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Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.

Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Our health plans include many benefits designed to keep you healthy, save you money and simplify your coverage: 95% of North Carolina doctors are in-network 1. Health and well-being programs to support a healthy lifestyle 2. No referrals needed to see a specialist. Three free primary care visits 3. Maternity, newborn and pediatric care. Group Plan Services is a web portal for employers and brokers who offer or manage group health plans from Blue Cross and Blue Shield of North Carolina. You can access ...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. Use our search tool below to find a plan provider close to home. You can search by name, specialty, location and more. Search for many different types of providers, like: Primary care providers (PCP ...If you're having problems logging in, call 1-888-868-5598. Agent Services is your source for exclusive agent support from Blue Cross and Blue Shield of North Carolina.Register Now. 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. For help with Blue Premier registration or account management, please contact your account administrator. Forms to add or remove a Blue e user or NPI.Through our Nurse Support Program, you and your family have a dedicated, specially trained nurse to help you make full use of your company benefits for your best health. Diseases such as Heart Failure, Cancer, COPD, Kidney Disease, and more. Call 1-800-755-0790.1-888-430-9829 TTY 711. Save money and get the Medicare coverage you deserve today. Blue Cross and Blue Shield of North Carolina Medicare plans can help you get the care you need, visit the doctors you love, and save money every month.

North Carolina, Kansas City Blue Plans Collaborate to Provide Administrative Services. CHAPEL HILL, N.C. – Blue Cross and Blue Shield of North Carolina (BCBSNC) and Blue Cross and Blue Shield of Kansas City (BCBSKC) announced today that they will collaborate in an initiative that will position the companies to meet the …Blue Cross Blue Shield of North CarolinaMedicare calendar year 2024 policy and technical changes. Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly, changes have been made to the Blue Cross and Blue Shield of North Carolina Blue Medicare Advantage℠ medical policies.Customer Service Professionals are the voices of Blue Cross NC and often the first point of contact for our members. Operations professionals foster innovations in customer service to make the customer experience event better. Together, they bring a fearless spirit to building and maintaining our reputation for caring, top-quality service.Feb 10, 2015 · You won’t always get an EOB, especially if you had to pay a copayment at the time of your visit. The EOB provides you with important information, including: A summary of the services received. Cost of those services. Discounts received as a BCBSNC member. Amount BCBSNC will pay. Amount you may have to pay.

Post Service - Medical Records Fax Sign-Up Form (PDF) Post Service - Intraoperative Neurophysiologic Monitoring Form (PDF) Post Service - Nerve Fiber Form (PDF) Provider / Doctor Claim Inquiry (PDF) Provider Evaluation Form (PDF) Provider Refund Return Form (PDF) Get the Blue Cross NC forms and documents for providers that you need all in one ... Results will vary based on employer location and plan selection. Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC ’s PPO Network as of July 28, 2022. Blue Cross NC Internal Data; September 2022: " IU 65 Competitive Analysis" (Accessed February 2023). Find the right health, vision and dental plans for your ...3. Request a copy via email: [email protected]. Please be aware that e-mail communication can be intercepted in transmission or misdirected. If you are uncomfortable with sending your health information via unsecured email, please consider communicating by using one of the other methods of on this page. State Health Plan fee schedules can be accessed by logging in to Blue e or by calling Network Management at 800-777-1643. Blue Cross and Blue Shield of North Carolina provides fee schedule information electronically to participating physicians. At Blue Cross NC, we encourage curiosity and continuous learning. You’ll find ample opportunities for professional development, career advancement, and personal growth. We offer best-in-class programs including tuition reimbursement, mentoring programs, online learning, and skill development through BlueU, our corporate learning center.

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Federal No Surprises Act. Find information on how the No Surprises Act protects patients from balance billing and disputing a Qualifying Payment Amount. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Our health plans include many benefits designed to keep you healthy, save you money and simplify your coverage: 95% of North Carolina doctors are in-network 1. Health and well-being programs to support a healthy lifestyle 2. No referrals needed to see a specialist. Three free primary care visits 3. Maternity, newborn and pediatric care. How can my provider request prior review and authorization? Contact Blue Cross NC Utilization Management to request prior review and authorization by calling 800-672-7897, Monday through Friday, 8 a.m. to 5 p.m. ET. We require prior review and authorization for certain services before they can be covered by your health insurance plan.Log in to Blue Connect to access your health plan benefits, claims, interests and profile. Register or reset your username or password if needed.Sapphire365 - Blue Cross NC is a provider directory that helps you find doctors, hospitals, and other health care providers in your network. You can search by location, specialty, or name, and compare quality ratings and costs. Sapphire365 also offers discounts and rewards for staying healthy and active.

