NC Provider Contact Information

Contact Us About

Electronic Resources

Phone or Fax

In-State Eligibility, Benefits and Claim Status Information

Provider LineSM

Blue eSM

https://providers.bcbsnc.com/providers/login.faces

800.214.4844

Automated Services Availability

Monday-Friday, 7 a.m. - 9 p.m.

Saturday 7 a.m. - 3 p.m.

Sunday 7 a.m. - 12 noon

Representative Availability

Monday-Friday 8 a.m. - 6 p.m.

Out-of-State (BlueCard®) Eligibility and Claim Status Information

Claims

Blue e

https://providers.bcbsnc.com/providers/login.faces

800.487.5522

Eligibility

Blue e

https://providers.bcbsnc.com/providers/login.faces

800.676.BLUE (2583)

Chiropractic Services

Health Network Solutions, Inc.

(BCBSNC HMO & BCBSNC PPO)

704.895.8117

Contractual Updates

Updates to Notice Contract Address

http://www.bcbsnc.com/assets/providers/public/pdfs/Provider_Update.pdf

800.777.1643

919.765.4349

NetworkManagementProviderNot@bcbsnc.com

Credentialing and Enrollment

Credentialing

http://www.bcbsnc.com/content/providers/application/index.htm

800.777.1643

Monday-Friday 9 a.m. - 4 p.m.

919.765.7016 Fax

Credentialing@bcbsnc.com

Enrollment

(to obtain billing numbers)

http://www.bcbsnc.com/content/providers/provider-number/index.htm

800.777.1643

Monday-Friday 9 a.m. - 4 p.m.

919.765.7016 Fax

Credentialing@bcbsnc.com

Demographic Updates

http:/www.bcbsnc.com/assets/providers/public/pdfs/Provider_Update.pdf

800.777.1643

919.287.8884

Provider.AddressUpdts@bcbsnc.com

Disease Management

Member Health PartnershipsSM1

Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease

800.218.5295

Email (for member enrollment): partnerships@bcbsnc.com

Electronic Claim Submissions

Electronic claims submission

Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease

Blue eSM

https://providers.bcbsnc.com/providers/login.faces

First time users: http://www.bcbsnc.com/content/providers/edi/index.htm

888.333.8594

Federal Employee Program (FEP)
  • Benefits

  • Claims

  • Eligibility

Blue eSM

https://providers.bcbsnc.com/providers/login.faces

800.222.4739

Health Management (case management)

888.234.2415

Healthy Endeavors (disease management)

888.392.3506

Magellan: Mental Health/ Substance Abuse visit approvals

800.288.3976

Precertification and Prior Approval

https://providers.bcbsnc.com/providers/login.faces

800.672.7897

919.765.2081

Retail Pharmacy

800.624.5060

877.727.3784 (prior approval)

Fraud and Abuse

If you suspect healthcare fraud and abuse, please report the problem immediately to BCBSNC

http://www.bcbsnc.com/content/corporate/fraud/index.htm

800.324.4963

24 hours a day, 7days a week

919.765.7753

Healthcare Management and Operations (HM&O)

Prospective review

Prior review

Admission certification

Discharge planning

Case management

Continuity of care

Blue e

https://providers.bcbsnc.com/providers/login.faces

800.672.7897

Monday-Thursday 8 a.m. - 7 p.m.

Friday 8 a.m. - 5 p.m.

Voice Messaging System is available outside of regular business hours.

Submitting Precertification/Admission Notification or Continued Stay Review

Blue e

https://providers.bcbsnc.com/providers/login.faces

800.672.7897

Mental Health and Substance Abuse

Magellan Behavioral Health

800.359.2422

Value Options (for members enrolled in SHP)

800.367.6143

Office-Administered Specialty Drug Network

Member-specific, dose-specific drugs delivered directly to your practice.

 

For a complete listing of vendors and their contact information:

http://www.bcbsnc.com/content/providers/injectable-drugs/injectmed.htm

Diagnostic Imaging Management Program

CT/CTA scans

MRI/MRA scans

PET scans

Nuclear cardiology studies

Blue eSM

https://providers.bcbsnc.com/providers/login.faces

American Imaging Management (AIM)

866.455.8414

800.610.0050

Monday-Friday, 8 a.m. - 5 p.m.

Spanish Speaking Patients

BCBSNC offers a Spanish speaking customer service line for your patients

www.bcbsnc.com/azul

877.258.3334

Monday - Friday 8 a.m. - 5 p.m

State Health Plan (SHP)

Blue e

https://providers.bcbsnc.com/providers/login.faces

http://www.shpnc.org/default.aspx

888.214.4844

Strategic Provider Relationships

Questions regarding policies, procedures or guidelines (non-claims related)

800-777.1643

919.765.4349

Web Self Service Tools

eSolutions HelpDesk

https://providers.bcbsnc.com/providers/login.faces

888.333.8594