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Providers

Contact us

  

In-state eligibility, benefits and claim status information

Commercial Providers

800-214-4844

Representative availability:

  • Monday through Thursday, 8 a.m. to 5 p.m.
  • Friday, 8 a.m. to 4 p.m.

Blue Medicare HMO Blue Medicare PPO

888-296-9790 

Mailing address:
5660 University Parkway
Winston-Salem, NC 27105

Out-of-state (BlueCard®) eligibility and claim status information

Blue e claims and eligibility

Blue e

Other contact information

800-266-6167

Value Options (for members enrolled in SHP)

800-359-2422

800-367-6143

eSolutions HelpDesk

For questions or issues with Blue e or HIPAA transactions, missing electronic 837 claims audit/error reports, questions regarding the content of your secure electronic mailbox, or general EDI questions, call 888-333-8594.

 

Health Network Solutions, Inc.

(Blue Cross NC HMO & Blue Cross NC PPO)

704-895-8117

800-777-1643

Monday-Friday 9 a.m. - 4 p.m.

Fax: 919-765-7016

Credentialing@bcbsnc.com

  • CT/CTA scans
  • MRI/MRA scans
  • PET scans
  • Nuclear cardiology studies
  • Blue e

American Imaging Management (AIM)

866-455-8414

800-610-0050

Monday-Friday, 8 a.m. - 5 p.m.

Healthy Outcomes

Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease

800-218-5295

Visit the Blue e page to learn more about sending electronic claims through the provider portal. 

Learn more about electronic data interchange (EDI) at Blue Cross NC and how to become a trading partner.

Benefits, Claims and Eligibility

800-222-4739

Health Management (case management)

888-234-2415

Healthy Endeavors (disease management)

888-392-3506

Behavioral Health (mental health and substance use disorder)

800-288-3976

Pre-certification and Prior Approval

800-672-7897

919-765-2081

Retail Pharmacy

800-624-5060

877-727-3784 (prior approval)

If you suspect healthcare fraud and abuse, please report the problem immediately to Blue Cross NC.

800-324-4963

24 hours a day, 7 days a week

919-765-7753

  • Prospective review
  • Prior review
  • Admission certification
  • Discharge planning
  • Case management
  • Continuity of care
  • Submitting precertification/admission notification or continued stay review

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.

Customer service: 877-814-9909

Customer Service Department:

877-258-3334

For State Major Medical Plan Members:
Blue Cross NC
P.O. Box 2291
Durham, NC 27702

North Carolina Teachers & State Employees
Major Medical Plan
P.O. Box 30025
Durham, NC 27702

Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules.

800-777-1643

Fax: 919-765-4349

Email: ProviderUpdates@BCBSNC.com

Mail:
Blue Cross NC
P.O. Box 2291
Durham, NC 27702-2291

Physical address:
Blue Cross NC
5901 Chapel Hill Road
Durham, NC 27707

Member-specific, dose-specific drugs delivered directly to your practice.

Visit our pharmacy page for a complete listing of vendors and their contact information.

Blue Cross NC offers a Spanish speaking customer service line for your patients.

877-258-3334

Monday - Friday 8 a.m. - 5 p.m.

Questions regarding policies, procedures or guidelines (non-claims related).

800-777-1643

919-765-4349