Effective December 2, 2024, Blue Cross NC is happy to announce we are introducing new functionality within our Provider Portal, Care Affiliate, to automate post service provider appeals requests and to reduce the need for faxes and phone calls.

As a result of your direct feedback, and after assessing our current process, we are implementing this enhancement to our appeals submission process to greatly reduce your administrative burden. We recognize our provider appeals process has been a time consuming and frustrating process in the past, and we are pleased to offer this new functionality to help save you valuable time enabling you to focus more on patient care.

The new functionality will:

• Automate the creation of provider appeal requests.
• Provide immediate confirmation of appeal receipt.
• Streamline documentation submission. 

Advantages include: 

• Improved visibility of appeal status.
• Eliminate the need for mailed correspondence, faxes, and phone calls. 
• Reduced time and administrative burden for providers in having to complete paperwork.
• Electronic attachment of forms, records, and supporting documentation.

This upgrade will support provider appeal requests for North Carolina members for our Commercial, Medicare Supplement and Medicare Advantage lines of business. 

Additional communication and training opportunities will be shared in the coming weeks.