Bcbsnc find a provider. Members should refer to their benefit contract or contact Customer Service to determine coverage. Here, you can locate providers by name, specialty, county or zip code The Provider Search information is updated weekly. Our network has PCPs in almost every county in the state. Learn Blue Cross NC is made up of multiple networks, including FEP, Medicare and Medicaid. Q: How do I find a network provider? A: Access the most up-to-date provider information with our online Provider Search. C. You will need to contact Blue Cross NC Provider Service at 800-777-1643. . North Carolina Medical Society Website. Click to learn more. Providers looking to join can find out more about these networks. Read your plan information carefully to know which network your health plan falls in. Only Show Offices Accepting New Patients. Explore our affordable health insurance plans with coverage for people under the age of 65. As the doctor or provider, you must send all your details, and your signature on the Medical Necessity PA Request Fax Form (PDF), to Blue Cross NC; For questions or to check the status of your review, call us at 800-672-7897 You can access these in-network health care providers in all 50 states, and Washington, D. Find your patient's Approved Medication List (Formulary) or restricted medications our members use most, the requirements for approval, and the details you must send us to get them approved. Find a Doctor & Estimate Costs inside Massachusetts Check with the provider to make sure that he or she is in the network before you get care. Choose option If using the search field, type your practice or provider name in the search field. Claims information and online EOBs; Up-to-date information about your deductible and coinsurance; Estimated out-of-pocket costs for specific providers and services Only providers with a Blue Cross NC contract can receive direct payment. Log in to My Health Toolkit ® to search the provider directory and view search results specific to your insurance plan. Better care starts here. Select your health plan below to access your Find a Doctor tool. Log in to Blue e portal to manage claims, eligibility, prior authorization and more. Our Find a Doctor & Estimate Costs tool makes it easy for you to find what you need. Find a doctor near me. Find affordable health plans with exclusive benefits, extensive provider networks, and caring customer service. Find a Doctor or Facility Important Information About Out-of-State Services In the course of your overall medical care, your provider may request additional or ancillary services including, clinical lab services, medical equipment and specialty pharmacy services. Anthem - Provider Finder is a platform to locate in-network Anthem providers and estimate healthcare costs. Find a Doctor, Drug, or Facility Search for a doctor, drug, or facility near you. S. HIPAA affects almost the entire health care industry, including employers. Getting a referral from your primary care provider is important if you have an HMO plan and want to save money. Search the Directory. • For Compass Group Gold Plus, Silver Plus or Bronze PPO Plans - enter "CGQ" as the identification prefix to find participating providers in the Blue Options PPO Network or click here Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. BlueCross BlueShield of South Carolina members. 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. How Blue Value Works 2 Search for specialized care local to Illinois. 2. Once you click this link, you will be able to search for a provider of any specialty type in your preferred location. 3 Call the BlueCard number on the back of your BCBSNC ID card or try our Find A Doctor search tool to find a provider near you. Use the right search tools to find a doctor. All providers practicing under that TIN will be part of CPP. The Plan continues to offer its members copay waivers and reductions for those that visit CPP Providers in 2024. Blue Cross NC makes health insurance easy. Search nationwide for physicians, specialists or hospitals. Click it. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. That CPP designation DOES need to be noted in the Find a Doctor tool for the provider to be a CPP Primary Care Provider (PCP). Use the Look up Doctor or Drug search to find an in-network doctor or facility. In addition, you'll find directories for mental health clinicians and facilities. Use the Find Care tool above or the BCBSIL mobile app to search for in-network doctors who specialize in your diagnosis. See a doctor 24/7 with LiveHealth Online. The Blue e User you identify for EFT access is designated as the Authorized Signatory of the Electronic Funds Transfer record. Ask your employer if you're in a Select Network or check your ID Card for your network. Search for quality, in-network providers using our Find a Doctor/Hospital tool. Enter your location information and connect with a doctor near you. When you need to see a doctor late at night or can’t make it to your doctor’s office, LiveHealth Online can help. Find out how to join, update or access the Blue Cross NC network of providers. To find the closest provider, please search