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ICD-10

Get resources and tools to help you prepare for ICD-10 implementation.

Forms and Documentation

Find all of the forms you need in one convenient place, including appeals forms, enrollment applications and credentialing forms.

Manage Claims & Inquiries

Explore Blue e for Web-based services, eSolutions for HIPAA-regulated transactions. You can also access Code Set information, along with paper claim filing pointers.

Quality-Based Networks

Learn about programs that recognize doctors and facilities for excellence in care.

Medical Policies and Coverage

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Education and Learning Center

View videos, see webinars and listen to podcasts about the training topics important to you. Access the online reference eManuals - the guides include information on our products, services, claims billing, policies and much more.

Inter-Plan Programs (BlueCard)

Get resources for providers who service out-of-state Blue Cross/Blue Shield members.

News and Information

See current news and information that affects providers, as well as our newsletter archive.

Blue Medicare

See information specifically for Blue Medicare HMO and Blue Medicare PPO providers.

Network Participation

Find out how to become part of the BCBSNC network of providers.

Pharmacy Program

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Dental Login

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Blue Book Dental eManual

View or download our online reference guide for dental providers.

Joining the Dental Network

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Update Your Demographic Information

Use this form to report demographic changes to your practice. (pdf)

Policies and Responsibilities

See policies and responsibilities specifically for Medicare providers, including information on specialty networks, credentialing, and the responsibilities of primary care physicians.

Post-Service Provider Appeals

Learn about the Blue Medicare post-service appeals process for Level I, Level II and Non-Contract providers.

Medical Management Programs and Services

Get information on medical management policies and services, including case management, health care services and quality improvement.

Resources and Forms

Find essential forms and information for Medicare providers, including prior authorization, Medicare payer sheets and provider newsletters.

Blue Medicare Blue Book eManual

Download the Blue Medicare Blue Book eManual.

Blue Medicare Newsletters

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Additional Information for Medicare Providers

Find more of what you need as a Medicare provider.

Medical Policy Updates

See the latest updates to BCBSNC medical policies.

Fee Schedules

Find out about fee schedules for participating BCBSNC physicians.

Resources

Provider resources, tools, and patient education materials.

Practice Quality Standards

See the service standards BCBSNC and BCBSNC contracting physicians must meet to provide the best service possible.

National Committee for Quality Assurance (NCQA)

BCBSNC has received accreditation from the National Committee for Quality Assurance. See the quality standards managed care plans must meet for accreditation.

Changes, Updates and Industry Requirements

View legislative changes and updates that affect health care and providers.

HIPAA Version 5010

Get information and a compliance timeline for HIPAA version 5010.

ICD-10

Get resources and tools to help you prepare for ICD-10 implementation on 10/1/2015.