Bcbs of nc provider directory
Bcbs of nc provider directory
Bcbs of nc provider directory. The vendor will bill Blue Cross NC directly. With the BlueCard® program, Blue Cross NC members can get health care services and benefits while traveling or living in another Blue Plan’s service area. Provider Directory Blue Cross NC is working with providers to improve how ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. 6 days ago · The dates below are used for Medicare compliance and do not apply to provider data updates. , practice name, address, phone number, email, and specialty) published in the Blue Cross NC provider directory every 90 days. This includes Provider Blue Books, enrollment forms and more. Ready to become a provider in the Anthem network? We look forward to working with you to provide quality service for our members. For questions regarding your contract, please call Blue Cross NC Network Management line at 800-214-4844, and select Option 6. Find a Select Network doctor or facility in or outside of your home area. Members are still expected to select a primary care physician (PCP). Choose a directory below to find providers in each area. Take control of your health care costs. Feb 26, 2024 · To request a hard copy of our Medicare HMO Blue or Medicare PPO Blue provider directory, please call our Member Service Department at 1-800-200-4255 (TTY: 711) from April 1 through September 30, 8:00 a. Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. Blue Medicare HMO Enhanced, HMO Essential and Blue Medicare PPO Enhanced share the same Medicare prescription drug list. Learn more about our non-discrimination policy and no-cost services available to you. Through our Nurse Support Program, you and your family have a dedicated, specially trained nurse to help you make full use of your company benefits for your best health. See important dates, forms, resources, policies and more. This Agreement is between _____ (herein referred to as "you" and "your") and Blue Cross and Blue Shield of North Carolina, an independent licensee of the Blue Cross and Blue Shield Association, (herein referred to as "Plan"). Find in-person & telehealth servicing providers Grow Therapy provides both online and in-person therapy sessions exclusively for CA members through video calls, emails, and messaging. Behavioral health concerns are on the rise. Inquiries about our medical policies can be made by mail to the addresses listed below or you can call our Customer Service Department at 877-258-3334. Access tools, policies and the latest information to help you care for our members. Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. May 10, 2023 · As part of the Act, Blue Cross NC requires all network providers to confirm their demographic information published in its online provider directory every 90 days. m. Developers can register for access here and find the resources they need to build an application programming interface ( API ) to a member’s If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. Your choice of providers. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers free, confidential health guidance for you and your covered family members. Blue Vision Directory. ©2024 Blue Cross and Blue Shield of North Carolina. It’s designed to deliver enhanced quality and lower costs by partnering with providers who are committed to – and accountable for – improving care today and in the future. Find the health care you need. 6 days ago · Find doctors, hospitals, and more in your plan's network. Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. To search for a provider, go to Find a provider. This is regarding the attestation that facilities and ancillary providers will have to attest to due to the CAA mandate. Integrated health care Jul 12, 2024 · Provider Directory Information Blue Advantage (PPO) Complete and Premier. Log in to My Health Toolkit ® to search the provider directory and view search results specific to your insurance plan. Jan 25, 2021 · The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. These tools are offered for your convenience and should be used only as reference tools. Together, we can help the whole person thrive by bringing physical and behavioral health together. Blue Cross NC and Duke Health, two of the most trusted and innovative names in health care, have come together to create Experience Health, a locally owned and operated, non-profit health plan for seniors. Our overseas network includes over 11,000 providers. You can search by name, specialty, location and more. To find a provider in the Healthy Blue network, click the search for a provider button below or contact Member Services at 844-594-5070 or TTY 711. From finding accredited diabetes self-management education and support programs (DSMES) to providing you with a variety of wellness resources, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) members get more from their plan. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC). ©1998-BlueCross BlueShield of Tennessee, Inc. Blue Cross NC makes health insurance easy. Enrollment in Blue Cross and Blue Shield of North Carolina Senior Health depends upon contract renewal. Know how we tell members about changes to our provider directory. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. com Before choosing a new health plan, you’ll want to check that the doctors you already visit are in that plan’s network. Overseas Providers. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc. Flexible and convenient care options Of course, you can use our search tools to find doctors and hospitals that take your insurance. Y0114_20_122379_U CMS Accepted 05/08/2020 You are leaving Anthem. BlueDental Provider Directory. If you’re a member, you can access additional provider information (such as address, phone number and specialty) by searching for providers using your MyBlue account. Oct 5, 2022 · Blue Cross and Blue Shield of North Carolina (Blue Cross NC) would like to provide an update to a communication previously posted on Oct. Have questions? Call or write us! Member Services: 844-594-5070 (TTY 711) Already a member? Log in to your account and send us a message. Get help in other languages or formats for things like: Discussing health care. