Get Ready for ICD-10
BCBSNC offers valuable resources and tools to help you and your practice prepare for ICD-10 implementation.
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ICD-10
Get resources and tools to help you prepare for ICD-10 implementation on 10/1/2014.
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
Search for a medical policy, see prior review requirements and learn about the appeals process.
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
Access information specific to the Pharmacy Program.
Dental Login
Log in to enter dental claims, create personalized fee schedules and more.
Blue Book Dental eManual
View or download our online reference guide for dental providers.
Joining the Dental Network
See enrollment and credentialing guidelines specific for dental providers and apply today!
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
Read our current newsletter and view the archives.
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 10/1/2014.