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Blue Cross NC Home Providers Network participation Access to Care Standards Providers Access to Care Standards

We have established Access to Care Standards to ensure patients get the quality care they need. Review our standards for primary care, urgent care, and more.

Through its Physician Advisory Group and Quality Improvement Committee, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has established Access to Care Standards so that you'll know you can get the care you need, when you need it. We, along with our contracting physicians, are committed to meeting these standards in order to provide the best service possible. If you have any questions about these standards, please call the Customer Service number on your member ID card.
For Visits to Primary Care Physicians (PDF) For Visits to Specialists (PDF) Driving Distance for Members Off Exchange (PDF) Driving Distance for Members On Exchange (PDF) For Number of Available Providers (PDF)
Primary care standards

Through its Physician Advisory Group and Quality Improvement Committee, Blue Cross NC has established Facility, Medical Records and Preventive Health Standards so that you'll know you can get the quality care you need. Blue Cross NC and Blue Cross NC contracting physicians are committed to meeting these standards in order to provide the best service possible.
Facility Standards (PDF)
Urgent care standards

Through its Physician Advisory Group and Quality Improvement Committee, Blue Cross NC has established Urgent Care Facility and Medical Record Standards so that you'll know you can get the quality care you need. Blue Cross NC and Blue Cross NC contracting physicians are committed to meeting these standards in order to provide the best service possible.
Facility Standards for Urgent Care Providers (PDF)
Blue Cross NC member rights and responsibilities

In an effort to promote effective health care, Blue Cross NC is committed to fostering relationships of mutual respect and cooperation between our members and healthcare providers. By clearly defining the rights and responsibilities of our insured members, we hope to encourage a spirit of understanding and cooperation between our members, our providers and ourselves, as your healthcare company.

The following statement of Member Rights and Responsibilities is our promise to deliver the healthcare our members need in an effective and timely manner, as well as members' roles in requesting and receiving that care.
Member Rights and Responsibilities