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Employers Dental Blue Select resources

Find everything you need to manage Dental Blue Select℠ policies for employees.

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Employer and administrator hub for Dental Blue Select

This hub for Dental Blue Select℠ includes the tools and resources you need as an employer and plan administrator. You can download forms, get contact information and view your employee rosters. You can also view benefit summaries and comparisons for when you're choosing a new employer plan.
Employer and plan administrator forms
Member documents
Blue Cross NC Notice of Privacy Practices PHI Authorization Release Form (General) (PDF) PHI Authorization Form (Continuity of Care) (PDF)
Employer documents
Dental Blue Select Administrator's Guide (PDF)
Benefit summaries

Benefit summaries are available through your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) agent or sales representative.
Member maintenance/plan maintenance
DBS Employee Add/Change Form (English) (PDF) DBS Employee Add/Change Form (Spanish) (PDF)
Contact us for Dental Blue Select support

Reach out to us for all inquiries regarding your Dental Blue Select plan, including billing, membership, claims, eligibility and benefit inquiries. 

Dental Blue Select customer service

Mon through Fri, 8 AM to 6 PM, except holidays 

888-471-2738 

Address for sending dental claim form

Claims Mailing Address:
Blue Cross NC 
PO Box 2400 
Winston-Salem, NC 27102 

Phone: 888-471-2738 

Electronic Claims Payer ID Emdeon Payer ID: 61474
Electronic Claims (EDI) Payer ID. Emdeon Clearing House

Address for eligibility add / change forms

Enrollment Department 

Blue Cross and Blue Shield of North Carolina 
Dental Blue Select - Enrollment 
PO Box 2400 
Winston-Salem, NC 27102 

Phone: 866-483-8597 
Email: Enrollment@bcbsnc-dental.com
Fax: 336-714-1445

Address for premium billing / invoicing / FedEx or UPS and general correspondence

Invoicing and Premium Accounting 

Blue Cross and Blue Shield of North Carolina 
Premium Billing Unit 
PO Box 2400 
Winston-Salem, NC 27102 

Phone: 866-483-8597 
Email: DBSGroups@bcbsnc-dental.com 
Fax: 336-714-1445

 

Overnight 

Blue Cross and Blue Shield of North Carolina 
Premium Billing Unit 
5660 University Parkway, 5th Floor 
Winston-Salem, NC 27105