2024 Bcbsnc - Log in to Blue Connect to access your health plan benefits, claims, interests and profile. Register or reset your username or password if needed.

Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.understand that BCBSNC may request medical records for this patient at any time in order to verify this information. I further understand that if BCBSNC determines this information is not reflected in my patient’s medical records, BCBSNC may request a refund of any payments made and/or pursue any other remedies available. Live Chat. View all our Blue Cross NC member FAQs for answers to all your questions. This includes details on your account, coverage, paying bills and much more. DURHAM, N.C. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has enrolled its first members in Healthy Blue, its Medicaid managed care plan, and has developed a provider network with more than 48,000 physicians and other practitioners, including most of the state’s hospitals and health systems. The start of Healthy Blue …Are you a health care provider in North Carolina? Visit the official website of Blue Cross and Blue Shield of North Carolina to access your account, check eligibility, claims status, and more. Register now and enjoy the benefits of Blue e, the online network for providers.If you are currently a Blue Advantage member and need assistance completing your application or have questions concerning your current coverage, please contact Customer Service at 1-888-206-4697, 8:00 a.m. - 9:00 p.m. EST, Monday through Friday.Per member aged 0 – 18 $34.45 Per member aged 19 – 64 $34.45 Per member aged 65+ $42.75. Dental Blue for Individuals PPO 1500. CORE PLAN MONTHLY RATE*. Per member aged 0 – 18 $35.95 Per member aged 19 – 64 $35.95 Per member aged 65+ $44.35. Dental Blue for Individuals Coverage for one person or the entire family.Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.Other processing methods include: Online (preferred - for providers only): Blue e Portal ⁠ . Some drugs if approved can be ready at the pharmacy in less than 2 hours. Fax: 800-795-9403. Mail: Blue Cross NC, Attn: Corporate Pharmacy, PO Box 2291, Durham, NC 27707. Once we have all required information, we'll make a decision within 3 business days.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. Get the most out of your plan with Blue Connect member portal. It's easy for Blue Cross NC members to manage their plans and access tools, documents and benefits on the go with Blue Connect℠. 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 ... Benefit period maximum - $1,000 or $1,500. Dental Blue Select provides a $1,000 or $1,500 annual benefit maximum per person on diagnostic and preventive, basic and major services. If Orthodontia coverage is selected, the maximum benefit for orthodontia coverage is a lifetime maximum of $1,000 or $1,500 per eligible member. Blue Cross NC makes health insurance easy. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Better care starts here. 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.Blue Cross NC Member Authorization Form ( PDF) ⁠– authorization to disclose your protected health information ( PHI) to anyone that you designate and for any purpose. Student Leave of Absence Certification Form ( PDF) ⁠– certifies a dependent child has lost their student status at a postsecondary educational institution due to a leave ...It's important to visit an in-network doctor or hospital to save the most money on your medical and wellness care. Steps to make sure you're looking in the right network:Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.For more information about any health plan for North Carolina (NC) residents featured on this website, read each plan’s helpful Frequently Asked Questions section. Or call the friendly professionals at Jerry Ballard & Associates, Inc. your independent North Carolina health and life insurance agency: toll free 888-765-5400 or 252-726-5400.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 ...DURHAM, N.C. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has enrolled its first members in Healthy Blue, its Medicaid managed care plan, and has developed a provider network with more than 48,000 physicians and other practitioners, including most of the state’s hospitals and health systems. The start of Healthy Blue …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. 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. See our Blue Cross NC locations. With 10 Blue Cross and Blue Shield of North Carolina (Blue Cross NC) locations across the state, you can always find one that's convenient for you. understand that BCBSNC may request medical records for this patient at any time in order to verify this information. I further understand that if BCBSNC determines this information is not reflected in my patient’s medical records, BCBSNC may request a refund of any payments made and/or pursue any other remedies available.Blue Connect member portal. Access your benefits anytime, anywhere. With Blue Connect℠ you can manage your plans, track claims, get a copy of your ID card and so much more. Visit our Medicare forms library for enrollment applications, claims forms, drug forms and more for MedAdvantage, MedSupp and Medicare Rx (PDP) plans.See the Blue Cross NC website policies and best practices that determine how you use and interact with our website, including privacy policies, billing and much more.