Blue Cross NC Offers Reminders for Behavioral Health Referrals

Behavioral health referrals were insourced March 15, 2023. Providers and members can reach a Care Navigator by calling 800-755-0798.

As a reminder, earlier this year, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced that behavioral health referrals would be insourced from Quartet Health effective March 15, 2023. By insourcing behavioral health referrals, Blue Cross NC has a stronger, holistic view of member health needs – with the end goal of supporting better health outcomes for members.

All new behavioral health referrals are now managed by our team of Care Navigators within the Blue Cross NC Behavioral Health Care Management organization. As a reminder, here is the process for behavioral health provider referrals:

• Effective March 15, 2023, providers with access to Blue e can use this secure site to submit a behavioral health referral from the home page. Signing up for Blue e is simple. If you need to sign up, please go to our Blue e resource page for instructions.

• Additionally, providers and members can reach a Care Navigator to request a behavioral health referral by calling 800-755-0798.  

Care Navigators support the referral lifecycle, with responsibility for:

• Accepting a referral, member outreach if additional information is needed for a referral, and matching the referral to a behavioral health provider that closely matches the members' needs and criteria.
• Providing direct member communication when a behavioral health provider is identified.
• Member follow-up to confirm that appointments are scheduled. And should a member need help with scheduling, Care Navigators will assist.
• Member follow-up to determine their experience with an identified behavioral health provider to ensure a good match.

In addition to supporting our behavioral health provider network, Care Navigators will also support member and Case Manager behavioral health referrals.

If you have questions, please email BehavioralHealth@bcbsnc.com.