Bcbs nc provider credentialing phone number

Bcbs nc provider credentialing phone number. Under penalties of perjury, I certify that: 1. Social security number – – or. Box 2291 Durham, NC 27702-2291. Welcome to Blue Cross and Blue Shield of Louisiana Provider Credentialing Since 1996, we have been dedicated to fully credentialing providers who apply for network participation. Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. To find out which services and providers (including hospital based physicians) are covered under your policy, or to learn about Local Blue Plan Criteria, contact your Local Blue Plan; and contact your provider before making an appointment to verify its current Network and Blue Distinction Centers status. Exceptions may be made for providers who do not normally obtain a DEA registration number. YOU ARE A MEMBER IF: You enrolled in a vision plan through your employer; You’d like to confirm benefits or eligibility; You need to find an in-network eye doctor If applicable, a current unrestricted Drug Enforcement Agency (DEA) registration number. Step 1: Enter/update your information in CAQH ProView Step 2: Enter/update your information in Change Healthcare’s Payer Enrollment Services portal Explore CAQH Solutions for provider credentialing and verification, directory maintenance, coordination of benefits and more. Here, providers are located by name, specialty, county or zip code. Mar 25, 2021 · Toggle menu. Prior authorization and/or Recommended Clinical Review (RCR) of medical services; Case Management; Pharmacy Services Provider Website. For general inquiries, please fill out the online form. Newsroom. Health care providers and administrators, get access to verify eligibility and benefits, submit claims, and more. HEDIS Quality. BACK back to www. Adjustment. PCDMstatus@bcbsla. For Benefits & Eligibility questions, check Availity first. m. 800-368-2312. Employer identification number – Part II Certification. Manage quality-of-care paperwork. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Improving Cost | 75-400 points Important phone numbers/addresses/websites: Provider Services. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc. Provider Onboarding Form; Demographic Update Form; General Email inquiries; Credentialing Status Checker. Don't have a secured provider portal account yet? Providers who don't have an account can mail a claim to one of the following: Medicare Plus Blue SM PPO claims Blue Cross Blue Shield of Michigan Risk. Please contact the Provider Blue Line at 800-214-4844 if you have any further questions. Email: Credentialing. To check the status, enter the case number in our Case Status Checker. You can also contact Customer Service at 1-877-258-3334 for assistance in locating a provider or to obtain a paper copy of a directory. 3492 / Patty. 1-800-716-2299, option 2 – for credentialing questions. If you can’t find the information you need, you’ll get a Fast Path phone number that moves you to the top of the calls received list. User-friendly online services including the CignaforHCP. Disclaimer. To add a line of business or request participation in another AZ Blue network, contact your Provider Relations Contact. Facility: Contact our National Provider Services Line at 800-397-1630 for further instruction or to check the status of your credentialing request. To participate in the BCBSTX network(s), once the provider receives confirmation that credentialing is approved, the provider should contact the Ancillary Contracting mailbox listed above by specialty to initiate the contracting process. Vision and hearing providers: 1-800-482-4047; Federal Employee Program providers and facilities: 1-800-840-4505; While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an account. , Cigna HealthCare of South Carolina, Inc. for guidelines on whose number to enter. To check the progress, enter your National Provider Identifier (NPI) or state license number where indicated in the Credentialing Status Checker. If you have questions about the provider credentialing process, please fill out the Provider Credentialing Question form. 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. Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. Risk. Claim adjustments call 1-800-451-0287* *interactive voice response (IVR) system — to access, you must have document control number (claim number) Blue Choice PPO SM and indemnity plans Credentialing Questions: 800-567-8540 or 505-837-8800 Credentialing Status Checker: Network Services. Step 3: Get Contracted. Credentialing | Anthem. Blue Advantage ® /Part D Provider Inquiry: 1-877-878-8668; Other. Provider. Eligibility verification — Prompt 1; Authorizations and precertification — Prompt 2; Claims status — Prompt 3; Provider relations — Prompt 4; Pharmacy department — Prompt 5; Care management — Prompt 6; Inpatient coordination — Prompt 7 For contracting questions, call Healthy Blue Provider Services at 1-844-594-5072 or via email at nc_provider@healthybluenc. Career Center. All other providers will use E-cred Central. , Cigna HealthCare of North Carolina, Inc. Maunz@bcbsnc. com. Create a Free Account Non-CAQH participating providers: If you're not a CAQH-participating provider, we encourage you to contact our National Provider Services Line at 800-397-1630 for further instruction. Also use these forms to add a tax ID to your contract. Improving Cost | 75-400 points Contact Information BCBSNC Customer Service . To request a provider application, check application status, add a new location or update provider information, please use one of the following methods: A: For the most up-to-date provider information, access our online Provider Search. Toll-free: 800-288-2227. 1-888-234-5374 — Community Blue Medicare HMO Provider 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"). Provider Credentialing & Data Management. Effective September 1, 2021, Cigna Behavioral Health, Inc. Provider Services. Forgot User ID? Forgot Password? Don’t have an account? Register Now. How can I check credentialing status? Call us at 1-800-822-2761. CAQH connects 1,000 health plans and over 2 million providers to reduce administrative burden with one-stop for managing the provider data lifecycle, making it easier to share information and work efficiently. 