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Inquiry and Appeals Updates & Reminders

Effective April 1, 2005, all member-specific inquiries for processed claims with dates of service on or after April 1, 2005, and which pertain to coding, bundling/unbundling and fees, should be submitted on a Provider Resolution Form and sent to:

BCBSNC Provider Resolution Unit
P.O Box 30055
Durham, NC 27702

Or you can fax your inquiries to us at: (919) 765-4409

All other inquiries should continue to be sent to:

BCBSNC Customer Services
P.O Box 2291
Durham, NC 27702

  • Inquiries may be initiated without requiring member authorization.
  • Level 1 Appeals always require written authorization from the member.

As of April 14, 2003, we are no longer permitted to give our members’ protected health information to another person unless we have legal permission. One way they can give us permission is to sign a document called an "Authorization."

As of November 1, 2004, we created an electronic Member Appeal Representation Authorization Form for your convenience, which you can print out and give to your patient for his/her signature.