On December 9, 2024, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) introduced a new, streamlined way to submit post-service provider appeals through Care Affiliate, accessed through the provider portal. 

The provider portal process applies to Provider Medical Necessity Appeals and Billing / Coding Disputes. If you haven’t started using this functionality yet, now is a great time to take advantage of the benefits designed to save you time and reduce administrative work. 

Why use the new appeals functionality? 

• Automated provider appeal request creation 
• Immediate confirmation of receipt 
• Electronic submission of supporting documentation 
• Real-time visibility into appeal status 
• No more faxes, phone calls, or mailed forms 

To get started today, log into the Blue e and Care Affiliate provider portal, then navigate to the "Health Management" tab to access the appeals submission feature. If you need help, training resources and support materials are available on our Blue e Provider Resources page. 

The Care Affiliate enhancements are applicable to Commercial plans, Administrative Services Only plans, the Experience Health plan, and the Medicare Supplement and Medicare Advantage plans. 

We appreciate your partnership and are committed to making your experience with Blue Cross NC as efficient and seamless as possible.