使改变
Member health and safety is our top priority - now more than ever. Make the move to Telehealth, video or phone appointments! Tell your patients to stay home. We’ll cover the cost while you cover care.
了解最新情况
Want COVID-19 updates? Join our 电子邮件 registry for ongoing news, policy changes and more related to our providers.
Commercial Product 供应商
快速链接
eManuals
Information on our products, services, claims billing, policies and much more.
Medical Record Submission Process
检查CPT, HCPCS, revenue and diagnosis codes that most often necessitate provider initiated medical record submissions
Manage Claims and Inquiries:
- Blue e for Web-based services
- 分辨率 for HIPAA-regulated transactions
- 代码集 information
- Paper Claim Filing pointers
Forms and Documentation
上诉 forms, enrollment applications and 的认证 forms.
InterPlan Programs (BlueCard)
Resources for providers who service out-of-state Blue Cross/Blue Shield members
Blue High Performing Networks (BlueHPN)
Quality-Based Programs
Programs that recognize doctors and facilities for excellence in care
Network Participation
Find out how to become part of the 蓝十字数控 network of providers.
牙科供应商
Join our 电子邮件 list to get the latest dental news from 蓝十字数控 delivered right to your inbox.
Payment Information
Blue Book 牙科 eManual
View or download our online reference guide for dental providers.
View or download our online reference guide for dental providers.
Update Your Demographic Information 
Use this form to report demographic changes to your practice.
Use this form to report demographic changes to your practice.
Join the 牙科 Network
See enrollment and 的认证 guidelines specific for dental providers and apply today!
See enrollment and 的认证 guidelines specific for dental providers and apply today!
蓝色的医疗保险 供应商
Risk Adjustment Coding and Documentation Tips
Find brief education documents to describe proper documentation and coding of risk adjustment diagnoses.
医疗保险 Policies and Responsibilities
Find information on specialty networks, 的认证, and the responsibilities of primary care physicians.
药物信息
Find detailed information regarding covered drugs and drugs that require prior approval including how to submit a request for prior approval.
Resources and Forms
Find essential resources and forms including prior authorization, 医疗保险 payer sheets and provider newsletters.
Medical Management Programs and Services
Get information including case management, health care services and quality improvement.
2019 Medical Record Submission Process Change
Learn more about the process for submitting 蓝色的医疗保险 medical records.
CPT and HCPCS Code List
检查CPT, HCPCS, revenue and diagnosis codes that most often necessitate provider initiated medical record submissions
Post-Service 提供者上诉
Learn about the process for Level I, Level II and Non-Contract providers.
Network Participation
Find out how to become part of the 蓝十字数控 network of providers.
More Information:
Healthy Blue + 医疗保险 (HMO D-SNP)
D-SNP resources, training and contact information.
Experience Health 供应商
蓝十字数控 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. Experience Health is committed to developing affordable and accessible products and services focused on:
- Encouraging stronger patient-doctor relationships, enhanced communication and team-based care
- Using advanced data and analytics to provide optimal care to patients with chronic health challenges
- Improving care coordination so patients have clear treatment goals, and
- Simplifying appointments, billing and timely access to health care professionals
Network Development Representatives are available to assist providers Monday through Friday, 美国东部时间上午8点至下午5点.
(844) 594-5072 Toll Free or NC_Provider@healthybluenc.com
Federal Employee Program
Review the codes that most often require provider initiated medical record submissions.
2019 FEP Medical Record Submission Process Change
Learn more about the process for submitting FEP medical records.
标准 and 需求
快速链接
- How Our Health Insurance Works
- 医疗政策 Updates
- 费用时间表 for participating 蓝十字数控 physicians.
- Resources and Tools
- Annual Provider Update
- Patient Education Materials
Changes, Updates and Industry 需求
View legislative changes and updates that affect health care and providers.
HIPAA Version 5010
Get information and a compliance timeline.
Practice Quality 标准
See the standards 蓝十字数控 and our contracting physicians must meet to provide the best service possible.
National Committee for Quality Assurance (NCQA)
See the quality standards 蓝十字数控 managed care plans has met for accreditation.
Continuous Quality Improvement
Find out what 蓝十字数控 is doing to improve members' health, care and well-being.
蓝色的医疗保险
Servicing 蓝色的医疗保险 HMO and 蓝色的医疗保险 PPO members
医疗保险 Fast Track 上诉
(Training for Skilled Nursing, 365betway下载 Health and Comprehensive Outpatient Rehabilitation facilities only)
医疗保险 Fast Track 上诉 - Workflow Process Chart
医疗保险 Fast Track 上诉 - Notice of 医疗保险 Non-Coverage (NOMC) Form
Network Participation
Find out how to become part of the 蓝十字数控 network of providers.
蓝色的连接