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ATTENTION PROVIDERS

March 13th, 2004

We recently changed the format and wording of your Blue Cross and Blue Shield of North Carolina Notification of Payment (NOP) and Explanation of Payment (EOP). These changes affect the Summary Page of the NOP and EOP, where subtotals, totals and interest are displayed. The changes are necessary as we move forward with implementing HIPAA compliant 835 transactions. Please look at the examples provided below. On the left, identify your current NOP or EOP. To the right, you will find the corresponding new format. Those providers receiving an 835 (example A) will see additional information on the NOP or EOP indicating which portion of the payment is for 835 claims and which portion for non-835 claims.

If you are having trouble understanding these changes or reading your new NOP or EOP, please contact our Provider Blue Line at 1-800-214-4844 or your local Network Management office.

Explanation of Payment (EOP)/Notification of Payment (NOP) PDF.