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. As a State Health Plan member, you have access to the North Carolina State Health Plan Network, which is made up of providers who signed up for the Plan’s Clear Pricing Project (CPP), and Blue Cross NC’s Blue Options network. If medical records are needed to support a medical necessity review and are not received by Blue Cross NC before the claim adjudicates, the member will receive an Explanation of Benefits (EOB), the provider will receive an Explanation of Payment (EOP), and both will receive a claim denial letter addressing the specific reason(s) for the denial. The Blue Book is designed to assist you in understanding and administering Blue Cross NC health insurance products, health coaching and intervention Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has developed clear Fast Healthcare Interoperability Resources (FHIR) to allow members to share their data with registered applications. Behavioral Health Crisis Line. Providers can submit claims for members with FEP plans electronically. Provider data last updated: Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. You have selected a link to a website operated by a third party. 1-866-231-0847 (TTY 711) Get help anytime with mental health or substance use issues. NC State Health Plan Network (Blue Cross NC 2024) Enhanced PPO Plan (80/20) Need to update your Primary Care Provider (PCP) in eBenefits? SVG. Member Services: 844-594-5070 Provider Services: 844-594-5072 Behavioral Health Crisis Line: 844-594-5076. 0. You are leaving the Blue Cross and Blue Shield of Louisiana (BCBSLA) website. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. Blue Cross NC is made up of multiple networks, including FEP, Medicare and Medicaid. These tools are offered for your convenience and should be used only as reference tools. To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current information about how BlueCross BlueShield of South Carolina members. National Provider Directory. To comply with state mandates including SB137, providers who do not provide us with informational updates and are in-network might not appear in our search. If you are a member or recipient needing help finding a provider or understanding the options available to you, call Member and Recipient Services at 800-510-9132. Use our search tool below to find a plan provider close to home. Source: U. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. Feb 15, 2023 · As part of the Consolidated Appropriations Act (CAA), Blue Cross Blue Shield of North Carolina (Blue Cross NC) will require all practitioners to update and confirm their demographic information (e. This is critical to ensure BCBSNC and Blue Medicare HMO and Blue Medicare PPO members can access care through your practice by displaying the correct demographic information in the Provider Directory. Understand our provider directory. Find out if your doctor, drug, or pharmacy is in-network, or explore other care options. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Our provider search can help you find the best PCP for you and your family. g. Therefore, you are about to leave the Blue Cross & Blue Shield of Mississippi website and enter another website not operated by Blue Cross & Blue Shield of Mississippi. Blue Cross NC has robust search tools to help you find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. 1/24 Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. You can also find a range of health care providers to help you care for the whole you. Blue Cross and Blue Shield of North Carolina Senior Health DBA Blue Cross and Blue Shield of North Carolina is an HMO-POS D-SNP plan with a Medicare contract and a NC State Medicaid Agency Contract (SMAC). All other marks and names are property of their respective owners. You can also read Tips for choosing a primary care provider (PCP). If you don't have an account, register now. Search for an in-person provider near you and/or telehealth providers for patients of all ages. and Group Hospitalization and Medical Services, Inc. Members may also wish to discuss their questions and individual medical situation with their physician. , an Independent Licensee of the Blue Cross Blue Shield Association. Provider Directory Blue Cross and Blue Shield of North Carolina is an independent Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). Whether you are searching by a provider’s name, a particular specialty, a specific treatment, or your condition, you’ll be able to get accurate results that will help you make more informed care decisions. Facility providers that do not have updates to their demographic information are still required to attest or verify the accuracy of their data with Blue Cross NC every 90 days as Medicaid Expansion Tools and Resources. Finding a CPP Provider. The most current version of the Blue BookSM will be located in the providers section of the BCBSNC Web site. This directory provides a list of Blue Advantage’s network providers. Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. Mar 1, 2023 · Being suppressed from the Blue Cross NC provider directory means facility doctor(s) and location(s) will be invisible to over two million Blue Cross NC members. Blue e is available for direct data entry of claims, claim correction, and inquiries in the Blue Cross NC local proprietary format and will continue to be available for as long as the CMS contingency plan is in place and the local proprietary format can be accepted. To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current information about how If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. If your employer has chosen a Blue Cross NC Select Network, you have access to quality health care with a network of local doctors and hospitals in your area. Blue Cross and Blue Shield of North Carolina offers three drug formularies (drug lists) so Medicare beneficiaries can have options for their prescription needs. To find a doctor, you can use the NC Medicaid Provider and Health Plan Lookup Tool to find a primary care provider (PCP). CPP providers have agreed to get rid of secret contracts, making health care more affordable and transparent. Apr 23, 2020 · 877-860-2837 (Blue Cross Community Health Plans) 877-723-7702 (Blue Cross Community MMAI) 877-774-8592 (Blue Cross Medicare Advantage) 800-676-2583 (Eligiblity - Out of State BCBS) 800-972-8382 (Eligibility - FEP) Indiana: 888-802-2160 855-251-8827 (Health Maintenance Organization) 855-558-1438 (L Preferred Provider Organization) Shield of North Carolina (BCBSNC) of any change in demographic information. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Please call the provider prior to scheduling an appointment to verify that the provider continues to be part of the network. Browse by Category. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is working with providers to improve how and when behavioral health concerns are identified and treated. Many of the health care providers in our network join quality programs. BlueCross BlueShield of Tennessee is a Qualified Health Plan issuer in the Health Insurance Marketplace. