Note: Read the professional pricing policy here (pdf). All other pricing policies will be posted as soon as they're available.
Blue Cross Blue Shield of NC (Blue Cross NC) is contracting a new State Health Plan-specific provider network called the North Carolina State Health Plan Network, effective January 1, 2020. The network is designed to help the State Health Plan reduce medical costs and increase transparency for its members.
Members enrolled in the State Health Plan administered by Blue Cross NC will have access to this new provider network. The North Carolina State Health Plan Network replaces the Blue Options network available to State Health Plan members today. Providers currently participating in Blue Options, and other non-network providers who meet our credentialing and requirements, are invited to participate.
Providers not contracted for the North Carolina State Health Plan Network by January 1, 2020, will be considered out-of-network. Out-of-network services will be subject to lower reimbursements and paid directly to the member. State Health Plan members will receive their lowest out-of-pocket costs when services are obtained in-network.
How to Join the Network
All providers interested in participating must complete a signature page and submit it to Blue Cross NC no later than July 1, 2019.
- Providers already participating in Blue Cross NC Commercial PPO (Blue Options) and servicing State Health Plan members need only submit a contract signature page to NCSHPNetworkContracts@bcbsnc.com
- Non-network providers must:
- Complete all required contracting steps with Blue Cross NC (including credentialing), and
- Submit a signature page following instructions separately provided by Blue Cross NC as part of that process.