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 …Blue Cross NC offers a range of insurance plans for medical, vision, dental, Medicare, Medicaid and other needs. Find the right plan for you and your family, or explore care …Dental Blue®. Submit Claims. File Appeals. File Inquiries. Federal Employee Program® ( FEP) Submit Claims. File Appeals. File Inquiries. View instructions for submitting claims, appeals and inquiries at a glance for each line of business, including Medicare and FEP.Prior review (prior plan approval, prior authorization, prospective review or certification) is the process Blue Cross NC uses to review the provision of certain behavioral health, medical services and medications against health care management guidelines prior to the services being provided.Inpatient admissions, services and procedures received on an outpatient … Services and cost-saving details. Acupuncture services for Blue Medicare Advantage members (PDF). Due to legislation changes, Blue Cross NC now covers acupuncture services for Medicare Advantage members. Not all providers offer acupuncture service. Please view our list of acupuncture providers (PDF) to find providers in your area that may offer ... 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 ...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.. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina.The Primary Administrator is the person principally responsible for managing your organization’s health insurance and benefit programs. The Primary Administrator must register before any other group users can be granted access to Employer Services. You will need your group number, tax ID and company ZIP code to complete this form.Estimate your monthly premium for a BCBSNC health insurance plan in 2024 based on your income, household size and other factors. You can also apply for a Special …Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.Blue Connect member portal. Access your benefits anytime, anywhere. With Blue Connect℠ you can manage your plans, track claims, get a copy of your ID card and so much more. Visit our Medicare forms library for enrollment applications, claims forms, drug forms and more for MedAdvantage, MedSupp and Medicare Rx (PDP) plans. 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. We're here for you. If you're struggling with a mental health issue, you’re not alone. In any given year, one in five Americans will experience a mental illness. 1 This can include anxiety, depression, substance use and other disorders. If you’ve noticed you’re feeling unusually tired, sad, fearful, angry or withdrawn, reach out for help.We're here for you. If you're struggling with a mental health issue, you’re not alone. In any given year, one in five Americans will experience a mental illness. 1 This can include anxiety, depression, substance use and other disorders. If you’ve noticed you’re feeling unusually tired, sad, fearful, angry or withdrawn, reach out for help.Blue Cross Blue Shield of North CarolinaLog 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 Cross NC accepts the upfront submission of medical records when the supplied records help document the medical necessity of services or supplies already provided to our commercially-insured members. Providers can proactively send medical records to Blue Cross NC before claims are processed and help avoid medical-necessity denials that may ...Explore rewarding careers in technology, data, finance, marketing and more at Blue Cross and Blue Shield of North Carolina. Learn about the benefits, perks, culture and …Premium progressive lens costs are based on tier. Tier 1: $25 copay, plus $85. Tier 2: $25 copay, plus $95. Tier 3: $25 copay, plus $110. Tier 4: $90 copay plus 80% of retail less than $120 allowance. Compare vision insurance plans from Blue Cross NC. See which affordable North Carolina vision plan offers the right coverage and benefits for you.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.Are you a health care provider in North Carolina? Visit the official website of Blue Cross and Blue Shield of North Carolina to access your account, check eligibility, claims status, and more. Register now and enjoy the benefits of Blue e, the online network for providers.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 ...Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.Blue Cross and Blue Shield of North Carolina. 4615 University Drive. Durham, NC 27707. Policies & Best Practices. Fraud & Abuse Report Form. Medicare Complaint Form. Accessibility. Helpful plan information for Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx (PDP) members. 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. 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.Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Need to finish a health plan application? Sign in to your Blue Connect account. Forgot your username or password? Reset it here. Or, register to use Blue Connect. Services and cost-saving details. Acupuncture services for Blue Medicare Advantage members (PDF). Due to legislation changes, Blue Cross NC now covers acupuncture services for Medicare Advantage members. Not all providers offer acupuncture service. Please view our list of acupuncture providers (PDF) to find providers in your area that may offer ... 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. General Inquiries. 1-919-489-7431. Blue Cross and Blue Shield of North Carolina. 