Commercial appeals
Provider Blue Line
Monday–Thursday 8 AM to 5 PM ET
Friday 8 AM to 4 PM ET
Blue Medicare Advantage HMO℠ and Blue Medicare PPO℠ appeals
Log In
Commercial providers
Blue Medicare HMO℠ and Blue Medicare PPO℠
Value Options (for members enrolled in SHP)
eSolutions HelpDesk
For questions or issues with Blue e or HIPAA transactions, missing electronic 837 claims audit / error reports, questions regarding the content of your secure electronic mailbox, or general EDI questions, call 888-333-8594.
Health Network Solutions, Inc.
(Blue Cross NC HMO & Blue Cross NC PPO)
Updates to Notice Contract Address
Monday–Friday 9 AM to 4 PM
Fax: 919-765-7016
- CT/CTA scans
- MRI/MRA scans
- PET scans
- Nuclear cardiology studies
- Blue e
American Imaging Management (AIM)
Monday–Friday, 8 AM to 5 PM
Healthy Outcomes
Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease
Visit the Blue e page to learn more about sending electronic claims through the provider portal.
Learn more about electronic data interchange (EDI) at Blue Cross NC and how to become a trading partner.
Benefits, Claims and Eligibility
Health Management (case management)
Healthy Endeavors (disease management)
Behavioral Health (mental health and substance use disorder)
Pre-certification and Prior Approval
Retail Pharmacy
877-727-3784 (prior approval)
If you suspect healthcare fraud and abuse, please report the problem immediately to Blue Cross NC.
24 hours a day, 7 days a week
- Prospective review
- Prior review
- Admission certification
- Discharge planning
- Case management
- Continuity of care
- Submitting precertification/admission notification or continued stay review
Monday–Thursday 8 AM to 7 PM
Friday 8 AM to 5 PM
Voice messaging system is available outside of regular business hours.
Customer service: 877-814-9909
Commercial inquiries
Provider Blue Line
Monday–Thursday 8 AM to 5 PM ET
Friday 8 AM to 4 PM ET
FEP Inquiries
Blue Cross NC
FEP Customer Service
Customer Service Department:
For State Major Medical Plan Members:
Blue Cross NC
PO Box 2291
Durham, NC 27702
North Carolina Teachers & State Employees
Major Medical Plan
PO Box 30025
Durham, NC 27702
Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules.
Fax: 919-765-4349
Email: ProviderUpdates@BCBSNC.com
Mail:
Blue Cross NC
PO Box 2291
Durham, NC 27702-2291
Physical address:
Blue Cross NC
5901 Chapel Hill Road
Durham, NC 27707
Member-specific, dose-specific drugs delivered directly to your practice.
Visit our pharmacy page for a complete listing of vendors and their contact information.
Blue Cross NC offers a Spanish speaking customer service line for your patients.
Monday–Friday 8 AM to 5 PM
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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