You might need to submit a claim to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to get reimbursed or paid back for covered services you received.
You might need to submit a claim when you:
You might not need to submit a claim when you:
To avoid delays and have your claims processed accurately, be sure you submit all of the following:2
You'll need to download, complete, and sign a claim form for each member who received care.
Your doctor will give you an itemized receipt for all the services you received.
Ask your doctor for a list of all the procedure codes they used for your visit. You need to get:
You'll need a diagnosis code for services or supplies.
You can download the claims forms you need, fill them out, and submit them to the listed mailing address, email, or fax number provided.
Read each form carefully for important details about additional documents you may need to send with your completed claims form.
Note: Use the member claim form if you needed health services on a cruise ship.
You may need these claim forms for services received or rendered outside of the US:
Note: Use the international claim form for health services you received while traveling outside the US.
The member travel benefit claim form only applies if your health plan offers a travel benefit. You must sign the form to verify that you traveled out of state for a medical service covered and approved by your health plan.
Most dentists will file a claim on your behalf, then bill you for any charges not covered under your Blue Cross NC plan. If your dentist does not file the claim for you, you can submit a dental claim form to Blue Cross NC for reimbursement.
If you have a dental plan with us, submit the claim form that corresponds with your plan type. Please visit our Dental Blue page to find the form that matches your plan.
If you've submitted a claim and you want to know the status, you can look it up in your Blue Connect℠ member portal under your profile.
Our North Carolina customer service team is here to help.
Disclosures:
You can submit a claim for reimbursement of prescription products. Prescriptions filled within the last 7 days may be reimbursed at the pharmacy.
Please allow at least 7 days for us to receive your claim. You can check the status of your claim on Blue Connect.
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. Learn more about our non-discrimination policy and no-cost services available to you.
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