Commercial appeals

800-214-4844 (toll-free)

Blue Medicare HMO^℠ and Blue Medicare PPO^℠ appeals

888-296-9790 (toll-free)

800-571-7942 (toll-free)

866-987-4161 (fax) (commercial)

336-794-1557 (fax) (Medicare)

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 the eSolutions Help Desk at 888-333-8594 (toll-free).

800-610-0050 (fax)

Health Network Solutions, Inc. (for Blue Medicare HMO and PPO plans)

704-895-8117

Participating providers need to submit a form if their practice contact information, ownership, or roster changes.

800-777-1643 (toll-free)

919-765-4349 (fax)

ProviderUpdates@bcbsnc.com

800-777-1643 (toll-free)

919-765-7016 (fax)

Credentialing@bcbsnc.com

Participating providers need to submit a form if their practice contact information, ownership, or roster changes.

800-777-1643 (toll-free)

919-765-4349 (fax)

ProviderUpdates@bcbsnc.com

Healthy Outcomes (Care Management)

800-218-5295 (toll-free)

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 the eSolutions Help Desk at 888-333-8594 (toll-free).

In-state eligibility, benefits, and claim status information

Commercial providers
800-214-4844 (toll-free)

Blue Medicare HMO and Blue Medicare PPO

888-296-9790 (toll-free)

Mailing address:
1965 Ivy Creek Blvd., #100
Durham, NC 27707

Out-of-state (BlueCard^®) eligibility and claim status information

BlueCard and InterPlan Program (IPP) allow members of one Blue Plan to obtain health care service benefits while traveling or living in another Blue Plan's service area. You may submit claims for patients from other Blue Plans, domestic and international, directly to Blue Cross NC.

InterPlan Program

800-487-5522 (toll-free)

BlueCard
800-676-2583 (toll-free)

Behavioral health (mental health and substance use disorder)

800-288-3976 (toll-free)

Benefits, claims, and eligibility

800-222-4739 (toll-free)

Healthy Endeavors (disease management)

888-392-3506 (toll-free)

Health management (case management)

888-234-2415 (toll-free)

Inquiries (Blue Cross NC FEP Customer Service)

800-222-4739 (toll-free)

Pre-certification and prior approval

800-672-7897 (toll-free)

919-765-2081 (fax)

Retail pharmacy

800-624-5060 (toll-free)

877-727-3784 (toll-free) (prior approval requests and statuses)

We work hard to protect our members, agents, and business partners to help lower costs and protect personal information. If you suspect health care fraud, waste, and abuse, please report the problem immediately to Blue Cross NC.

800-324-4963 (toll-free)

Commercial inquiries

800-214-4844 (toll-free)

Medicare inquiries

888-296-9790 (toll-free)

FEP inquiries

800-222-4739 (toll-free)

Customer Service Department

877-258-3334 (toll-free)

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.

800-777-1643 (toll-free)

919-765-4349 (fax)

ProviderUpdates@bcbsnc.com

Mailing address:
Blue Cross NC
PO Box 2291
Durham, NC 27702-2291

Physical address:
Blue Cross NC
5901 Chapel Hill Road
Durham, NC 27707

Our pharmacy network is made up of programs and vendors who manage drug lists, including Specialty Pharmacy and Free Market Health. 

View the Pharmacy network page for drug lists, participating pharmacies, and details about these programs.

Blue Cross NC offers a Spanish-speaking customer service line for your patients.

877-258-3334 (toll-free)