High Performance Network (BlueHPN ℠). If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk Your resource for provider services If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333 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. In-network providers in North Carolina are responsible for filing claims directly with Blue Cross NC. SM, ® marks of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of North Carolina is now sending some Healthy Blue bulletins, policy change notifications, prior authorization update information, educational opportunities, and more to providers via email. But first, we'll need some information to direct you to your local BCBS company. The examples provided on this page relate to in-network services only. Blue Cross and Blue Shield of North Carolina offers three drug formularies (drug lists) so Medicare beneficiaries can have options for their prescription needs. All appointment times are guaranteed by our Wake Forest Through its Physician Advisory Group and Quality Improvement Committee, Blue Cross NC has established Urgent Care Facility and Medical Record Standards so that you'll know you can get the quality care you need. Better care starts here. Health plan members Medicare members Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Any disputes regarding these products and services may be subject to the Blue Cross NC grievance process. 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. Blue Cross and Blue Shield Association Internal Data: about. Find Care Near You with the Find a Doctor Tool. Blue e services are available for both the local proprietary format and HIPAA compliant transactions. Shop plans for Medicare, Medical, Dental, Vision & Employers. 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. An enrollee, instead of the provider, submits a claim to the issuer, requesting payment for services that have been received. These tools are offered for your convenience and should be used only as reference tools. Use this form when giving Medicare services to members who have additional coverage with a different Blue Cross and Blue Shield (BCBS) plan. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. The North Carolina Department of Insurance (NCDOI) approved a 3% average rate increase for individual customers and families who enroll in Affordable Care Act (ACA) plans in 2025. The Blue Book is an online reference manual for products, value-added programs and services for providers participating in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) network. Access tools, policies and the latest information to help you care for our members. Blue Cross NC reserves the right to discontinue or change the program at any time without prior notice Receive Healthy Blue emails from Blue Cross and Blue Shield of North Carolina. Box 551, Minneapolis, MN 55440-0551. Our overseas network includes over 11,000 providers. Find the best doctors, clinics, specialists and hospitals outside the U. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is expanding the Blue High Performance Network ℠ (BlueHPN ℠). BlueCross BlueShield of South Carolina 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. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Filing Claims: In-Network. Blue Cross NC and Blue Cross NC contracting physicians are committed to meeting these standards in order to provide the best service Calling Blue Cross Blue Shield FEP Dental at 1-855-504-BLUE (2583), dial 711 for TTY relay services. Find out if your doctor, drug, or pharmacy is in-network, or explore other care options. As a Blue Cross NC member, you’ll get a discounted rate for covered services at both in-network and out-of-network labs. If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. You can also call us to learn more about purchasing a plan. Neither Blue Cross NC nor BCBSA recommends, endorses, warrants or guarantees any specific Blue365 vendor or item. Log in to My Health Toolkit ® to search the provider directory and view search results specific to your insurance 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. Take a look at some of our programs you can participate in, and learn about new tools and resources you can use in your practice. Close ©2024 Blue Cross and Blue Shield of North Carolina. 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. Blue Cross Blue Shield Association internal data; February 2023. Get insurance delivered through your local BCBS agency. NC State Health Plan Network (Blue Cross NC 2024) Enhanced PPO Plan (80/20) Step-by-step instructions for finding a Clear Pricing Project provider in the Aetna 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. Use our search tool below to find a plan provider close to home. You can also search providers outside the U. Need to access your Blue Cross and Blue Shield (BCBS) login and manage your account? We can get you where you need to go. Enrollee Claims Submission. U10160c, 2/24 2 2 days ago · Find Blue Cross Blue Shield Dentists in Greensboro, North Carolina & make an appointment online instantly! Zocdoc helps you find Dentists in Greensboro and other locations with verified patient reviews and appointment availability that accept Blue Cross Blue Shield and other insurances. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Blue Cross NC makes health insurance easy. Individual and family plans (under age 65) ©2024 Blue Cross and Blue Shield of North Carolina. Aug 14, 2024 · Find Blue Cross Blue Shield Doctors in Fayetteville, North Carolina & make an appointment online instantly! Zocdoc helps you find Doctors in Fayetteville and other locations with verified patient reviews and appointment availability that accept Blue Cross Blue Shield and other insurances. It’s designed to deliver enhanced quality and lower costs by partnering with providers who are committed to – and accountable for – improving care today and in the future. 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. Proof of prior dental coverage with less than 63 days lapse in coverage is required. Please contact 888-206-4697 ( TTY : 711) for assistance. 5 days ago · Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced new actions to keep health care affordable for North Carolinians. BlueHPN is a national quality-based network that provides members with access to high-quality doctors, hospitals and specialists across the state and country - all while lowering costs. O. But, depending on your member health plan, you may pay more when you use an out-of-network lab. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. As a State Health Plan member, you have access to the North Carolina State Health Plan Network, which is made up of providers who signed up for the Plan’s Clear Pricing Project (CPP), and Blue Cross NC’s Blue Options network. 6 days ago · Find Blue Cross Blue Shield Doctors in Wake Forest, North Carolina & make an appointment online instantly! Zocdoc helps you find Doctors in Wake Forest and other locations with verified patient reviews and appointment availability that accept Blue Cross Blue Shield and other insurances. . The Blue Book is designed to assist you in understanding and administering Blue Cross NC health insurance products, health coaching and intervention Jul 9, 2024 · The Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provider directory is created from information provided by our network providers, facilities and third parties. Sending a letter to Blue Cross Blue Shield FEP Dental, P. Blue Cross NC electronically forwards 835 remittances for Medicare crossover claims received from other BCBS plans to providers with NPIs registered with Blue Cross NC to receive them. Blue Medicare HMO Enhanced, HMO Essential and Blue Medicare PPO Enhanced share the same Medicare prescription drug list. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is working with providers to improve how and when behavioral health concerns are identified and treated. 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. Log in or register now. Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC's PPO network as of July 28, 2022. Blue Cross NC provides the telehealth program for your convenience and is not liable in any way for the goods or services received. Dec 6, 2021 · Effective January 1, 2022, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is excited to expand the Blue High Performance Network ℠ (BlueHPN ℠) in the Triangle and Hickory areas. 1/24 Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. geo-blue. You can find in-network providers in North Carolina, outside of North Carolina, and worldwide by using this provider search tool. Overseas Providers. Communicating information to member's that specifies their rights and responsibilities related to a mutually respectful relationship with the organization, addressing complaints and appeals, benefits and access to medical services, choosing physicians and Providers and practices who are going through an acquisition or are acquiring another practice are required to report any changes to Blue Cross and Blue Shield of North Carolina (Blue Cross NC). All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of 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. Together, we can help the whole person thrive by bringing physical and behavioral health together. ©2024 Blue Cross and Blue Shield of North Carolina. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. This program may be modified or Your resource for provider services Register Now. Outside the United States. NGFEPO-I, 5/23. CPP providers have agreed to get rid of secret contracts, making health care more affordable and transparent. Take care of your dental health by making the most of your Dental Blue Select℠ plan. Providers looking to join can find out more about these networks. Access to a large provider network with coverage in all 100 counties in North Carolina. Blue HPN is a national quality-based network that will provide members with access to a comprehensive set of high-quality doctors, hospitals, and A process by which the organization provides members with access to health care information and tools to better manage their health. 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. Blue Cross NC is not responsible for Atrium Health Wake Forest Baptist’s physicians and medical facilities owned or operated by Atrium Health Wake Forest Baptist. Try our Find Care search tool to find them. ®, SM are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Blue Cross and Blue Shield Association (BCBSA) may receive payments from Blue365 vendors. We try to provide you with the most up-to-date and accurate provider lists. Blue Cross NC is made up of multiple networks, including FEP, Medicare and Medicaid. 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. 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. com (Accessed July 2022). hqg kgkns ncl yxk oyqnmk cnpe ojraqorf oauirf gzopgl jtbx