Bcbsnc blue e provider portal. Learn more about our non-discrimination policy and no-cost services available to you. 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). We agree to provide these instructions to the assigned administrator within 2 days of Blue e registration. Only CMM (including State Health Plan), HMO and PPO lines of business have fee schedules in Bue e. Until then, providers with questions can call the Blue Cross NC Provider Call Center at 800-214-4844 for support. Checking this box will give the EFT User Role to your Blue e account. Non-participating providers can also use Blue e after registering their NPI to sign up for EFT. This includes Provider Blue Books, enrollment forms and more. These tools are offered for your convenience and should be used only as reference tools. Naturally, our priority is the health of our members. Shop Plans. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Effective November 1, 2021, EnrollSafe replaces CAQH Enrollhub as the electronic funds transfer (EFT) enrollment portal for providers. There are exceptions to make sure your BlueHPN patients get the care they need. P. Here's what you need to know about Blue Cross and Blue Shield of North Carolina's coverage. 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. Providers will continue to use the Blue e provider portal to access information on member eligibility, claims status, claims entry, authorization and claim edits. Use Blue e to look up patient eligibility, submit claims, check claim statuses and more. users that log into the application) for more than 180 days will be cancelled and this contract will be voided. Blue Cross NC makes health insurance easy. Blue e is your provider portal for Blue Cross and Blue Shield of North Carolina (Blue Cross NC). If the EFT FULL read/write is not listed under the ROLE tab contact the Blue e Help Desk by emailing us at Bluee. HIPAA affects almost the entire health care industry, including employers. Fast eligibility searches. Blue E. 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. Linking your Blue Connect account helps you quickly access: Claims information and online EOBs; Up-to-date information about your deductible and coinsurance; Estimated out-of-pocket costs for specific providers and services; Register or log in to Blue Connect to get started 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. Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Better care starts here. Get Started 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 identified user(s)should have authority to enter and maintain this information on behalf of your business. 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. Forms to add or remove a Blue e user or NPI. Any Blue e account that has no active users (i. If you're a provider looking for information about eligibility, claims status or other details, log in or register with Blue e. 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. Your designated Blue e Administrator(s) will have the ability to assign a user, who can access the EFT transaction and set up your practice for EFT. 21, 2022. 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. User ID: If you can't remember your User ID, please call eSolutions HelpDesk at 1-888-333-8594 or your local help desk administrator. Providers can submit claims for members with Blue Medicare HMO and PPO plans electronically through Blue e or EDI. For help with Blue Premier registration or account management, please contact your account administrator. Disclaimer We're sorry but Blue E doesn't work properly without JavaScript enabled. • If providers have questions about this change, please have them call 800-214-4844 for the Blue Cross NC Provider Blue Line. Some prescriptions may require prior authorization or prior plan approval. Blue e provider portal. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. All at no charge. com. The Blue Book is designed to assist you in understanding and administering Blue Cross NC health insurance products, health coaching and intervention 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. </strong> Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Whether you’re part of a small practice or a large hospital system, Blue e can work for you. Please enable it to continue. We're sorry but Blue E doesn't work properly without JavaScript enabled. Log In to Blue e Learn More. Get the Blue Cross NC forms and documents for providers that you need all in one place. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. 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. About Blue e Provider Portal Medical Record Submission providerupdates@BCBSNC. Please contact Blue Cross NC by using the Provider Blue Line at 800-214-4844. 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. Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. Nov 1, 2022 · Brighton will launch its provider call center on Dec. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. 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. The Blue e Home Page provides a Diagnostic Imaging Management (DIM) hyperlink to the AIM (American Imaging Management) portal. e. Proof of prior dental coverage with less than 63 days lapse in coverage is required. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Members are still expected to select a primary care physician (PCP). • For any questions regarding the functionality in utilizing the MHK Provider Portal, providers can Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. . See important dates, forms, resources, policies and more. • For questions regarding Blue e, providers can contact the Blue e Help Desk Team at Bluee. Participating physicians already using Blue e can view their current fee schedule in the portal. HelpDesk@bcbsnc. 16, 2003, as well as Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. When you access this transaction, you are accessing the AIM portal, which allows providers to request authorizations online through a secure site outside of the Blue e web site. Forgot User ID? Forgot Password? Don’t have an account? Register Now. Need help doing so or want to check if you qualify for EFT? Contact eSolutions Help Desk: 888-333-8594, option 1. <strong>We're sorry but Blue E doesn't work properly without JavaScript enabled. Enrollment in Blue Cross and Blue Shield of North Carolina Senior Health depends upon contract renewal. Nov 1, 2021 · Please note, this communication applies to Healthy Blue + MedicareSM (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina. Get credentialed with CAQH Provider Data Portal. Mail to: Blue Cross NC PO Box 2291 If medical records are needed to support a medical necessity review and are not received by Blue Cross NC before the claim adjudicates, the member will receive an Explanation of Benefits (EOB), the provider will receive an Explanation of Payment (EOP), and both will receive a claim denial letter addressing the specific reason(s) for the denial. com or calling 1-888-333-8594 . Already using Blue e? Great! Select any feature below to open it in the portal. Participating providers already using Blue e must set up EFT in the provider portal. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) credentials all practitioners of care, ancillary and facility providers applying for membership in the network (s). See what Blue e can do to speed up your administrative processes. 2. Provider Number (NPI) Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. acbguycamokyqbohlqmlhuiewejsqjzlylkbiuxegjkeoibwh