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NC Health Choice Claims Processing Transition


Effective for dates of service on and after October 1, 2011, NC Health Choice (NCHC) claims will be processes by the Division of Medical Assistance's (DMA) fiscal agent, HP Enterprise Services. Contact the HP Provider Services Department at 1-800-688-6698, menu uption 3, with any questions you may have about claims for dates of service after October 1, this includes request for approval of services requiring an authorization.

For dates of service prior to October 1, 2011, please continue to submit claims to Blue Cross and Blue Shield of North Carolina. Please note that all claims for dates of service prior to October 1, 2011, must be filed with Blue Cross and Blue Shield of North Carolina no later than February 29, 2012. Blue Cross and Blue Shield of North Carolina will no longer process NCHC claims or handle related inquiries after March 30, 2012. Provider appeals of claim denials would need to be received by Blue Cross and Blue Shield of North Carolina no later than March 15, 2012.

Current N.C. Medicaid providers who want to continue to participate in NCHC will not need to take any action to continue their NCHC enrollment. Any provider who is not currently enrolled in the N.C. Medicaid program and wants to provide care to NCHC members will need to complete the Medicaid provider enrollment application online at www.nctracks.nc.gov.

CSC, DMAs Enrollment, Verification & Credentialing vendor, is available to assist providers who want to enfroll in N.C. Medicaid/NC Health Choice. Contact information for CSC is provided below. Additional information will be available to providers in the general N.C. Medicaid bulletin, as well as on the NCHC web page found on DMA's website at www.ncdhhs.gov.

Division of Medical Assistance's EVC Call Center Contact Information

Enrollment, Verification and Credentialing Call Center Toll-Free Number 866-844-1113
EVC Call Center Fax Number 866-844-1382
EVC Call Center E-Mail Address NCMedicaid@csc.com
CSC Mailing Address

N.C. Medicaid Provider
Enrollment
CSC
PO Box 300020
Raleigh, NC 27622-8020

CSC Site Address N.C. Medicaid Provider
Enrollment
CSC
2610 Wycliff Road, Suite 102
Raleigh, NC 27607-3073
CSC Website Address www.nctracks.nc.gov

HP Enterprise Services:
1-800-688-6696 or 919-851-8888