Access plan information for Blue Medicare HMO℠, PPO℠, and Healthy Blue + Medicare℠ (HMO-POS D-SNP), including coverage details, guidelines, and resources for providers.
Find plan details and explore programs designed to support patient health and quality of care.
Some procedures and drugs require prior authorization, but not all procedures and services appear in the CPT search. Check Medicare guidelines for additional details.
Explore medical and reimbursement policies, administrative guidelines, and the hold harmless policy to ensure compliance and proper billing.
Risk adjustment coding can be complex. We offer educational guides and videos to help providers and their teams accurately code for chronic and complicated conditions.
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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