Bcbsnc find a provider

Bcbsnc find a provider. 3. The Plan continues to offer its members copay waivers and reductions for those that visit CPP Providers in 2023. For example, to search for all dentists in cities starting with "C," enter "C" for the city. Specialist Type. Find a Doctor & Estimate Costs inside Massachusetts 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. Find out if your doctor, drug, or pharmacy is in-network, or explore other care options. Find the health care you need. Member Services: 844-594-5070 Provider Services: 844-594-5072 Behavioral Health Crisis Line: 844-594-5076 BlueCross BlueShield of South Carolina members. Find providers and facilities near you with the new and improved Provider Search and Cost Estimator Tool. com. Provider search tool. Search for doctors, dentists, and hospitals, and get cost estimates for over 1,600 procedures. Use these tools to find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. Dr. On this site, you will find resources that help health care professionals do what they do best — care for our members. com or fax to 919-287-8884. com, our office is featured as “Family Care, PA” under most searches. 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. There is an indicator in the Find A Doctor tool that identifies CPP providers. Better care starts here. 1 Support for agencies of all sizes Our team is ready to support yours. Search for specialized care local to Illinois. 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 Find doctors and providers in Arizona and beyond with AZ Blue. The best dental plans make it easy for you to find a trusted dentist and know what’s covered before you see them. Begin typing "Pharmacist" into the search box, select "Pharmacist (Flu & Other Limited Injections)". Jan 26, 2016 · At the top right of the screen, you will see the “Find a Doctor” link. Learn how to access your plan benefits, tools and documents with Blue Connect member portal. Find a doctor online. 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. Within the United States, to search for a dentist by location, supply your city (optional) and state. Log in to Blue e portal to manage claims, eligibility, prior authorization and more. If you don't have an account, register now. Use our enhanced provider directory to get procedure cost estimates. Jul 28, 2024 · John Griffin, MD, is an ABIM board-certified Internal Medicine Physician at Genesis in Westfield, New Jersey. Use the Look up Doctor or Drug search to find an in-network doctor or facility. How Blue Value Works 2 You can access these in-network health care providers in all 50 states, and Washington, D. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. Claims information and online EOBs; Up-to-date information about your deductible and coinsurance; Estimated out-of-pocket costs for specific providers and services 6 days ago · The dates below are used for Medicare compliance and do not apply to provider data updates. On BCBSNC. Search for specialized care local to Texas. 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. If you receive care at an in-network hospital, be sure to ask about obtaining these services from in-network providers in order to receive the maximum possible 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 Company About Us Search for specialized care local to New Mexico. Our Find a Doctor & Estimate Costs tool makes it easy for you to find what you need. It’s an easy way to access care for you or your family without leaving home. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Read your plan information carefully to know which network your health plan falls in. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. You can also search providers outside the U. Providers looking to join can find out more about these networks. Browse our extensive network of providers and facilities to receive the care you need. 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 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. Also, the selection of an in-network hospital does not guarantee that providers like anesthesiologists, radiologists, pathologists and emergency room personnel are in-network providers. Blue Cross NC provides the telehealth program for your convenience and is not liable in any way for the goods or services received. The full text or spelling is not required for the city and dentist name fields. Search for keywords like: Psychologist, Psychiatrist, Social Worker, Therapist, Substance Use Facility or Counselor. Search for in-network doctors, drugs, pharmacies and other care options with Blue Cross NC. Explore our affordable health insurance plans with coverage for people under the age of 65. Employer Producer All providers practicing under that TIN will be part of CPP. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. 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. Effective Date of Change: _____ Find affordable health plans with exclusive benefits, extensive provider networks, and caring customer service. If you go to an out-of-network doctor for your flu shot, you will have to pay a fee. Use the Find Care tool above or the BCBSTX mobile app to search for in-network doctors who specialize in your diagnosis. They can address your concerns in the office or refer you to a behavioral health provider. See a doctor 24/7 with LiveHealth Online. With Headway, you can use your Aetna, Anthem Blue Cross and Blue Shield, United, Cigna, Oscar, and Oxford insurance plans to pay for mental health care with more insurance partners coming soon. Get insurance delivered through your local BCBS agency. 6 days ago · Find doctors, hospitals, and more in your plan's network. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Pharmacy Finder Find a pharmacy in your plan network. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to date and accurate. 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. Search for quality, in-network providers using our Find a Doctor/Hospital tool. SpecialtyPharmUpdates@bcbsnc. Search nationwide for physicians, specialists or hospitals. 2 days ago · CareSource Find a Doctor. Get a health insurance quote today. Members are still expected to select a primary care physician (PCP). S. Talk to your primary care provider. Click to learn more. Once you click this link, you will be able to search for a provider of any specialty type in your preferred location. Your Dental Blue plan can help take care of your health by giving you regular and reliable access to dental care. . Is the completion of this form a response to a Provider Outreach regarding your directory information? Yes No . through BlueCard®. information for a group or solo provider. Select the find your provider button to go to the provider or facility profile Most therapists and psychiatrists don't accept insurance. That’s Dental Blue® from Blue Cross NC. 