by distance using the zip code search. Find a Dentist Find a dentist in your plan network. For health plans, providers and health care clearinghouses, the critical portions of the act are the Administrative Simplification provisions, which include new standards for electronic transactions that took effect Oct. Get a health insurance quote today. Members are still expected to select a primary care physician (PCP). Within the United States, to search for a dentist by location, supply your city (optional) and state. Use these tools to find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. Care management and medical necessity review About Mental Health (cdc. Pharmacy Finder Find a pharmacy in your plan network. Research Prescription Costs Saving money is easier when you can see the cost of your prescription medication and search for lower-cost alternatives. BCBSNC agrees to inform the Authorized Signatory by email, and to provide confirmation, by US postal service, of any creation of or change to the record. If not using the search field, the steps below outline The NC State Health Plan Network is composed of CPP providers and Blue Options providers. *This is the 2024 fee schedule, which will be updated in May of 2025 as it is dependent on CMS. Contact us for more details about our plans, coverage, costs and more. Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. A provider may be listed on this web site but not covered under your benefit plan. They can address your concerns in the office or refer you to a behavioral health provider. Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more You pay copayments for doctor visits and prescription drugs for predictable health care costs; Certain preventive care is covered at 100% 1; Blue Value offers a limited provider network and formulary. Learn about LiveHealth Online, vision care, PCPs, and provider education and training. You can access these in-network health care providers in all 50 states, and Washington, D. Search for doctors, dentists, and hospitals, and get cost estimates for over 1,600 procedures. We have an easy-to-use Find Care tool that lets you search for an in-network eye doctor. Providers Disclosure of Ownership & Control Interest Form Requirements Contract With Us Join Our Network Provider Portal Registration Value-Based Program (VBP) Secure Email Portal Provider Resource Library Directory Information Validation (DIV) Provider TeleDentistry Resources Provider COVID-19 Resources Clinical Criteria Guidelines & Practice Search Tips ×. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Blue Cross NC provides the telehealth program for your convenience and is not liable in any way for the goods or services received. Take control of your health care costs. Browse by Category. For example, to search for all dentists in cities starting with "C," enter "C" for the city. You can also search providers outside the U. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. LiveHealth Online lets you visit a doctor through video chat on your computer, tablet, or smartphone. Search for an in-network doctor, NC pharmacy or nationwide pharmacy. Blue Cross NC Customer Service. com, our office is featured as “Family Care, PA” under most searches. You must choose a PCP when you join the plan. Find which documents are required and where to send them based on your patient’s health plan. Find a Participating Dental Provider Benefit period maximum - $1,000 or $1,500 Dental Blue Select provides a $1,000 or $1,500 annual benefit maximum per person on diagnostic and preventive, basic and major services. Search for plan providers by name, specialty, location and more. through BlueCard®. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. 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 DOWNLOAD US - The free LIBERTY Dental mobile app gives you access to all our self-service tools 24/7. Provider data last updated: Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Talk to your primary care provider. The best dental plans make it easy for you to find a trusted dentist and know what’s covered before you see them. 16, 2003, as well as Search 24/7 online for a provider or pharmacy. Learn how to access your plan benefits, tools and documents with Blue Connect member portal. Once you have selected your practice or provider name that meets your search, click on the provider name to find more details on the profile, and verify BlueHPN par status under the plans accepted section. It’s an easy way to access care for you or your family without leaving home. Search for in-network doctors, drugs, pharmacies and other care options with Blue Cross NC. Find doctors and providers in Arizona and beyond with AZ Blue. The Provider Finder ® makes it easy to find a doctor or other provider in your area. Use the Find Care tool above or the BCBSNM mobile app to search for in-network doctors who specialize in your diagnosis. Specialist Type. