Providers
InterPlan Program & BlueCard
Learn how the program simplify claims processing and ensure seamless coverage for patients traveling or living outside their home plan area.
How the program works
BlueCard® is a national program that allows Blue Cross and Blue Shield members to access health care services while traveling or living outside their home plan’s service area. It connects providers with Blue Plans across the U.S. and many international locations through a single electronic network for claims processing and reimbursement.
Check if your patient is part of BlueCard
Not all members with PPO, HMO, POS, and Medicare Advantage plans are BlueCard members. Please confirm your patient is part of the program and what their coverage is with one of these options:
- check their member ID card for an image of a suitcase
- submit an eligibility transaction (270/271) with Blue e
- call the BlueCard Eligibility line: 800-676-2583
BlueCard claims
Not part of BlueCard? Submit claims directly to the address on the patient's member ID card.
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Step 1
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Confirm if patient is covered by another plan
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If your patient has more than one insurance plan, complete this form before submitting the claim to avoid delays.
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Complete Questionnaire (PDF)
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Submit claim to Blue Cross NC
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Even if your patient lives out of state or out of the country, as long as they are part of BlueCard, you can submit claims directly to us.
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Review Claims Options
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BlueCard appeals
Starting December 18, 2025, providers can appeal InterPlan Program (IPP) and BlueCard claims using an appeal form supported by all Blue Cross and Blue Shield plans. For billing, coding, or medical necessity disputes for other lines of business, follow the steps on the Claims, Appeals, and Inquiries page.
Do not submit both the BlueCard and commercial appeal forms for the same case as this will delay processing.
Medical policies and prior authorization for out-of-area patients
Find your patient's home Blue Plan's medical policies and prior authorization information with this lookup tool.
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local
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- medicalPolicy|Medical Policy
- generalPre-cert|General pre-certification/pre-authorization information
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3 uppercase letters are required for this search
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