Employers

Dental Blue Select resources

Find forms and documents you need to manage Dental Blue Select℠ policies for employees.
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Log In to Dental Blue Select
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Log in to Dental Blue Select
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Visit Dental Blue Select for members
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Member documents

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Blue Cross NC Notice of Privacy Practices
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PHI Authorization Release Form (General) (PDF)
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PHI Authorization Release Form (General) (PDF)
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PHI Authorization Form (Continuity of Care) (PDF)
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PHI Authorization Form (Continuity of Care) (PDF)
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Employer documents

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Dental Blue Select Administrator's Guide (PDF)
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Dental Blue Select Administrator's Guide (PDF)
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Benefit summaries

Benefit summaries are available through your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) agent or sales representative.

Member or plan maintenance

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DBS Employee Add/Change Form (English) (PDF)
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DBS Employee Add/Change Form (English) (PDF)
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DBS Employee Add/Change Form (Spanish) (PDF)
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DBS Employee Add/Change Form (Spanish) (PDF)
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Dental Blue Select support

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Reach out to us for all inquiries regarding your Dental Blue Select plan, including billing, membership, claims, eligibility, and benefit inquiries.
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Customer service
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Monday through Friday, 8 AM to 6 PM, except holidays

Phone: 888-471-2738

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Claims application
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Claims Mailing Address:
Blue Cross NC
PO Box 2400
Winston-Salem, NC 27102

Phone: 888-471-2738

Electronic Claims Payer ID Emdeon Payer ID: 61474
Electronic Claims (EDI) Payer ID. Emdeon Clearing House

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Enrollment eligibility updates
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Enrollment Department

Blue Cross and Blue Shield of North Carolina
Dental Blue Select - Enrollment
PO Box 2400
Winston-Salem, NC 27102

Phone: 866-483-8597
Email: Enrollment@bcbsnc-dental.com
Fax: 336-714-1445

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Billing, invoicing, general questions
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Invoicing and Premium Accounting

Blue Cross and Blue Shield of North Carolina
Premium Billing Unit
PO Box 2400
Winston-Salem, NC 27102

Phone: 866-483-8597
Email: DBSGroups@bcbsnc-dental.com
Fax: 336-714-1445

Overnight

Blue Cross and Blue Shield of North Carolina
Premium Billing Unit
470 W. Hanes Mill Road Suite 100
Winston-Salem, NC 27105

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