1-866-675-8635 — Freedom Blue PFFS Provider Service Center. Welcome to the CAQH Provider Data Portal formerly known as CAQH ProView. Dec 31, 2012 · credentialed effective date with BCBSNC. Other Blue Cross and Blue Shield Plans Outside Alabama: 1-800-676-2583; Provider Enrollment/Credentialing. Complete a separate application for: • Each site location • Each organization with a unique Federal Tax Identification Number Initial Credentialing Request Recredentialing . Physical address: Blue Cross NC 5901 Chapel Hill Road Durham, NC 27707 Find information on how the No Surprises Act protects patients from balance billing and disputing a Qualifying Payment Amount. Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. If you have questions about your health plan, you can call the number on the back of your ID card. Contact By: Call: 1-800 Anthem's Employee Assistance Program provides access to over 23,000 behavioral health professionals for employees and their families. Reference Contact Guide. Provider Credentialing and Re-credentialing Process 3 Credentialing and Re-credentialing Process of the State Contract as amended per Amendment Number 1 to the State Contract. com to access EAP resources and apply to join our network today! The following providers are eligible to join our network: psychiatrists, addiction medicine specialists, psychologists, masters-level social workers, masters-level psychiatric nurses, masters-level professional counselors, board-certified behavioral analysts, and other masters-level licensed/certified therapists. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. Please complete this form and return to us via email at credentialing@bcbsnc. com provider portal; Reduced administrative burden so you can spend more time caring for patients; Newsletters that help you stay up-to-date on our policies, guidelines, industry changes and trends Once your credentialing application is completed, accepted by Louisiana Blue and approved by our Credentialing Committee, you will then work with your Provider Contracting Representative to complete the provider agreement process. Provider Credentialing & Data Management Learn more about contracting and credentialing 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. Here's what you need to know about Blue Cross and Blue Shield of North Carolina's coverage. HIGHMARK 1-800-547-3627. Mail: Blue Cross NC P. View our Healthy Blue + Medicare D-SNP resources for the provider claims support you need, including forms, policies, contact information and more. Our credentialing program is accredited by the Utilization Review Accreditation Commission (URAC). officially became Evernorth Behavioral Health, Inc. , Cigna HealthCare of Illinois, Inc. , Cigna HealthCare of Georgia, Inc. Phone: 844-594-5072: Providers/hospitals: For preapproval/billing information, call 844-594-5072 Update your provider profiles. If you are in need of more information about your plan you should contact customer service Monday-Friday, 8:00 a. Beacon Health Options will no longer perform these processes. Both Trustmark provider portals contain benefit and claim information. In either case, you must also meet our credentialing and other criteria. If you are a Blue Distinction Specialty Care (BDSC) or Total Care designated healthcare provider and have a signed agreement to participate in BlueHPN, you are considered a BDSC and/or Total Care Designated Health Care provider. The Provider Search information is updated weekly. Contact Us. Learn more about becoming a Premera provider. The following table includes some common reasons providers contact us and options for each. We're here to help answer your questions. To request a provider application, check application status, add a new location or update provider information, please use one of the following methods: Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. In those cases, the provider without a DEA registration number must provide a covering provider DEA registration number who can prescribe on their behalf. Direct provider access afterhours (50 points) – offer a direct phone number to provider-on-call for urgent issues (doesn't include nurse line triage) Not Available for OB/GYN practices. The Sep 1, 2021 · How to Join a Behavioral Network. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. For specific credentialing questions contact: •credentialing@bcbsnc. Get answers to your medical questions anytime, day or night. Our general phone number is: 803-788-0222. Blue Cross NC provides search tools to find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. 2020 K Street, NW Suite 900 The behavioral health provider network for Healthy Blue members includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health care professionals. After you submit the Provider Onboarding Form to get credentialed, check the status of your credentialing process by entering your NPI or license number in our Credentialing Status Checker . My Insurance Manager File claims, get prior authorizations, check eligibility and benefits, and more. But if you need to contact us, below are the telephone numbers exclusively for providers. com •Thomas Maunz 919. com; PROVIDERS ; COVID-19 Information COVID-19 Information. COVID-19 Information ; Update: Coverage and Reimbursement for COVID-19 Testing to change Update: Coverage and Reimbursement for COVID-19 Testing to change For Iowa dental providers interested in network participation, contact Blue Dental at 877-258-3685 877-258-3685. caqh. For those providers, a copy of the federal tort letter or an attestation from the providers stating that he or she has federal tort coverage must be included in the credentialing file. Providers can access the Health Benefits provider portal or the Small Benefits provider portal. com or by fax at 919-765-7016. Call for verification of benefits, confirmation of coverage, and claims issues. Have these things handy for each provider listed on the enrollment form: NPI; Group tax ID number or the last four digits of each provider's Social Security number; The provider's primary address and phone number Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. 