4615 University Drive. Durham, NC 27702. www.bcbsnc.com. For more information about any health plan for North Carolina (NC) residents featured on this website, read each plan’s helpful Frequently Asked Questions section. Or call the friendly professionals at Jerry Ballard & Associates, Inc. your independent North Carolina health and life insurance agency: toll free 888-765-5400 or 252-726-5400.At Health Plans of NC, we can help you choose an affordable and comprehensive health insurance plan. We can also explain how open enrollment periods work and when enrollment starts in 2024. If you’ve just started researching health insurance coverage options, you’ll know that the industry can be complex.Blue Connect Member Login - Blue Cross and Blue Shield of North Carolina | Blue Cross NC. Home. Please Log In. You'll need to log in to Blue Connect to. get to the page you …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 NC offers a range of insurance plans for medical, vision, dental, Medicare, Medicaid and other needs. Find the right plan for you and your family, or explore care …Forgot username or password? Need Help? (888)-705-7050 (Dial 711 for TTY)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. Choose the time, date, and what service you need help with. We'll have a team member ready in our Blue Cross NC Boone location when you are. Schedule an appointment today. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.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 …If you are currently a Blue Advantage member and need assistance completing your application or have questions concerning your current coverage, please contact Customer Service at 1-888-206-4697, 8:00 a.m. - 9:00 p.m. EST, Monday through Friday. Forgot username or password? Need Help? (888)-705-7050 (Dial 711 for TTY) Benefits of Blue Cross NC vision plans. Access to both private practice and retail eye doctors. 100% preventive care coverage in-network. Access to top-rated eye care partners for lenses and frames. Coverage from a company with 90 years of experience providing insurance in North Carolina 1. Coverage around the state, country and world 2. 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 need a claim form or help on how to file a claim, call BCBSNC's Customer Service at 1-877-258-3334 or write to: BCBSNC Customer Service. P. O. Box 2291. Durham, NC 27702-2291. Please mail your dental claims to: Blue Cross Blue Shield of North Carolina. Attn: Dental Blue Claims Unit. PO Box 2100.See our Blue Cross NC locations. With 10 Blue Cross and Blue Shield of North Carolina (Blue Cross NC) locations across the state, you can always find one that's convenient for you. 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 ... Are you a health care provider in North Carolina? Visit the official website of Blue Cross and Blue Shield of North Carolina to access your account, check eligibility, claims status, and more. Register now and enjoy the benefits of Blue e, the online network for providers. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. 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. These vendors do not offer Blue …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.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.If you are currently a Blue Advantage member and need assistance completing your application or have questions concerning your current coverage, please contact Customer Service at 1-888-206-4697, 8:00 a.m. - 9:00 p.m. EST, Monday through Friday.Consumers can purchase the same BCBSNC ACA health plans, and access subsidies, from the Exchange or directly from BCBSNC. BCBSNC’s buy online tool facilitates the transaction for those who qualify for a federal subsidy (consumers purchasing their own coverage with income levels between 100 percent and 400 percent of Federal Poverty Level 2).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 …Proof of creditable coverage. If your coverage has ended, you can request a Certificate of Creditable Coverage to verify the length of coverage you had. You can request a certificate for terminated policies from Blue Cross and Blue Shield of North Carolina (Blue Cross NC) for up to 24 months following termination. If your policy is still active ...COVID-19 treatments are covered based on each individual’s insurance plan. 1 Members may be responsible for a portion of their treatment costs, including copayments, coinsurance and deductible amounts. According to the NCDHHS, anyone who has symptoms of or has been exposed to COVID-19 should get tested as soon as possible.. Find out where you … Services and cost-saving details. Acupuncture services for Blue Medicare Advantage members (PDF). Due to legislation changes, Blue Cross NC now covers acupuncture services for Medicare Advantage members. Not all providers offer acupuncture service. Please view our list of acupuncture providers (PDF) to find providers in your area that may offer ... 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. 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 ...Our internship positions are remote in NC. Showing 1 - 10 of 33 jobs. Sort by. Principal Strategic Advisor, Healthcare. Remote, North Carolina, United States of America Health Care. Leads efforts to achieve innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement and ...Welcome to BCBSNCThe Primary Administrator is the person principally responsible for managing your organization’s health insurance and benefit programs. The Primary Administrator must register before any other group users can be granted access to Employer Services. You will need your group number, tax ID and company ZIP code to complete this form.Lisa Carey, MD – Associate Director for Clinical Research, UNC-Chapel Hill - Lineberger Comprehensive Cancer Center. Distinguished Professor in Breast Cancer Research, UNC -Chapel Hill Chief. Division of Hematology / Oncology, UNC -Chapel Hill. 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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.. Waterford township michigan

