Jan. 7, 2022 Update: Provider appeals for billing/coding disputes and medical necessity claim determinations received January 10 – February 28, 2022, will be accepted if within 180 days of the claim adjudication date.
Due to the recent spike in COVID-19 cases and hospitalizations, Blue Cross and Blue Shield of North Carolina (Blue Cross NC), is extending the timeframe for submitting post-service provider appeals from 90 days to 180 days from the claim adjudication date.
This applies to Blue Medicare and Commercial lines of business. Provider appeals for billing/coding disputes and medical necessity claim determinations received September 20 - December 31, 2021 will be accepted if within 180 days of the claim adjudication date.
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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