Providers
Dental Blue network
We’re here to make it easier for you to manage dental benefits so you can focus on your patients. Find the dental network resources you use most when working with Blue Cross and Blue Shield of North Carolina (Blue Cross NC).
Check eligibility, benefits, or claim status
Blue Cross NC uses different online platforms for claims information, and which one you should use depends on the type of claim – either dental or medical. Both of our secure online tools can provide the information you need when you need it.
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Dental Blue provider portal
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View claims history and details for services covered under a member's dental-only plans.
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Blue e medical provider portal
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Submit medical claims and view eligibility for dental services processed under medical plans.
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Prior authorization
Some dental services, including dental services covered under a member’s medical benefit, require prior authorization. This helps confirm eligibility, benefit coverage, and medical necessity before care is provided, so there are no surprises later.
It’s important for in-network providers to submit requests in advance. Members can’t be billed for services that were not authorized or determined to be medically necessary.
If you already know a service requires prior authorization, you can fill out and submit a Request for Services Form (PDF) to request prior authorization. If you’re unsure, use our commercial codes lookup tool to check requirements and submit or search prior authorization requests.
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Search CPT/CDT codes
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Claims and appeals
Access the tools and guidance you need to submit claims and manage appeals. Learn when to file dental vs. medical claims and how to follow up on claim status or decisions.
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Dental claims
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Most dental work – including cleaning, exams, fillings, root canals, and implants – can be submitted as a dental claim to Blue Cross NC.
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Instructions for Dental Claims
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Medical claims
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Some dental claims must be filed under a medical policy. This includes pediatric dentistry, TMJ issues, and cases of injury to sound natural teeth.
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Instructions for Commercial Claims
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Reimbursement
Find the information you need to understand how payments work in the Blue Cross NC dental network. Whether you’re reviewing how claims are paid or looking for details on fees, these resources are here to help you manage payments with confidence.
Fee schedules and reimbursement policies
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Fee schedules
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Find contracted rates and fee details used to calculate reimbursement for covered services.
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Reimbursement policies
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Review policies that explain how claims are evaluated and reimbursed under our plans.
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Payment options
Zelis
The easiest way for dental providers to receive payments is through an agreement with Zelis. There are two main options:
- A VRATM (Virtual Reimbursement Account), which is a direct deposit into your bank account via ACH payment delivery. It is CAQH CORE®-certified, which ensures compliance with ACA standards and HIPAA.
- Select virtual credit card payments uses a reloadable, virtual payment card. The payment card can be faxed or downloaded.
To sign up for either option:
- Visit ZelisPayments.com
- Email Membership@ZelisPayments.com
- Call the Zelis Payments Membership Department at 877-828-8834
Paper check
Blue Cross NC dental payments default to paper checks. Your office can receive paper checks and an Explanation of Payments.
If dentists or their practice administrators have questions about our payment options, they can contact Network Management at 800-777-1643.
Network participation
Whether you’re already part of our dental network or exploring participation, we’re here to support your work every step of the way. Participating providers are part of both the Blue Cross NC dental network and the national GRID+ Dental Network, which helps connect your practice with members from other Blue plans when they receive care in North Carolina.
Existing Dental Blue providers
If you’re already in our dental network, the Dental e-Manual (PDF) is your go‑to resource for working with us day to day. Its guidelines and sample images of member cards will help you move through the claims submission process smoothly and accurately.
Not yet joined Dental Blue?
When you join the Blue Cross NC dental network, you’ll gain access to contracted reimbursement, provider tools, and ongoing network support. Our Network Management team works closely with practices throughout the process, from enrollment to claims.
Contact network management
If you’re ready to join the Dental Blue network, the Network Management team is available to guide you through each step and answer questions along the way.
Already participating? They can also help with updates to your practice, such as adding providers, changing locations, or updating contact information.
Phone: 800-777-1643
Fax: 919-765-4349
Email: providerupdates@BCBSNC.com
Mail to:
Blue Cross NC
PO Box 2291
Durham, NC 27702
Dental resources
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Provider Blue Books
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Find our Dental eManual and other materials to help you understand products, policies, and procedures for our commercial and dental plans.
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Learn More
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Dental provider newsletter
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Stay up to date with the latest information and announcements for Blue Cross NC dental provider
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Sign up
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