Blue Medicare PPOSM and Blue Medicare HMOSM plans information is now available to providers online in real-time via Blue e.
With Blue e, providers can:
- Search for member eligibility and benefits information
- Check claim status
- Check the status of an authorization request
- Submit online claims
If you don’t yet have Blue e, you can register for it and have access within days.
Companion Guide to HIPAA Transactions
This Companion Guide provides Blue Medicare PPO and Blue Medicare HMO trading partners with guidelines for submitting electronic batch transactions. The Companion Guide documents any assumptions, conventions or data issues that may be specific to the Blue Medicare HMO and Blue Medicare PPO Networks business processes when implementing the HIPAA ASC X12N Implementation Guides.
Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.