Bcbs north carolina provider directory
Bcbs north carolina provider directory. Our toll-free 24/7 NurseLine lets you talk with a registered nurse whenever you have health questions or need medical advice. LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. Enrollment in Blue Cross and Blue Shield of North Carolina Senior Health depends upon contract renewal. If you don't have an account, register now. Independent Clinical Lab (ICL) services are provided by any non-hospital-based laboratory and generally include, but are not limited to, blood tests, urine analysis, etc. A value must be selected from the list, or you must remove the value from the search field to select See All to view your results. Jul 28, 2024 · John Griffin, MD, is an ABIM board-certified Internal Medicine Physician at Genesis in Westfield, New Jersey. BlueCross BlueShield of South Carolina members. Get help in other languages or formats for things like: Discussing health care. . 1-844-545-1427 (TTY 711) Health issues can come up when you least expect them. Provider's name: Hospital/Facility name: Provider's name: Please verify the spelling of your provider's name or specialty and try again. and CareFirst Advantage DSNP, Inc. m. Find A Doctor – Provider Directory - Blue Cross and Blue Shield's Federal Employee Program Skip to main content Behavioral health. Our Preferred Blue network is the largest network of physicians, hospitals and other health care providers in the state — with more than 10,000 physicians and every South Carolina hospital. These tools are offered for your convenience and should be used only as reference tools. But telehealth has benefits beyond the pandemic, as well. (PARTNERS) offers Blue Medicare HMO. A PCP is a doctor, nurse practitioner or physician assistant. Search for primary care doctors, specialists, hospitals, and other services in any of our networks. This online directory lists The Empire Plan's Participating providers. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Log in to Blue e portal to manage claims, eligibility, prior authorization and more. 803. The Blue Book is designed to assist you in understanding and administering Blue Cross NC health insurance products, health coaching and intervention This Agreement is between _____ (herein referred to as "you" and "your") and Blue Cross and Blue Shield of North Carolina, an independent licensee of the Blue Cross and Blue Shield Association, (herein referred to as "Plan"). Can't find what you're looking for, have a question, or would like to confirm information in the Provider Directory? Call AmeriHealth Caritas North Carolina Member Services, 24 hours a day, seven days a week, at 1-855-375-8811 (TTY 1-866-209-6421). PARTNERS is a Blue Cross and Blue Shield of North Carolina company. Health plans have a provider network (group). 6800 | 888. Provider data last updated: Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. As part of our focus on value and quality in provision of health care to North Carolinians, Blue Cross NC is implementing a special provider incentive program, focused on closing care gaps • Direct deposits are made to a bank account designated by the provider and maintained exclusively by the provider through . Find out if your doctor, drug, or pharmacy is in-network, or explore other care options. and Group Hospitalization and Medical Services, Inc. Developers can register for access here and find the resources they need to build an application programming interface ( API ) to a member’s If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. The Blue Book is an online reference manual for products, value-added programs and services for providers participating in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) network. That translates to more claims paid in network and significant cost savings. Understand our provider directory. Through our history, we’ve grown to better serve our members and meet North Carolina’s biggest health challenges. Blue Cross and Blue Shield of North Carolina Senior Health DBA Blue Cross and Blue Shield of North Carolina is an HMO-POS D-SNP plan with a Medicare contract and a NC State Medicaid Agency Contract (SMAC). There is a nationwide network of more than 1. Get detailed estimates for procedures or services (not available with some plans). Most patients with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) health insurance also have a medication plan to cover the medications they get at their pharmacy. Back to Top Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Integrated health care If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. Mar 30, 2020 · When the pandemic hit, Blue Cross and Blue Shield of North Carolina expanded virtual access to health care providers. Jun 6, 2024 · At Blue Cross and Blue Shield of North Carolina (Blue Cross NC), we appreciate all that you are doing to care for the health and well-being of our members. You can also search providers outside the U. Find in-person & telehealth servicing providers Grow Therapy provides both online and in-person therapy sessions exclusively for CA members through video calls, emails, and messaging. Blue Cross NC makes health insurance easy. Contact Information. Search our nationwide directory of Preferred providers—those providers in our network. Provider Directory News Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in Agents have been choosing Blue Cross and Blue Shield of North Carolina (Blue Cross NC) since 1933. Blue Cross NC and Duke Health, two of the most trusted and innovative names in health care, have come together to create Experience Health, a locally owned and operated, non-profit health plan for seniors. These provider partners are included in the North Carolina State Health Plan Network, which is made up of providers who signed up for the Plan’s Clear Pricing Project, and Blue Cross NC’s Blue Options network. Griffin delivers excellence in the care of Telehealth patients with a broad range of conditions, including sprains, UTI, coughs, colds, shingles, toothache, yeast and bacterial infection such as sinus or ear infections, hypertension, diabetes, other acute and chronic disease states Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. SM, ® marks of the Blue Cross and Blue Shield Association. By calling a health care advice line, faculty and staff can get confidential, up-to-date health information any time of the day or night. 