Find the insurance forms, documents, and information you need to manage your health and your health plan.
We know managing your health, and your health insurance, may be new to you. Or you might be farther along in your health care journey. Either way, we can help.
We've gathered the most important insurance forms, the ones you'll use most often, here for you.
- Member claim form (PDF)
- Member appeal form (PDF)
- HIPAA authorization forms (PDF)
- How to complete / submit a paper claim form
- Additional health-related forms and resources
Did you know? Most in-network doctors and health care providers will file a claim for you. But, there may be times you need to file your own forms, like when you're traveling or you use a provider who isn't in your plan.
We have the guides and information you need here, plus tips on how to understand your doctor's bills, appeal a claim, and where to find great discounts on health & wellness products and services.
Find doctors, dentists, hospitals, and prescriptions that are in your Student Blue plan. Or you can log in to Blue Connect to search existing coverage.
The Blue Connect℠ member portal lets you manage your plan, stay on top of your health care experience, and discover discounts and extra perks.
If the student has paid the health fee for the current semester, we recommend they visit the health center on campus first to receive the highest level of benefit available on the plan. If you're out of the area or the health center is closed, we recommend you see an in-network provider.
You should present your member ID card each time you have a prescription filled. If the pharmacy doesn't file a prescription claim for you, you will be responsible for filing the claim. There is a 1-year timely filing limit for prescription claims.
You will need to follow these steps:
- Print and fill out the prescription claim form (PDF).
- Include an itemized receipt for your purchase.
- See page 2 of the claim form to find a list of items your receipt must include.
- Note: Credit card receipts are acceptable as itemized receipts.
- We highly recommend you maintain a copy of the claim form and receipt for your records.
If you see an in-network provider in the US, the provider will file a claim for you. Please be sure to present your member ID card at the time of service so a claim can be filed under your plan.
If a provider is out-of-network and doesn't file a medical claim for you, you will be responsible for filing the claim. There is an 18-month timely filing limit for medical claims. You will need to follow these steps:
- Print and complete the member claim form (PDF)
- Attach an itemized receipt for the service, including the:
- subscriber name
- subscriber number
- provider name
- provider ID number
- procedure code(s)
- diagnosis code(s)
- charged amount(s)
- Note: Credit card receipts are not acceptable as itemized receipts.
- We highly recommend you keep a copy of the claim form and receipt for your records.
To gain access to a personalized online account, student members can create an account on the Blue Connect℠ member portal.
Student members can request member ID cards, view benefits, and check claim status.
You can find in-network providers in North Carolina, outside of North Carolina, and worldwide by using this provider search tool.
Get documents, plan benefits, and health care information selected specifically for students at your university or college.
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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