NC Provider Contact Information
Contact Us About |
Electronic Resources |
Phone or Fax |
|---|---|---|
| In-State Eligibility, Benefits and Claim Status Information | ||
Provider LineSM |
Blue eSM |
800.214.4844 Automated Services AvailabilityMonday-Friday, 7 a.m. - 9 p.m. Saturday 7 a.m. - 3 p.m. Sunday 7 a.m. - 12 noon Representative AvailabilityMonday-Friday 8 a.m. - 6 p.m. |
| Out-of-State (BlueCard®) Eligibility and Claim Status Information | ||
Claims |
Blue e |
800.487.5522 |
Eligibility |
Blue e |
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 |
| Credentialing and Enrollment | ||
Credentialing |
http://www.bcbsnc.com/content/providers/application/index.htm |
800.777.1643 Monday-Friday 9 a.m. - 4 p.m. 919.765.4349 |
|
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. 919.765.4349 |
| Demographic Updates | ||
|
http:/www.bcbsnc.com/assets/providers/public/pdfs/Provider_Update.pdf |
800.777.1643 919.287.8884 |
|
| 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) | ||
|
Blue eSM |
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 |
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 |
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 |
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 |
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. |
http://www.bcbsnc.com/content/providers/injectable-drugs/contacts.htm |
For a complete listing of vendors and their contact information: http://www.bcbsnc.com/content/providers/injectable-drugs/contacts.htm |
| Diagnostic Imaging Management Program | ||
|
CT/CTA scans MRI/MRA scans PET scans Nuclear cardiology studies |
Blue eSM |
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 |
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 |
888.333.8594 |
|