9430 Monday-Friday, 8:30 a. Effective 1/1/2008, Blue Medicare HMO and Blue Medicare PPO members have the freedom to choose in-network providers and specialists without a referral. com 855-859-0966. . healthybluenc. , CareFirst Advantage PPO, Inc. An official website of the State of North Carolina An official website of NC How you know . Find results using these care categories. * The City Search displays only providers located within city limits. Through our Nurse Support Program, you and your family have a dedicated, specially trained nurse to help you make full use of your company benefits for your best health. Learn about LiveHealth Online, vision care, PCPs, and provider education and training. You just need to ask for it. We call the pharmacies on this list our “network pharmacies” because we have made arrangements Experience Health Providers. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers free, confidential health guidance for you and your covered family members. Getting materials in another language. Care for ©2024 Blue Cross and Blue Shield of North Carolina. 260. To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current information about how Blue Cross and Blue Shield of North Carolina offers three drug formularies (drug lists) so Medicare beneficiaries can have options for their prescription needs. This is critical to ensure BCBSNC and Blue Medicare HMO and Blue Medicare PPO members can access care through your practice by displaying the correct demographic information in the Provider Directory. Use our Participating Dental Provider Nomination Form. Behavioral health concerns are on the rise. ® Marks of the Blue Cross and Blue Shield Association. When this pharmacy directory refers to “we,” “us”, or “our,” it means Blue Cross Blue Shield of North Carolina. Talking to us. All Rights 1 The provider tool includes information on all physicians, hospitals, and specialty service providers who participate in our managed care plans. 1/24 Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. (Blue Cross NC 2024) Enhanced PPO Plan (80/20) Update Your Primary Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. The new tool offers a more straight-forward way to get the information you need. The authenticated portal will be available to beneficiaries beginning March 1, 2021. Search for plan providers by name, specialty, location and more. Provider data contained within the online directory is updated daily Monday through Friday. 737. 2008 Provider Directory PARTNERS National Health Plans of North Carolina, Inc. Log in to My Health Toolkit ® to search the provider directory and view search results specific to your insurance plan. e. S. Provider Resources (Blue Cross NC) North Carolina State Health Plan. Find a Select Network doctor or facility in or outside of your home area. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex Apr 23, 2020 · Anthem Blue Cross Blue Shield Timely filing limit – BCBS TFL List BCBS Provider Phone Number; Alabama: North Carolina: 888-206-4697 800-672-7897 Search for an in-person provider near you and/or telehealth providers for patients of all ages. Blue Cross NC (Blue Care and Duke Options members) 1-877-275-9787; 24 Hour Health Advice Line. In-network ICL providers should participate in the Blue Plan in the state in which the specimen is dra That’s why Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is excited to offer Blue High Performance Network (BlueHPN ℠). Blue Secure Dental Network For individual and family consumers with our stand alone dental plan, use our 2023 Blue Secure Dental Find a Dentist tool or our 2024 Blue Secure Dental Find a Dentist tool . My Insurance Manager File claims, get prior authorizations, check eligibility and benefits, and more. Provider Directory News With Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you can explore resources, wellness programs, and more to get the most Since 1933, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has been committed to making health care easier to navigate, more affordable and more accessible to all. All Blue Cross and Blue Shield of North Carolina (Blue Cross NC) guidelines are based on the most current scientific evidence, and are adapted from standards published by nationally recognized authorities. Dr. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. The provider portal allows the user to make changes online to the financial information (bank account and routing numbers) when needed. When using out-of network providers, in addition to deductible and coinsurance amounts, you may be responsible for the difference between the BCBSNC allowed amount and the provider's actual charge. If you are a member or recipient needing help finding a provider or understanding the options available to you, call Member and Recipient Services at 800-510-9132. • BCBSNC will not take any recoupments from the provider’s account. Jan 25, 2021 · The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. This Agreement is between _____ (herein referred to as "you" and "your") and Blue Cross and Blue Shield of North Carolina, an independent licensee of the Blue Cross and Blue Shield Association, (herein referred to as "Plan"). All other marks are the property of their respective owners. CareFirst Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Locate vision care providers, mental health professionals, virtual care options, and more. Some prescriptions may require specialty handling, administration, or require ongoing clinical monitoring. If yes, and you want to contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you will need to confirm your supervising physician (if required for licensure) is already credentialed with Blue Cross NC by calling 800-777-1643 option 6. They care for your health, coordinate your needs and refer you to specialists when you need them. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has developed clear Fast Healthcare Interoperability Resources (FHIR) to allow members to share their data with registered applications. Blue. com. It is a health insurance plan offered by Blue Cross NC that provides access to Atrium Health Wake Forest Baptist's comprehensive network of providers. to 5 p. Find information on how to join, update or access the Blue Cross NC network of providers. Have questions? Call or write us! Member Services: 844-594-5070 (TTY 711) Already a member? Log in to your account and send us a message. ©2024 Blue Cross and Blue Shield of North Carolina. Better care starts here. To find the closest provider, please search by distance using the zip code search. The program is also handy for members who live outside of their Blue Cross Blue Shield service area. Together, we can help the whole person thrive by bringing physical and behavioral health together. Log In to Find Care. Learn more about our non-discrimination policy and no-cost services available to you. If your employer has chosen a Blue Cross NC Select Network, you have access to quality health care with a network of local doctors and hospitals in your area. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Managed care products include Keystone HMO/POS, Personal Choice® PPO, national BlueCard® PPO, and our Medicare Advantage plans. This directory is for the following North Carolina counties: Alamance, Alexander, Alleghany, Ashe, With the BlueCard® program, Blue Cross NC members can get health care services and benefits while traveling or living in another Blue Plan’s service area. Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. 6 days ago · Find doctors, hospitals, and more in your plan's network. 3200 Atlantic Ave Raleigh, NC 27604 Map It shpmemberinquiries@nctreasurer. To view PDF documents, you will need Adobe Acrobat Reader. Please contact 888-206-4697 ( TTY : 711) for assistance. With your BCBSND identification card, you have the freedom to choose a Blue Cross Blue Shield provider anywhere in the United States. Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Browse by Category. You can also find a range of health care providers to help you care for the whole you. Meet the Blue Cross NC board of trustees and executive leadership that guide us as to ethically serve our members and support our local communities. Contact Plan Provider. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc. Here's what you need to know about the Blue Cross and Blue Shield of North Carolina specialty pharmacy network. When it refers to “plan” or “our plan,” it means Blue Medicare HMO, Blue Medicare PPO or Blue Medicare Rx. Whether you are searching by a provider’s name, a particular specialty, a specific treatment, or your condition, you’ll be able to get accurate results that will help you make more informed care decisions. Blue Medicare HMO Enhanced, HMO Essential and Blue Medicare PPO Enhanced share the same Medicare prescription drug list. These services are free. Access to a doctor without leaving your home 3 days ago · The Alliance Health Tailored Plan online provider directory is a tool that allows users to search and filter our growing list of network providers. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. As a member of Blue Cross Blue Shield, you're automatically part of the national BlueCard program. For questions concerning your dental assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 866-544-4350, TTY users: 877-855-8039 Know how we tell members about changes to our provider directory. Medicaid Expansion Tools and Resources. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is expanding the Blue High Performance Network ℠ (BlueHPN ℠). To request a hard copy of the provider manual and/or provider directory from the plan at no cost, call Healthy Blue Provider Services at 844-594-5072. Sep 23, 2022 · Effective October 1, 2022, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will begin transitioning at-home medical care of Medicare Advantage seniors and other adults with unmet well-being needs from Landmark Health to ConcertoCare. Each medication plan comes with a list (or formulary) that shows you what medications are covered. BlueHPN is a national quality-based network that provides members with access to high-quality doctors, hospitals and specialists across the state and country - all while lowering costs. Source: U. This directory provides a list of Blue Medicare HMO plan providers. This effort resulted in more than 28,000 providers partnering with the Plan for transparent and affordable health care. We can send you printed copies of our directory for free. 202 Arbor Lake Drive Columbia, SC 29223. It is updated weekly. Members are still expected to select a primary care physician (PCP). Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. Disclosure: Blue Cross NC has collaborated with Atrium Health Wake Forest Baptist to bring you Blue Local with Atrium Health. Member Services: 844-594-5070 Provider Services: 844-594-5072 Behavioral Health Crisis Line: 844-594-5076. You can search our ‘Find Care’ directory by plan, look up doctors by name, specialty, location, and more. Provider Directory Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Your choice of providers. It’s designed to deliver enhanced quality and lower costs by partnering with providers who are committed to – and accountable for – improving care today and in the future. Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157. Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Flexible and convenient care options Of course, you can use our search tools to find doctors and hospitals that take your insurance. Schedule an appointment Blue Cross and Blue Shield of North Carolina Senior Health DBA Blue Cross and Blue Shield of North Carolina is an HMO-POS D-SNP plan with a Medicare contract and a NC State Medicaid Agency Contract (SMAC). Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is working with providers to improve how and when behavioral health concerns are identified and treated. In most cases, you must get care from a provider in your health plan’s provider network, such as a primary care provider (PCP). 2 million UnitedHealthcare Empire Plan participating providers, including over 70,000 Managed Physical Network (MPN) providers for chiropractic care and physical therapy. Shield of North Carolina (BCBSNC) of any change in demographic information. If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current information about how The examples provided on this page relate to in-network services only. Meet the leadership team at Blue Cross and Blue Shield of North Carolina (Blue Cross NC) that guides our not-for-profit’s mission. Providers can obtain an online copy of the provider manual and view the provider directory at provider. As an independent licensee of the Blue Cross and Blue Shield Association, we are a trusted health insurance leader 2 and our network is dedicated to our communities. Blue Cross NC has robust search tools to help you find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. ghwpts hcgca vbuj hidu pmarv vtq gjboqcs vjypz bfyj uxws