Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for Blue Connect Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Back
Dental Claim Filing / Payment Process for Orthodontia Services April 25, 2025 Dental

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is updating the dental claim filing/payment process for Orthodontia services covered by Dental Blue, Dental Blue Preferred and Dental Blue Select benefit plans. The following changes do not apply to any Pediatric Dental Claims filed against the Member’s Medical Insurance policy.

Effective July 1, 2025, all new dental claims related to the start of Orthodontic treatment will only need to be filed one time, at the start of care. Based on the claim and the treatment plan submitted, Blue Cross NC will pay the initial deposit of up to 30 percent, with the balance of the allowed amount or benefit maximum (whichever is greater) paid out monthly, over the course of treatment. All orthodontic, monthly maintenance fees will be automatically paid to the provider on the 1st of each month, until the lifetime maximum has been met. Should a monthly maintenance claim be filed, it will deny as a duplicate. 

Orthodontic treatment that is in progress prior to July 1, 2025, will not be impacted. Dental claims will need to continue to be filed monthly, for the remainder of the treatment plan terms. 

Should a member’s treatment plan change, or the member transfers to another dental provider, at any time during the course of treatment, the current dental practice is required to submit an updated treatment plan in writing, detailing the change. All claims, treatment plans and updates should be filed to the address found on the back of the member’s Dental ID card.