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It's Time to Review Your Medicare Advantage Demographic Information

It’s important to keep the demographic information we have on file for you if you:

  • Are a health care organization participating in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Medicare Advantage (Blue MedicareSM) provider network
  • Have Blue MedicareSM participating providers included under your organization’s terms of participation with Blue Cross NC 

Keeping your information current:

  • Helps us provide our members with accurate information through our online provider directories
  • Allows our members to locate and access care and services from in-network providers
  • Helps other providers make referrals and accurately direct their patients’ care toward in-network practitioners and suppliers
  • Ensures that your health care organization receives timely payment and notices, and reduces the potential for delayed or denied payments resulting from inconsistent demographic information 

Please take a minute to verify your information published in our online provider directories for the fourth quarter of 2017. Review your listing(s) located within the Find a Doctor tool on the bcbsnc.com website, and select from the following options for Medicare:

  • Find a Doctor or Facility
  • Find a Dentist
  • Find an Urgent Care Center 

When you review your listing(s), please ensure the following information is accurate:

  • The demographic information
  • Whether or not your practice is accepting new patients
  • Your physical addresses
  • The specialties of the providers affiliated within your health care organization 

If you discover an inaccuracy, please complete the online demographic form located in the forms section at bcbsnc.com as soon as possible. 

If your health care organization, or a provider within your organization, has changed names, been part of a merger or consolidation, moved, added, or changed a National Provider Identifier or Federal Tax Identification Number, please email us at NMSpecialist@bcbsnc.com.

If you’re unsure or have questions about how your health care organization is set up for its Blue Medicare participation with Blue Cross NC, please contact us at 1-800-777-1643 for assistance.