Generally, members may submit requests: By fax (visit the website above for fax form and numbers) By mail to Blue Cross and Blue Shield of North Carolina, Healthcare Management and Operations, Pharmacy Exception, P. O. Box 2291, Durham, NC 27702. By telephone at 1 …Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. With Blue Medicare Advantage, you get access to the Blue Cross NC network of doctors and hospitals with premiums starting at $0. 1. Plan premiums as low as $0 1. Large network of over 51,000 providers including hospital networks with Atrium, Cone Health, Duke Health, Mission Health, Novant, and UNC Health Care. $0 primary care (PCP) copays 3. To begin the process, call 800-777-1643 (option 6). Please allow at least 60 days for Blue Cross NC to process your application. This process could take longer if there is incomplete or inaccurate information in your application. If after 60 days you have not heard from us, please call us again at 800-777-1643 (option 6) to speak to with us about: Medical policy contact information. 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. Members may also wish to discuss their questions and individual medical situation with their physician. Physicians may want to share documentation with the ...For more information about BCBSNC’s new products, talk with your local BCBSNC agent. About Blue Cross and Blue Shield of North Carolina: Blue Cross and Blue Shield of North Carolina is a leader in delivering innovative health care products, services and information to more than 3.6 million members, including approximately 900,000 served on …The Affordable Care Act (ACA) has identified certain services as preventive care to be paid at 100%. These benefits are available for members of non-grandfathered individual health insurance plans. If you get benefits from your employer, you may also have these benefits. If your Summary of Benefits section of your Benefit Booklet contains ...Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.To avoid delays and have your claims processed accurately, be sure you submit all of the following: 2. A claim form - signed and completed for each member or patient who received care. A receipt - Your doctor will give you an itemized receipt for all the services you received. You should submit the original (not a copy) with your claim. View your options. Blue Cross NC can help you find the right health plan for you and your family. Shop for vision, dental, Medicare, Medicaid and other affordable insurance plans. After that, you and BCBSNC share the medical costs (coinsurance) until your coinsurance maximum is met. Then, BCBSNC pays for all your covered medical expenses (excluding copayments). Certain preventive care services are covered at 100%, before deductible, when received in an in-network office or outpatient setting.

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. Use our search tool below to find a plan provider close to home. You can search by name, specialty, location and more. Search for many different types of providers, like: Primary care providers (PCP ...

Headway’s mission is to make mental healthcare affordable and accessible. To do this, Headway is working with Blue Cross NC to simplify the process of finding and booking an in-network mental health clinician who is a great fit through technology, which allows clinicians to easily run their practice and have more time for their clients. No problem. Register for Blue Connect using your phone. Choose phone call or text message to get your authorization code. (Codes expire after 10 minutes.) Note: You must have an active Blue Cross NC plan to get the authorization code. If you just purchased your plan, it could take up to 48 hours to verify your enrollment. eSolutions Help Desk. For questions or issues with Blue e and electronic claims submission. 888-333-8594, Option 1. Monday – Thursday 8 a.m. to 5 p.m. ET.Log in to Blue Connect to access your health plan benefits, claims, interests and profile. Register or reset your username or password if needed.Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is expanding the Blue High Performance Network℠ (BlueHPN℠). 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. Over 185 million Americans now have ...Blue Connect is a secure online service that lets you access your health insurance claims and information. To link your account, you need to register or log in with your Blue …Member Services - Login. Please Log In. The page you requested is a protected resource available only to registered BCBSNC users. You will need to log in in order to access …After that, you and BCBSNC share the medical costs (coinsurance) until your coinsurance maximum is met. Then, BCBSNC pays for all your covered medical expenses (excluding copayments). Certain preventive care services are covered at 100%, before deductible, when received in an in-network office or outpatient setting. The Affordable Care Act ( ACA) has identified certain services as preventive care services paid at 100%. This information is a reference tool and does not guarantee payment of any claims. These benefits are available for members of non-grandfathered individual health insurance plans. These benefits may not apply to grandfathered members.