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Advanced Search Criteria Find a Doctor and see Blue Distinction®Centers highlighted, or search for them directly: Find a Blue Distinction®Center Clinical Labs, Home Medical Equipment and Specialty Pharmacy Please call the toll free Member Services phone number listed on the back of your ID card for independent (non-hospital based) clinical laboratory services Search for specialized care local to New Mexico. Your Dental Blue plan can help take care of your health by giving you regular and reliable access to dental care. Providers can proactively send medical records and other required documents to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) before claims are processed to help avoid denials or delays. Our public Find Care tool is only for plans not in a Select Network. Find the health care you need. As an alternative, you may enter a ZIP code. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. Access our Blue Connect member site to find an in-network provider. Find a prescription drug on the Blue Value formulary. If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. Find and compare providers and get cost estimates for more than 1,400 common medical procedures. Please call the provider prior to scheduling an appointment to verify that the provider continues to be part of the network. Blue Connect helps you find care Wherever you are, you can count on our large provider network for the right treatment. COVID-19 tests that are administered by a provider, consistent with Centers for Disease Control (CDC) guidance and cleared, approved or given EUA by the Food and Drug Administration (FDA) are covered based on each individual’s insurance plan, and members may be responsible for a portion of their costs 1 to include copayments, coinsurance and deductible amounts. A Google Maps powered search that will help you find providers and facilities that are close by; The ability to access more information about a provider without having to begin a separate search; The new tool offers a more straight-forward way to get the information you need. See important dates, forms, resources, policies and more. On BCBSNC. If the drug is listed in the Drug Search, these requirements may still apply. If you are in an area that has participating providers and you choose a provider outside the network, you will receive the lower out-of-network benefit. The Provider Finder® makes it easy to find a doctor or hospital in your area. National Provider Search As a BCBS member, your coverage travels with you. 3. Pharmacy coverage is available through Prime Therapeutics ®. The Find Care options in Blue Connect℠ make it easy to find what you need. NC State Health Plan Network (Blue Cross NC 2024) Enhanced PPO Plan (80/20) Base PPO Plan (70/30) Linking your Blue Connect account helps you quickly access:. Get insurance delivered through your local BCBS agency. Click “Find a Doctor or Facility” in the menu. 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. Find results using these care categories. Browse our extensive network of providers and facilities to receive the care you need. There's also a wide selection of specialists. Ask your doctor for a recommendation or referral. Plus, the ability to read and write reviews, and compare up to ten doctors at a time puts more control in your hands. North Carolina’s Health Information Exchange Network, NC HealthConnex, is a secure, computer-based electronic network for doctors, hospitals and other health care providers to share information that can improve your care – so that no matter where you are providers can access your information. NCMS Employee Benefit Plan Website Jan 26, 2016 · At the top right of the screen, you will see the “Find a Doctor” link. Search for keywords like: Psychologist, Psychiatrist, Social Worker, Therapist, Substance Use Facility or Counselor. Get help from Blue Cross and Blue Shield to find a doctor or specialist. Important notices about your plan Medicare Advantage members can get up-to-date information about in-network providers in your area by following the questions below. You can choose an eye doctor nearest you or who offers the services you want. That’s Dental Blue® from Blue Cross NC. Contact Us. You can also check to see if your current eye doctor is in our provider network. Helpful plan information for Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx (PDP) members. There is an indicator in the Find A Doctor tool that identifies CPP providers. The full text or spelling is not required for the city and dentist name fields. Are you looking for a primary care provider or specialist with expertise and empathy? Find the right provider for your healthcare needs at UNC Health with locations across the state of North Carolina including Orange, Wake, Chatham, Johnston, Henderson, Caldwell, Nash, Wayne, Lenoir and Rockingham counties. Dental coverage is available through Your ID card gives you access to participating providers outside the state of North Carolina through the Blue Card® Program, and benefits are provided at the in-network benefit level. gov) Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. Have you already registered your NPI? If you are an out-of-network provider who previously received payment for services from Blue Cross NC, you have already registered your NPI with us. whpfgtplimemwwiqlcvmemriqldymcnixpdgxmhsorssrrjbqtg