Bcbs north carolina provider portal. About Blue e Provider Portal Behavioral health. Navigation. The Blue Book is designed to assist you in understanding and administering Blue Cross NC health insurance products, health coaching and intervention Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Find out how to join the network of providers who partner with BCBSNC to deliver quality health care to our members. must set up EFT in the provider portal. 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. Developers can register for access here and find the resources they need to build an application programming interface ( API ) to a member’s Nov 1, 2021 · Please note, this communication applies to Healthy Blue + MedicareSM (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina. Effective November 1, 2021, EnrollSafe replaces CAQH Enrollhub as the electronic funds transfer (EFT) enrollment portal for providers. Specialty medications are most commonly used for chronic diseases such as rheumatoid arthritis and multiple sclerosis. Services billed with the following revenue codes always require prior authorization:. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. These tools are offered for your convenience and should be used only as reference tools. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is expanding the Blue High Performance Network ℠ (BlueHPN ℠). 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 is an independent licensee of the Blue Cross and Blue Shield Association. Blue e is a free online tool for providers to check patient eligibility, submit claims, and more. ©2024 Blue Cross and Blue Shield of North Carolina. About Blue e Provider Portal Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Get informed of any changes or updates taking place. 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. Click to learn more. 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. My Provider Enrollment Portal BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Participating Blue Cross NC providers can be paid electronically. Blue Cross and Blue Cross and Blue Shield of North Carolina provides fee schedule information electronically to participating physicians. Nov 1, 2022 · Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has partnered with Brighton Health Plan Solutions (Brighton) to administer claims and member and provider services on behalf of Blue Cross NC to select self-insured employer group customers. 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. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. 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. Each medication plan comes with a list (or formulary) that shows you what medications are covered. By choosing Student Blue, you get several important benefits: Agents have been choosing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) since 1933. Check Updates. North Carolina’s Health Information Exchange Network, NC HealthConnex, is a secure, computer-based electronic network for doctors, hospitals and other health care providers to share information that can improve your care – so that no matter where you are providers can access your information. 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. Medicaid Expansion Tools and Resources. That’s why Blue Cross and Blue Shield of North Carolina uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to Healthy Blue contracted providers. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. 0240–0249 — All-inclusive ancillary psychiatric; 0513 — Psychiatric clinic (authorization waived for participating (PAR) providers with HCPCS code G0463 — outpatient facility claims) 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. May 10, 2024 · Blue Cross and Blue Shield of North Carolina (“Blue Cross NC,” "Company," "We," “Our” or “Us”) respects your privacy and is committed to protecting it. Student Blue ℠ from Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides quality health insurance that meets the specific needs of college and university students. Provider Training. Provider portal Get answers to questions, access real-time patient information, check claims status, enter and view authorizations, and more. Health plan members Medicare members Blue Cross NC makes health insurance easy. Access resources, forms, and more. Filing your claims should be simple. This policy describes the types of information we may collect from you or that you may provide when you visit or use our Website, including any subdomains (“Website”), our Blue Connect ℠ Member Portal (“Member Portal Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers free, confidential health guidance for you and your covered family members. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has developed clear Fast Healthcare Interoperability Resources (FHIR) to allow members to share their data with registered applications. 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. Webinars! Join us for online presentations that focus on the many tools we offer and the best ways to communicate with ©2024 Blue Cross and Blue Shield of North Carolina. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. . This is critical to ensure BCBSNC and Blue Medicare HMO and Blue Medicare PPO members can access care through your practice by displaying the correct demographic information in the Provider Directory. Our science-based resources and health guidelines help Blue Cross NC provider networks bring the most cost effective, quality health care to our members. Most patients with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) health insurance also have a medication plan to cover the medications they get at their pharmacy. Brighton is a national Third-Party Administrator (TPA). Provider Resources. Learn how to join or update the Blue Cross NC network, which includes commercial, Medicare, Medicaid, and other programs. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live 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. If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. Blue Cross and Blue Shield of North Carolina Senior Health DBA Blue Cross and Blue Shield of North Carolina is an HMO-POS D-SNP plan with a Medicare contract and a NC State Medicaid Agency Contract (SMAC). 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"). Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. We have several resources we've developed to help you get the information you need quickly. Forgot User ID? Forgot Password? Don’t have an account? Register Now. Blue E. Provider News. Already using Blue e? Great! Select any feature below to open it in the portal. Learn more about our non-discrimination policy and no-cost services available to you. %PDF-1. 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. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Shield of North Carolina (BCBSNC) of any change in demographic information. 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. All other marks are the property of their respective owners. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. 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. Members are still expected to select a primary care physician (PCP). Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. 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. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. If you're having problems logging in, call 1-888-868-5598 1-888-868-5598 Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. </strong> Blue Cross and Blue Shield of North Carolina uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to Healthy Blue providers. Please enable it to continue. Fast eligibility searches. Blue e is your provider portal for Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will implement a new Sleep Management Program. See what Blue e can do to speed up your administrative processes. Learn More. Blue e Provider Access - Blue Cross and Blue Shield of North Carolina | BCBSNC If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. As an independent licensee of the Blue Cross and Blue Shield Association, we are a trusted health insurance leader 2 and our network is dedicated to our communities. These drugs are generally high-cost drugs, ranging from approximately $6,000 to $350,000 per patient, per year. Blue Cross and Blue Shield of North Carolina is an 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. Enrollment in Blue Cross and Blue Shield of North Carolina Senior Health depends upon contract renewal. Better care starts here. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. 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. ® Marks of the Blue Cross and Blue Shield Association. <strong>We're sorry but Blue E doesn't work properly without JavaScript enabled. The new program will consider the medical necessity of studies and the clinical appropriateness of a facility- or home-based test. If medical records are needed to support a medical necessity review and are not received by Blue Cross NC before the claim adjudicates, the member will receive an Explanation of Benefits (EOB), the provider will receive an Explanation of Payment (EOP), and both will receive a claim denial letter addressing the specific reason(s) for the denial. 7 %âãÏÓ 163 0 obj > endobj 181 0 obj >/Filter/FlateDecode/ID[6C7DDC7A967A8447BC1EBC98FD409020>689133792C9FEC40BF2B9F865733C38F>]/Index[163 47]/Info 162 0 R Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. capba hsrdz ubssm xkxb msj xxc oryt ltmylb gjjnusm nxbb