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Post Service - Medical Records Fax Sign-Up Form (PDF) Post Service - Intraoperative Neurophysiologic Monitoring Form (PDF) Post Service - Nerve Fiber Form (PDF) Provider / Doctor Claim Inquiry (PDF) Provider Evaluation Form (PDF) Provider Refund Return Form (PDF) Get the Blue Cross NC forms and documents for providers that you need all in one ... Get tips on eating right, exercise and more at blog.bcbsnc.com. Healthy Habits Blue Link allows you to track your habits along the way to a healthier you. Find Blue Link in your Blue Connect dashboard. Blue Connect Mobile All in the palm of your hand. Get it today! Concerned About Costs?No problem. Register for Blue Connect using your phone. Choose phone call or text message to get your authorization code. (Codes expire after 10 minutes.) Note: You must have an active Blue Cross NC plan to get the authorization code. If you just purchased your plan, it could take up to 48 hours to verify your enrollment.Please enter the following information to get a personalized rate quote with no obligation. After you review your quote, you will have the opportunity to apply online. To be eligible for Dental Blue coverage you must be a NC resident and not have had Dental Blue coverage within the last 12 months.BCBSNC, the state’s largest health insurer, is publishing online the average prices it pays statewide for physician office visits, diagnostic procedures and screenings, prescription drugs, and disease treatments. The Health Cost Estimator, now available to members at bcbsnc.com , includes one of the most comprehensive listings of total average costs related …Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who ...There are a few ways to pay your first premium. 1. Pay your premium online. Some insurance companies have an online integration with the Marketplace, meaning you can pay directly on HealthSherpa. To do this, log into your HealthSherpa account and click "pay premium." If that button is not appearing, it often means the insurance company does not ...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. Members are still expected to select a primary care physician (PCP).Members are encouraged to visit their PCP before seeing a specialist. In this way, Blue Medicare HMO and Blue Medicare PPO PCPs are still able to …Use Blue Connect to find: Doctors. Pharmacies. Prescription drugs. Urgent care clinics. Emergency rooms. Other treatment options exclusive to your plan. Log in to Blue Connect to automatically personalize your search and get the most accurate results. By logging in, you won’t have to enter your information every time you need to find care.At BCBSNC, we are committed to making appropriate coverage decisions, which are based on the terms of your health benefit plan and whether care or services address your medical needs. For more information about utilization management, see the utilization management section in this document.For provider questions and claims issues: Phone: 1-844-594-5072. 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 fee schedules can be accessed by logging in to Blue e or by calling Network Management at 800-777-1643. Blue Cross and Blue Shield of North Carolina provides fee schedule information electronically to participating physicians.BLUE365. Get the health and fitness products you've always wanted with a little help from Blue Cross NC's member discount program - Blue365. You're not just getting exclusive discounts on the latest fitness gear; you're also getting the tools and tips to keep you and your family healthy! Make the decision to be a healthier you.Contact Network Management. Phone: 800-777-1643. Fax: 919-765-4349. Email: [email protected]. Mail to: Blue Cross NC. PO Box 2291. Durham, NC 27702. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news.Sapphire365 - Blue Cross NC is a provider directory that helps you find doctors, hospitals, and other health care providers in your network. You can search by location, specialty, or name, and compare quality ratings and costs. Sapphire365 also offers discounts and rewards for staying healthy and active.Customer Service Professionals are the voices of Blue Cross NC and often the first point of contact for our members. Operations professionals foster innovations in customer service to make the customer experience event better. Together, they bring a fearless spirit to building and maintaining our reputation for caring, top-quality service. Provided and billed by a licensed dental care professional who is in training. Available to a member without charge. For care given to a member by a provider who is in the member’s immediate family. In excess of the allowed amount. A Dental Blue plan from Blue Cross NC can help you fight gum disease by giving you reliable access to dentists ... Legal & Compliance. Join a dedicated team with a skillful grasp on emerging issues that affect Blue Cross NC, our members, and the doctors and hospitals we work with. Our work touches multiple groups, so the solutions you seek have a broad impact. It’s a tall order, a rewarding challenge that takes grit – all in the service of making health ...Blue Cross Blue Shield of North CarolinaFor the adopted child to be covered from the date of placement in the home, please complete the proper form as soon as possible. If you need to change your coverage type (for instance from an Individual to a Family plan), you must notify BCBSNC within 60 days. (NOTE: Some employer groups have opted for a 60-day notice. Bcbsnc, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]