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. ET, Monday through Friday. Find the best doctors, clinics, specialists and hospitals outside the U. Blue Cross NC health insurance and Blue Connect for members lets you choose from a comprehensive network of thousands of caring doctors and providers. Our network boasts 80,000 doctors in Michigan and 1. How do I find my network? There are three ways to find your network when you're using the search tool: Log in (or register) and the system will know your network Enter the group number shown on your member ID card into the group number field before you search Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. S. 3 days ago · The Alliance Health Tailored Plan online provider directory is a tool that allows users to search and filter our growing list of network providers. Aug 6, 2024 · Blue Cross NC conducts 2024 annual NCQA provider assessment for directory Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue That’s why Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is excited to offer Blue High Performance Network (BlueHPN ℠). Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. and CareFirst Advantage DSNP, Inc. Facilities Search Physicians Search Find a physician who is designated individually through the Blue Distinction Centers for Fertility Care program, or is affiliated with a healthcare facility that has been Blue e services are available for both the local proprietary format and HIPAA compliant transactions. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. For questions concerning your dental assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 866-544-4350, TTY users: 877-855-8039 Blue Cross and Blue Shield of Alabama and/or other Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the list of providers displayed is up to date and accurate. Provider Directory API 1. Provider Directory Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Be advised that certain self-administered drugs have been excluded from Blue Cross NC's medical benefits but are covered under the prescription drug benefit. The organization does not use quality measures, member experience measures, or cost related measures to select any of our practitioners or hospitals for participation in the network, this includes those treating our Marketplace members. Get insurance delivered through your local BCBS agency. Find results using these care categories. You can also search providers outside the U. 0 Payer-to-Payer API 1. Cook County (which includes the greater Chicago area) is split into 3 regions. 7 million doctors nationwide. Get the Blue Cross NC forms and documents for providers that you need all in one place. 0 Patient Access API 1. You just need to ask for it. The online provider directory (or "Find Care" tool ) is used by over four million Blue Cross NC members to access medical services. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. Otherwise, you may end up having to change providers or pay more out of your own pocket. The authenticated portal will be available to beneficiaries beginning March 1, 2021. Important information about Changes to this Directory. Back to Top ©2024 Blue Cross and Blue Shield of North Carolina. Please contact 888-206-4697 ( TTY : 711) for assistance. 05, 2022. If yes, and you want to contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you will need to confirm your supervising physician (if required for licensure) is already credentialed with Blue Cross NC by calling 800-777-1643 option 6. Behavioral health. It is a health insurance plan offered by Blue Cross NC that provides access to Atrium Health Wake Forest Baptist's comprehensive network of providers. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. These services are free. Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). The percentage of medical doctors and hospitals is based upon the number of providers that applied for a Blue Cross NC provider number and then contracted with us versus the total number of providers who applied. Region 4 Provider Directory: Cook County South Region 5 Provider Directory: Cook County Central Region 6 Provider Directory: Cook County North Find a Network Provider in your area. Provider Directory Blue Cross and Blue Shield of North Carolina Please contact Blue Cross NC by using the Provider Blue Line at 800-214-4844. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Log In to Find Care. Blue Cross NC is not responsible for Atrium Health Wake Forest Baptist’s physicians and medical facilities owned or operated by Atrium Health Wake Forest Baptist. Care for Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). Provider Directory News Medicaid Expansion Tools and Resources. Member Services: 1-866-231-0847 (TTY 711) Receive help in another language. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to date and accurate. Talking to us. BCBSNC makes periodic updates to this e-manual. . , CareFirst Advantage PPO, Inc. Effective 1/1/2008, Blue Medicare HMO and Blue Medicare PPO members have the freedom to choose in-network providers and specialists without a referral. So, you can be confident you're covered with a Blue Cross Blue Shield of Michigan Medicare plan. Getting materials in another language. Locate vision care providers, mental health professionals, virtual care options, and more. The Blue BookSM Web-based provider e-manual is offered for providers participating in the Blue Cr oss and Blue Shield of NorthCarolina (BCBSNC) provider networks. to 8:00 p. Get detailed estimates for procedures or services (not available with some plans). LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. We can send you printed copies of our directory for free. CareFirst The Blue Book is an online reference manual for products, value-added programs and services for providers participating in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) network. Search for quality, in-network providers using our Find a Doctor/Hospital tool. Provider Resources (Blue Cross NC) Experience Health Providers. If a member-specific, dose-specific injectable drug is ordered from a network vendor - do not file a claim with Blue Cross NC for the drug. 0 May 14, 2021 · Blue Cross and Blue Shield of North Carolina (Blue Cross NC) posted a communication on October 8, 2020, announcing our new Medicare Advantage HMO Dual Special Needs Plan (D-SNP) product offering effective January 1, 2021, called Healthy Blue + Medicare. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC's PPO network as of July 28, 2022. cztyea nwl jnaou iqxs vkic mnrjid jlcj nkcsj ownqjutj ynfotqg