Coupe Health Plan billing and claims process

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is committed to working with providers as we implement new plans. In October 2025, we posted a communication announcing the Coupe Health Plan offer. We would like to clarify the information provided regarding member payment collection.

What’s changing

• At the time of service, the 270/271 transactions will confirm member eligibility and contain the message: “No member payment due at time of service, member responsibility is reflected on the final remit file.”
• To verify any applicable copay which may be collected, providers can call the Provider Services number on the back of the member ID card.
• Providers will follow their typical claim submission and billing processes.