To avoid delays and have your claims processed accurately, be sure you submit all of the following:2
You should submit a claim
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:
- Visit an out-of-network provider.
- Receive medical services in another country (use the international claim form) or while on a cruise ship (use the member claim form).
- You’re being reimbursed for vision or prescription products or services.1
You might not need to file a claim
You might not need to submit a claim when you:
- Visit a North Carolina hospital for services or emergency care. If they have your insurance information, they'll file your claim for you.
- Use an in-network doctor. Need help finding an in-network provider? You can search for in-network doctors all in one place.
Claims forms
You can submit a claim online in your Blue Connect℠ member services portal. You can also download, complete, and sign a claim form for each member who received care.
- Most claims forms ask you to include additional documents or info.
Receipts
Your doctor will give you an itemized receipt for all the services you received.
- You'll submit the original receipt with your claim.
- Keep a copy of your receipt and claim form for your records.
Procedure codes
Ask your doctor for a list of all the procedure codes they used for your visit. You need to get:
- A different procedure code for each service.
- A separate charge for each procedure code.
Diagnosis codes
You'll need a diagnosis code for services or supplies.
- You can get diagnosis codes from your doctor as well.
Most Blue Cross NC members can submit medical claims online through Blue Connect. Just enter some information, upload a copy of your receipt, and hit submit!
If you prefer to submit a paper claim form, you can download the form you need, fill it out, and send it to the mailing address or fax number provided.

Already submitted a claim?
Track your claim status in the documents section of your Blue Connect member portal.