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Claims, appeals, and inquiries

View instructions for submitting claims, appeals, and inquiries at a glance for each line of business, including Medicare and FEP.

Providers can proactively send medical records and other required documents to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) before claims are processed to help avoid denials or delays. Find which documents are required and where to send them based on your patient’s health plan.

Member’s plan typeClaimsAppealsInquiries
Commercial and State Health PlanSubmit ClaimsFile AppealsFile Inquiries
Blue Medicare HMO℠ and
Blue Medicare PPO℠
Submit ClaimsFile AppealsFile Inquiries
Dental Blue®Submit ClaimsFile AppealsFile Inquiries
Federal Employee Program® (FEP)Submit ClaimsFile AppealsFile Inquiries