Email: [email protected]. Mail: Blue Cross NC P.O. Box 2291 Durham, NC 27702-2291. Physical address: Blue Cross NC 5901 Chapel Hill Road Durham, NC 27707. Use this form to request reimbursement for covered supplemental dental services that have been completed and paid in full and not submitted by your dental provider. Do not use to file Medical or Part D Claims. Please attach the claim/provider information below required for reimbursement: Itemized statement including: Procedure codes, treatment ... Apply January – February. 10-week internship from May – July. Interns are paid full-time. Questions? Email us at [email protected]. "My internship was the most rewarding experience of my life. I gained new friendships, countless opportunities for growth and even landed my first full-time job!" Marketing Communications. Our work shapes the overarching "One Voice" of Blue Cross NC and ensures all touch points are on-brand and consistent to amplify our unique voice. Develop Communication Strategies that Leverage Data. Guide Creative Workflow, Resources & Schedules. Manage Events, Experiential & Sports Marketing. See our Blue Cross NC locations. With 10 Blue Cross and Blue Shield of North Carolina (Blue Cross NC) locations across the state, you can always find one that's convenient for you. LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. 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. 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. Please email contractual notice updates to [email protected] or fax to Network Management Operations at 919-765-4349. ===== Provider Demographic Form It is a participating provider’s/group’s contractual obligation to notify Blue Cross and Blue Shield of North Carolina (BCBSNC) of any change in demographic information. Whether it’s a question about health insurance, a chronic condition or something else, we can connect you with someone who has the answers. Call 800-222-4739 for assistance. Learn more about Federal Employee Plan health insurance for federal employees, retirees and their families. See the helpful programs and resources it offers.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.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. 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. Sign in to your Blue Connect account. Forgot your username or password? Reset it here. Or, register to use Blue Connect.How to use your plan benefits. Every plan is different. Log in to the Blue Connect℠ member portal to see your Benefits Booklet. Your plan may offer exclusive savings and discounts on: Prescription eyeglasses, sunglasses and readers. Conventional, disposable and medically necessary contact lenses. Retinal imaging to detect changes and disease.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.Forgot username or password? Need Help? (888)-705-7050 (Dial 711 for TTY)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. General Inquiries. 1-919-489-7431. Blue Cross and Blue Shield of North Carolina. 4615 University Drive. Durham, NC 27702. www.bcbsnc.com. Blue Medicare HMO ℠ and Blue Medicare PPO ℠ - Services such as MRI, CT, PET and nuclear medicine. Diagnostic Imaging Management Program Services will require Prior Approval as of 4/24/2023. 2023 AIM PPA ( PDF) 2024 AIM PPA ( PDF) Experience Health Medicare Advantage℠ ( HMO) ( PDF) - Services such as MRI, CT, PET and nuclear …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 …Continued 5 (c) Alzheimer’s disease, dementia, Parkinson’s disease, multiple sclerosis, muscular dystrophy, amyotrophic lateral sclerosis (Lou Gehrig’s disease), systemic lupusAt 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. General Inquiries. 1-919-489-7431. Blue Cross and Blue Shield of North Carolina. 4615 University Drive. Durham, NC 27702. www.bcbsnc.com. 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 ...4.4. 62,400+ reviews. Our secret to great virtual care is great doctors. Board-certified | Top 5% of medical specialists in the world | +90% satisfaction rating. See what makes us …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.Blue Cross NC offers Medicare Advantage plans that cover the same benefits as Medicare Part A and B and may offer extra benefits for no added cost. Find the plan that suits your …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.Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal.BCBSNC Internal Data; Based on estimated cost of the second-lowest "silver" plan for a 40-year-old based in Raleigh. North Carolina, at 100% FPL October, 2013. Certain preventive care services are covered at 100% before your deductible is reached when you receive in-network office or out-patient care.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.Use this form to request reimbursement for covered supplemental dental services that have been completed and paid in full and not submitted by your dental provider. Do not use to file Medical or Part D Claims. Please attach the claim/provider information below required for reimbursement: Itemized statement including: Procedure codes, treatment ...Consumers can purchase the same BCBSNC ACA health plans, and access subsidies, from the Exchange or directly from BCBSNC. BCBSNC’s buy online tool facilitates the transaction for those who qualify for a federal subsidy (consumers purchasing their own coverage with income levels between 100 percent and 400 percent of Federal Poverty Level 2).How to use your plan benefits. Every plan is different. Log in to the Blue Connect℠ member portal to see your Benefits Booklet. Your plan may offer exclusive savings and discounts on: Prescription eyeglasses, sunglasses and readers. Conventional, disposable and medically necessary contact lenses. Retinal imaging to detect changes and disease.