Providers
Removal, termination and transfer requests
Review the steps, required documentation, and timelines to remove a provider from your group or terminate your group’s contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC).
Practitioner removals
You must report a practitioner leaving a group at least 30 days before the termination date or as outlined in your agreement or attached practitioner roster.
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Submit required documentation
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Submit a formal request on your official practice letterhead that includes:
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Reason for removal (e.g., retired, left practice, moved out of state)
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Continuity of care plan with any necessary moves to ensure member care
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Signature:
- Practitioner’s signature if they request removal
- Authorized group representative if the group requests removal
Send the request documentation to ProviderUpdates@bcbsnc.com.
Individual practitioner or group contract termination
You must report contract terminations at least 90 days before the termination date or as outlined in your agreement.
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Submit required documentation
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Submit a formal request on your official letterhead that includes:
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Reason for termination (e.g., retired, closed practice, network status change)
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Signature:
- Practitioner's signature if they request termination
- Authorized group representative if the group requests termination
Send the request to ProviderUpdates@bcbsnc.com.