Resources and Forms
Get essential resources for Medicare providers, including Medicare payer sheets, online provider manual and newsletters.
Policies and Responsibilities
Review Blue Cross NC's Blue Medicare PPO and Blue Medicare HMO policies and provider responsibilities to our Medicare members.
Medical Management Programs and Services
Get information on the programs and services designed to help maintain high quality care for Blue Medicare PPO and Blue Medicare HMO members.
Search for a drug in Blue Cross NC's Medicare formulary.
Search for a medical policy or guideline for Medicare providers.
Prior Plan Approval
Find out which services need prior plan approval and how to request it.
Get details and instructions for filing a post-service provider appeal.
Provider Appeal FAQs
Get answers to common questions about Medicare provider appeals.
Connect with other providers online to research claims, benefits and eligibility information.
Questions about providing care for Blue Medicare PPO and Blue Medicare HMO members? Contact us for answers.
Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.