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NC Provider Contact Information

Contact Us About

Electronic Resources

Phone or Fax

In-State Eligibility, Benefits and Claim Status Information

Provider Blue LineSM

Blue eSM

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

800.214.4844

Representative Availability

Monday-Thursday 8 a.m. - 5 p.m.
Friday 8 a.m. - 4 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

Healthy Outcomes

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

800.218.5295

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