Blue Medicare HMO Blue Medicare PPO

Electronic commerce

HealthTrio

Blue Medicare PPOSM and Blue Medicare HMOSM plans team up with HealthTrio Connect to harness the power of the Internet, intelligently connecting providers online in real-time.

With HealthTrio, providers can:

  • Conduct research
    • Member eligibility and benefits information
    • Provider information
    • Claims status
  • Submit online claims

Log in to Health Trio Connect.

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.

Companion Guide to HIPAA Transactions

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.