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 …DURHAM, N.C. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has enrolled its first members in Healthy Blue, its Medicaid managed care plan, and has developed a provider network with more than 48,000 physicians and other practitioners, including most of the state’s hospitals and health systems. The start of Healthy Blue … 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. 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.Benefits of Blue Cross NC vision plans. Access to both private practice and retail eye doctors. 100% preventive care coverage in-network. Access to top-rated eye care partners for lenses and frames. Coverage from a company with 90 years of experience providing insurance in North Carolina 1. Coverage around the state, country and world 2.Blue Connect member portal. Access your benefits anytime, anywhere. With Blue Connect℠ you can manage your plans, track claims, get a copy of your ID card and so much more. Visit our Medicare forms library for enrollment applications, claims forms, drug forms and more for MedAdvantage, MedSupp and Medicare Rx (PDP) plans.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 ... Blue Cross NC makes health insurance easy. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Better care starts here. Blue Cross and Blue Shield of North Carolina. 4615 University Drive. Durham, NC 27707. Policies & Best Practices. Fraud & Abuse Report Form. Medicare Complaint Form. Accessibility. Helpful plan information for Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx (PDP) members.Per member aged 0 – 18 $34.45 Per member aged 19 – 64 $34.45 Per member aged 65+ $42.75. Dental Blue for Individuals PPO 1500. CORE PLAN MONTHLY RATE*. Per member aged 0 – 18 $35.95 Per member aged 19 – 64 $35.95 Per member aged 65+ $44.35. Dental Blue for Individuals Coverage for one person or the entire family. 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. 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? Choose the time, date, and what service you need help with. We'll have a team member ready in our Blue Cross NC Boone location when you are. Schedule an appointment today. You can sign in with AppleTouch ID, Android Fingerprint ID or Apple Face ID. 1. Blue Cross NC has a free app that allows members to securely connect to their health plan from a mobile device. Designed to be simple and convenient, Blue Connect Mobile helps customers get up-to-the-minute information about their health plan and helping them manage ... 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 …If your practice does not have access to Blue e, you can easily register online. If you have questions about how to enroll as a Blue e user or how to use Blue e transactions, please call Blue Cross NC’s eSolutions HelpDesk at 888-333-8594 or email us at [email protected] January 1, 2023, Nations OTC is the network provider for the over-the-counter (OTC) and Healthy Groceries benefits for the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Healthy1. Member Information. 2. Account Setup. 3. Log In. Get Started. Are you registering yourself or your child? radio_button_checked. Myself. radio_button_unchecked. A child …Who should get it: Women ages 45 to 75. Description: Screening for colon/colorectal cancer in adults age 45 to 75 Effective no later than April 1, 2022, colorectal cancer screening and associated services are covered at 100% for eligible members aged 45 or older. Frequency: Using fecal blood testing (gFOBT or FIT) annually, Cologuard every 3 years, …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.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 ...Dental Blue®. Submit Claims. File Appeals. File Inquiries. Federal Employee Program® ( FEP) Submit Claims. File Appeals. File Inquiries. View instructions for submitting claims, appeals and inquiries at a glance for each line of business, including Medicare and FEP.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. 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.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. Blue Medicare HMO ℠ and Blue Medicare PPO ℠ - Services such as MRI, CT, PET and nuclear medicine. Diagnostic Imaging Management Program Services will require Prior Approval as of 4/24/2023. 2023 AIM PPA ( PDF) 2024 AIM PPA ( PDF) Experience Health Medicare Advantage℠ ( HMO) ( PDF) - Services such as MRI, CT, PET and nuclear medicine. 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.Who should get it: Women ages 45 to 75. Description: Screening for colon/colorectal cancer in adults age 45 to 75 Effective no later than April 1, 2022, colorectal cancer screening and associated services are covered at 100% for eligible members aged 45 or older. Frequency: Using fecal blood testing (gFOBT or FIT) annually, Cologuard every 3 years, …Learn more about offering your employers great health, dental, vision and supplemental coverage with our affordable, flexible business plan options. See more benefits and highlights of our employer plans. See More Employer Group Plan Highlights. Blue Cross NC Brand Tracking; Ipsos; July 2022. Preventive care services as defined by recent ...hcr_preventive_services_grp-040412.docx. The Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010 (HCERA) has designated the services listed below as preventive benefits and available with no cost-sharing when provided by an in-network provider for members of non-grandfathered health ...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. 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