4235 / Thomas. com •Patty Black 919. Contact@excellus. Request a copy of your contract. Claim status inquiries (out-of-state subscribers) contact Availity ® or other electronic connectivity vendor. Contact us for more details about our plans, coverage, costs and more. For provider questions and claims issues: Phone: 1-844-594-5072. 800-777-1643. Washington dental provider credentialing application Number To Give the Requester . com Jul 16, 2024 · Our healthcare providers can find all the documents they need here, including OTC Catalogs, Quick Reference Guides, and other Devoted Health plan Documents. You can get advice about: Symptoms you or your child are having; Medications you are Apr 25, 2020 · BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama (800) 248-2342 Providers have the right to: Review information submitted to support their credentialing application; Correct erroneous information; Receive the status of their credentialing or recredentialing application upon request; For a complete list of your credentialing rights as a Provider, please review the Practitioner Credentialing Rights. Visit Anthem. Jul 1, 2019 · Credentialing As of October 1, 2019, all behavioral health professionals and ancillary providers will work with Horizon BCBSNJ to complete the initial credentialing of nonparticipating behavioral health professionals and ancillary providers who are seeking to join one of our network(s). Some prescriptions may require prior authorization or prior plan approval. For Iowa dental providers interested in network participation, contact Blue Dental at 877-258-3685 877-258-3685. Phone: 1-877-258-3334 Fax: 1-919-765-1920. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. If you have questions, or you would like us to send you an application or other forms, please contact Physician and Provider Relations. Change Healthcare is an independent company providing revenue and payment cycle management on behalf of Blue Cross and Blue Shield of North Carolina. Fax: 919-765-4349. Self Service available 24/7 through this phone number. View credentialing forms. Convenient self-service prompts available. Credentialing Status Checker The Credentialing Status Checker provides information on the progress of your credentialing request. 1-866-588-6967 — Freedom Blue SM PPO Provider Service Center. Group health insurance and health Once your credentialing application is completed, accepted by Louisiana Blue and approved by our Credentialing Committee, you will then work with your Provider Contracting Representative to complete the provider agreement process. Email: ProviderUpdates@BCBSNC. You will need to contact Blue Cross NC Provider Service at 800-777-1643. , and Cigna HealthCare of Texas, Inc. Fax: 425-918-4766. To reach the right team,please select from below. com - Anthem Blue Cross Blue Shield Apr 23, 2020 · United States List BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) Additional Resources CAQH Contact Information Help Desk : 888-599-1771: Online Application System URL: CAQH website: Help Desk Email Address: providerhelp@proview. Effective November 1, 2022, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will begin utilizing the Council for Affordable Quality Healthcare (CAQH) ProView universal credentialing application. CAQH Provider Data Portal eliminates duplicative paperwork with organizations that require your professional and practice information for claims administration, credentialing, directory services, and more. 844-545-1427 (TTY 711) 24 hours a day, seven days a week. Initial Enrollment/Credentialing Each Provider must first enroll with the Department’s Medicaid and N Health Choice programs. Contact. - 9:00 p. Black@bcbsnc. For help with Blue Premier registration or account management, please contact your account administrator. Contact our Healthcare Quality Coordinator team for more information on HEDIS. For application inquiries, contractual issues, provider orientation, and education. Here’s where you’ll start to enroll as a new provider or add a provider to your group contract. 765. Network Contact List: Health Services. If you choose to review each payor’s request individually, please first contact CareFirst directly at 410-872-3500 or our toll-free number at 877-269-9593 to be added to the CAQH roster before beginning the CareFirst CAQH questionnaire. To update other provider information, please use the Provider Information Change Form (login and go to “Provider Resources > Forms > Provider Information Change”). horizonblue. com to access EAP resources and apply to join our network today! Number To Give the Requester . Providers with federal tort coverage (Federal Tort Coverage Act) do not have to meet Evernorth Behavioral Health's minimum insurance requirements. Finding a provider near you; Choosing or changing your PCP; Getting your ID card; Member handbooks; Free translation services; 24/7 NurseLine. 1-888-234-5374 — Community Blue Medicare HMO Provider Also use these forms to add a tax ID to your contract. O. Please check all Plans you are applying for: Credentialing application - new providers. Improving Cost | 75-400 points Direct provider access afterhours (50 points) – offer a direct phone number to provider-on-call for urgent issues (doesn't include nurse line triage) Not Available for OB/GYN practices. Complete the Washington application, attestation and release forms. com Nov 1, 2022 · BCBS NC: New Provider (Individual/Group) Credentialing and Enrollment Process Change. Contact Information BCBSNC Customer Service . Updates@Premera. org Blue Advantage ® /Part D Provider Inquiry: 1-877-878-8668; Other. EST. Let us know how we can Contact Us. igrnss lgby krprvde bxmh uywjxm wikf mntqcua cwwid molkizp jcvo