In-State Eligibility, Benefits and Claim Status InformationOut-of-State (BlueCard®) Eligibility and Claim Status InformationChiropractic ServicesHealth Network Solutions, Inc. Show
(Blue Cross NC HMO & Blue Cross NC PPO) Contractual UpdatesUpdates to Notice Contract Address Credentialing and EnrollmentCredentialing Enrollment (to obtain billing numbers) Demographic UpdatesDisease ManagementHealthy Outcomes Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease Electronic Claim SubmissionsElectronic claims submission Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease Federal Employee Program (FEP)
Health Management (case management) Healthy Endeavors (disease management) Behavioral Health (mental health and substance use disorder) Precertification and Prior Approval Retail Pharmacy Fraud and Abuse
If you suspect healthcare fraud and abuse, please report the problem immediately to Blue Cross NC Healthcare Management and Operations (HM&O)Prospective review Prior review Admission certification Discharge planning Case management Continuity of care Submitting Precertification/Admission Notification or Continued Stay Review Blue e https://providers.bcbsnc.com/providers/login.faces 800.672.7897 Monday-Thursday 8 a.m. - 7 p.m. Friday 8 a.m. - 5 p.m. Voice Messaging System is available outside of regular business hours. Blue e https://providers.bcbsnc.com/providers/login.faces 800.672.7897 Behavioral Health (Mental Health and Substance Use Disorder)Behavioral Health Value Options (for members enrolled in SHP) 800.359.2422 800.367.6143 Office-Administered Specialty Drug NetworkMember-specific, dose-specific drugs delivered directly to your practice. Diagnostic Imaging Management ProgramCT/CTA scans MRI/MRA scans PET scans Nuclear cardiology studies Spanish Speaking PatientsBlue Cross NC offers a Spanish speaking customer service line for your patients State Health Plan (SHP)Strategic Provider RelationshipsQuestions regarding policies, procedures or guidelines (non-claims related) 800-777.1643 919.765.4349 Web Self Service ToolsOnline or MobileSee what’s covered by your plan; check your claims; get ID cards; find a doctor, drug or facility; compare estimated treatment costs and more. It’s quick and so easy! Try Blue Connect Already registered? Log In Here Ask questions about your plan or how to cancel it, how to set up Blue Connect or reset your password. Email Us TelephoneFor questions about your plan, bills or claims, call the Customer Service number on the back of your Blue Cross NC member ID card. Don’t have your ID card? Call: 1-888-206-4697. Hearing- or Speech-Impaired:Please call 1-800-442-7028/TTY users dial 711. Please note that you will need to identify yourself in order to be directed to the appropriate Customer Service department for your plan. For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide. Have questions? Review our FAQs. National Information Center1-800-411-BLUE (2583) Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays) Call the National Information Center for information about your benefits and services, FEP incentive programs, our supplemental dental and vision plans, to speak with the MyBlue Contact Center or for assistance with our online tools. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local BCBS company. Overseas InformationPharmacy InformationFraud InformationSelect your state from the map or enter it here: How do I speak to a representative at BCBS Il?Contact Us. Member Services. 1-877-860-2837 (TTY/TDD: 711) Call to ask about your plan benefits, help finding a provider, to change your PCP, and much more. ... . 24/7 Nurseline. 1-888-343-2697 (TTY/TDD: 711) Our 24/7 Nurseline lets you talk in private with a nurse about your health. ... . By Mail. Blue Cross Community Health Plans.. Is BCBS the same as BCBS of Texas?BCBSTX is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Montana, Oklahoma and New Mexico), the country's largest customer-owned health insurer and fourth largest health insurer overall.
How do I verify BCBS of Illinois?Patient eligibility and benefits should be verified prior to every scheduled appointment.. Blue Cross Community Health PlansSM (BCCHP) – 877-860-2837.. Blue Cross Community MMAI (Medicare-Medicaid Plan)SM – 877-723-7702.. Blue Cross Medicare AdvantageSM – 877-774-8592.. What is the payer ID for BCBS of Texas?The Electronic Payor ID for BCBSTX is 84980.
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