Mar. 08, 2022 Update: An error in the Member Mapping Chart has been corrected to Blue Value Off Exchange in the Charlotte region from Blue Advantage Off Exchange in the Charlotte region. This communication was originally posted on Mar. 02, 2022.
This communication addresses various frequently asked questions related to a posting on November 1, 2021, regarding the discontinuance of Blue Value for Individual U65 members in select areas. Please note, Blue Home with Novant Health℠ is a narrow network anchored by Novant Health since 1/1/21. Blue Local with Wake Forest Baptist Health℠ and Blue Local with Atrium Health are both unique narrow networks anchored by Wake Forest Baptist Health and Atrium Health.
Q: How do I know if I am a participating network provider with Blue Home with Novant Health℠, Blue Local with Atrium Health℠ or Blue Local with Wake Forest Baptist Health℠?
A: Blue Cross and Blue Shield of North Carolina (Blue Cross NC) contracts with health care providers to be in these narrow networks. Your office manager or contracting manager/representative will have information on the networks you participate in, including Blue Home with Novant Health℠, Blue Local with Atrium Health℠ and Blue Local with Wake Forest Baptist Health℠.
As a participating health care provider, your practice will appear on our online “Find a Doctor” tool when a provider search is done in your geographic area. Please contact the Provider Blue Line at 800-214-4844 if you need additional assistance.
Q: If I am not a participating network provider, can I join Blue Home with Novant Health℠, Blue Local with Atrium Health℠ or Blue Local with Wake Forest Baptist Health℠?
A: When the anchoring health systems for Blue Home with Novant Health℠, Blue Local with Atrium Health℠ and Blue Local with Wake Forest Baptist Health℠, and Blue Cross NC developed these networks, we did intensive analysis on network adequacy, accessibility, and marketability, incorporating both CMS and NCDOI guidelines. The narrow networks are closed to network additions. We review network adequacy for each product annually.
