Value Options (for members enrolled in SHP)
Commercial Providers
Blue Medicare HMO Blue Medicare PPO
eSolutions HelpDesk
For questions or issues with Blue e or HIPAA transactions, missing electronic 837 claims audit/error reports, questions regarding the content of your secure electronic mailbox, or general EDI questions, call 888-333-8594.
Health Network Solutions, Inc.
(Blue Cross NC HMO & Blue Cross NC PPO)
Updates to Notice Contract Address
Monday-Friday 9 a.m. - 4 p.m.
Fax: 919-765-7016
- CT/CTA scans
- MRI/MRA scans
- PET scans
- Nuclear cardiology studies
- Blue e
American Imaging Management (AIM)
Monday-Friday, 8 a.m. - 5 p.m.
Healthy Outcomes
Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease
Visit the Blue e page to learn more about sending electronic claims through the provider portal.
Learn more about electronic data interchange (EDI) at Blue Cross NC and how to become a trading partner.
Benefits, Claims and Eligibility
Health Management (case management)
Healthy Endeavors (disease management)
Behavioral Health (mental health and substance use disorder)
Pre-certification and Prior Approval
Retail Pharmacy
877-727-3784 (prior approval)
If you suspect healthcare fraud and abuse, please report the problem immediately to Blue Cross NC.
24 hours a day, 7 days a week
- Prospective review
- Prior review
- Admission certification
- Discharge planning
- Case management
- Continuity of care
- Submitting precertification/admission notification or continued stay review
Monday-Thursday 8 a.m. - 7 p.m.
Friday 8 a.m. - 5 p.m.
Voice messaging system is available outside of regular business hours.
Customer service: 877-814-9909
Customer Service Department:
For State Major Medical Plan Members:
Blue Cross NC
P.O. Box 2291
Durham, NC 27702
North Carolina Teachers & State Employees
Major Medical Plan
P.O. Box 30025
Durham, NC 27702
Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules.
Fax: 919-765-4349
Email: ProviderUpdates@BCBSNC.com
Mail:
Blue Cross NC
P.O. Box 2291
Durham, NC 27702-2291
Physical address:
Blue Cross NC
5901 Chapel Hill Road
Durham, NC 27707
Member-specific, dose-specific drugs delivered directly to your practice.
Visit our pharmacy page for a complete listing of vendors and their contact information.
Blue Cross NC offers a Spanish speaking customer service line for your patients.
Monday - Friday 8 a.m. - 5 p.m.