Bcbs of nc provider directory
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Bcbs of nc provider directory. 2008 Provider Directory PARTNERS National Health Plans of North Carolina, Inc. If you have questions or need assistance, call Customer Service at 1-800-228-8554. Use our search tool below to find a plan provider close to home. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. Get started below. Blue Cross NC provides the telehealth program for your convenience and is not liable in any way for the goods or services received. 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 Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. Healthy Blue North Carolina Providers. Behavioral health concerns are on the rise. 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. 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. ©1998-BlueCross BlueShield of Tennessee, Inc. Locate vision care providers, mental health professionals, virtual care options, and more. Get the Blue Cross NC forms and documents for providers that you need all in one place. Integrated health care That’s why Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is excited to offer Blue High Performance Network (BlueHPN ℠). 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 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. 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. As part of our focus on value and quality in provision of health care to North Carolinians, Blue Cross NC is implementing a special provider incentive program, focused on closing care gaps Jan 25, 2021 · The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. Learn more about our non-discrimination policy and no-cost services available to you. These tools are offered for your convenience and should be used only as reference tools. Providers can proactively send medical records and other required documents to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) before claims are processed to help avoid denials or delays. Find results using these care categories. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. See important dates, forms, resources, policies and more. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. The authenticated portal will be available to beneficiaries beginning March 1, 2021. Find which documents are required and where to send them based on your patient’s health plan. About Mental Health (cdc. This includes Provider Blue Books, enrollment forms and more. Provider Directory News 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. BlueCross BlueShield of South Carolina members. Focused on the health of each member. Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. 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. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Provider Directory Blue Cross NC is working with providers to improve how 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. Shield of North Carolina (BCBSNC) of any change in demographic information. Provider Directory Blue Cross and Blue Shield of North Carolina is an independent Provider Directory Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC's PPO network as of July 28, 2022. Find a doctor near me. Blue Cross and Blue Shield of North Carolina offers three drug formularies (drug lists) so Medicare beneficiaries can have options for their prescription needs. Before choosing a new health plan, you’ll want to check that the doctors you already visit are in that plan’s network. Member Services: 844-594-5070 Provider Services: 844-594-5072 Behavioral Health Crisis Line: 844-594-5076. With a health plan from Horizon Blue Cross Blue Shield, you will enjoy unmatched access to doctors and hospitals across the nation. This directory provides a list of Blue Medicare HMO plan providers. , an Independent Licensee of the Blue Cross Blue Shield Association. This directory is for the following North Carolina counties: Alamance, Alexander, Alleghany, Ashe, Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. Blue Cross NC is made up of multiple networks, including FEP, Medicare and Medicaid. Jun 6, 2024 · At Blue Cross and Blue Shield of North Carolina (Blue Cross NC), we appreciate all that you are doing to care for the health and well-being of our members. 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. Or learn more about prescription drugs, as well as finding helpful 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. Find the best doctors, clinics, specialists and hospitals outside the U. 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. Together, we can help the whole person thrive by bringing physical and behavioral health together. Provider Directory Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. 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. Enter your location information and connect with a doctor near you. The vendor will bill Blue Cross NC directly. BlueCross BlueShield of Tennessee is a Qualified Health Plan issuer in the Health Insurance Marketplace. PARTNERS is a Blue Cross and Blue Shield of North Carolina company. 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 Your choice of providers. To find the closest provider, please search by distance using the zip code search. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Please call the provider prior to scheduling an appointment to verify that the provider continues to be part of the network. Browse by Category. All other marks and names are property of their respective owners. Get help from Blue Cross and Blue Shield to find a doctor or specialist. Behavioral health. Developers can register for access here and find the resources they need to build an application programming interface ( API ) to a member’s 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 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). 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 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. Our overseas network includes over 11,000 providers. 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. 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. Log in to My Health Toolkit ® to search the provider directory and view search results specific to your insurance plan. . 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. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. g. You can also find a range of health care providers to help you care for the whole you. gov) Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. 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. Blue Medicare HMO Enhanced, HMO Essential and Blue Medicare PPO Enhanced share the same Medicare prescription drug list. Members are still expected to select a primary care physician (PCP). 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. Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. Access tools, policies and the latest information to help you care for our members. 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. Get insurance delivered through your local BCBS agency. Pick a doctor near you or get cost estimates available to members in our provider directory. Back to Top * The City Search displays only providers located within city limits. Flexible and convenient care options Of course, you can use our search tools to find doctors and hospitals that take your insurance. , practice name, address, phone number, email, and specialty) published in the Blue Cross NC provider directory every 90 days. S. Care for Providers can submit claims for members with FEP plans electronically. You can also search providers outside the U. Enrollment in Blue Cross and Blue Shield of North Carolina Senior Health depends upon contract renewal. Blue Cross NC health insurance and Blue Connect for members lets you choose from a comprehensive network of thousands of caring doctors and providers. 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. NC State Health Plan Network (Blue Cross NC 2024) Enhanced PPO Plan (80/20) Base PPO Plan (70/30) High Deductible Health Plan (HDHP) Finding a CPP Provider (BCBS) Overseas Providers. Find out if your doctor, drug, or pharmacy is in-network, or explore other care options. Provider data last updated: Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Blue Cross Complete of Michigan has a network of providers for all your health care needs. LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. 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 Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to date and accurate. Source: U. 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. 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. Blue Cross NC makes health insurance easy. The Blue Book is designed to assist you in understanding and administering Blue Cross NC health insurance products, health coaching and intervention 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. ©2024 Blue Cross and Blue Shield of North Carolina. Welcome! Healthy Blue is the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve North Carolinians who participate in the state Medicaid program. (PARTNERS) offers Blue Medicare HMO. 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 a Select Network doctor or facility in or outside of your home area. Blue e Provider Access - Blue Cross and Blue Shield of North Carolina | BCBSNC If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Our network, in addition to the BlueCard® network, includes 96% of all hospitals and 93% of all physicians nationwide which means more choice of doctors/hospitals for you and potential cost savings when you seek care in network. TTY users should call 1-888-987-5832. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. You can find a Blue Cross Complete doctor, pharmacy, dentist or doula using our online search. You can search by name, specialty, location and more. Otherwise, you may end up having to change providers or pay more out of your own pocket. jiy xpbalre gpvk hmvdvmjk hzxg oynff ckyaiwb cjvfw qijih xwpulf