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 We're currently processing your request and we'll be in touch soon. Choose option 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 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. Will my flu shot be covered if I go to an out-of-network doctor? No. Providers can submit claims for members with Blue Medicare HMO and PPO plans electronically through Blue e or EDI. Getting a referral from your primary care provider is important if you have an HMO plan and want to save money. Member Appeal Representation Authorization Form. 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. 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. Dental coverage is available through To find the closest provider, please search by distance using the zip code search. 16, 2003, as well as 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. Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. Use the right search tools to find a doctor. Copayment amounts can vary depending on the service, the type of health care provider, and whether the provider is in or out of network. BOX 2291 DURHAM, NC 27702 Please Fax to: 1-866-987-4167 PROVIDER INFORMATION CLINICAL INFORMATION *PROVIDER NAME *CLAIM NUMBER *PROVIDER MAILING ADDRESS *TOTAL CHARGE As a result of the calendar year (CY) 2024 policy and technical changes to theMedicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly, changes have been made to the Blue Cross and Blue Shield of North Carolina Blue Medicare Advantage ℠ medical policies. Plus, the ability to read and write reviews, and compare up to ten doctors at a time puts more control in your hands. Email the completed form(s) to ProviderUpdates@bcbsnc. Type the first several letters of the provider's first or last name, the facility name, the specialty, or the condition to search in the search box; If needed, modify the default location in the location box and/or the default distance in the distance box. Click it. Use the Find Care tool above or the BCBSIL mobile app to search for in-network doctors who specialize in your diagnosis. About Mental Health (cdc. 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. Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. 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). You can also contact Customer Service at 1-877-258-3334 for assistance locating a provider or to obtain a paper copy of a directory. Estimates provided will be based on that provider's claims for the procedure and your personal plan benefits and health care spending to date. Welcome to BCBSNC Browse by Category. Find results using these care categories. HIPAA affects almost the entire health care industry, including employers. Find our commercial, Medicare and dental online reference manuals for providers. Ask your doctor for a recommendation or referral. com The NC State Health Plan Network is composed of CPP providers and Blue Options providers. Find out how to join, update or access the Blue Cross NC network of providers. Provider tools & resources. Look for a doctor, hospital, laboratory, or any other medical provider by name, specialty or location anywhere in Louisiana, and print directory results for your search. 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. Contact us for more details about our plans, coverage, costs and more. To find a doctor, group, or facility, use our online provider search tool or the link to our directories. Only Show Offices Accepting New Patients. Log in to My Health Toolkit ® to search the provider directory and view search results specific to your insurance plan. Click “Find a Doctor or Facility” in the menu. If using the search field, type your practice or provider name in the search field. 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. These tools are offered for your convenience and should be used only as reference tools. Find a doctor's office near you at any Atrium Health facility in North and South Carolina. Provider data last updated: Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Use the Find Care tool above or the BCBSNM mobile app to search for in-network doctors who specialize in your diagnosis. 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. See important dates, forms, resources, policies and more. The fixed dollar amount, (for example, $15) you pay upfront to a health care provider for a covered service. Get detailed estimates for procedures or services (not available with some plans). Provider Blue Books. Get accurate results for out of pocket costs, specialties, treatments and conditions. For a faster response, please call us directly at 888-666-8135. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. Here, you can locate providers by name, specialty, county or zip code The Provider Search information is updated weekly. *This is the 2023 fee schedule, which will be updated in May of 2024 and again May of 2025 as it is dependent on CMS. You can also check to see if your current eye doctor is in our provider network. Pharmacy coverage is available through Prime Therapeutics ®. If not using the search field, the steps below outline Linking your Blue Connect account helps you quickly access:. With more than 100,000 network providers across the coverage areas, and depending on your plan, you have plenty of choice when it comes to finding the best care available to meet your health needs. With online doctor appointments and physicians in Charlotte, NC & SC, Atrium Health makes it easy for you to find care close to home. Access tools, policies and the latest information to help you care for our members. Find a prescription drug on the Blue Value formulary. Search for an in-network doctor, NC pharmacy or nationwide pharmacy. • 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 For all other inquiries, including member support questions, please contact Blue Cross NC at 800-214-4844 or PNC. 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. All vaccines, including the flu shot, are only covered when given by an in-network doctor. Select your health plan below to access your Find a Doctor tool. O. Find which documents are required and where to send them based on your patient’s health plan. You can access these in-network health care providers in all 50 states, and Washington, D. Take control of your health care costs. Our public Find Care tool is only for plans not in a Select Network. The new tool offers a more straight-forward way to get the information you need. Easily find the right in-network providers and care options. Only providers with a Blue Cross NC contract can receive direct payment. If the drug is listed in the Drug Search, these requirements may still apply. Y0114_20_122379_U CMS Accepted 05/08/2020 You are leaving Anthem. Care management and medical necessity review Search 24/7 online for a provider or pharmacy. Find and compare providers and get cost estimates for more than 1,400 common medical procedures. When you need to see a doctor late at night or can’t make it to your doctor’s office, LiveHealth Online can help. The Provider Finder ® makes it easy to find a doctor or other provider in your area. LiveHealth Online lets you visit a doctor through video chat on your computer, tablet, or smartphone. Ask your employer if you're in a Select Network or check your ID Card for your network. Our large provider network gives them access to care across all 50 states and nearly 200 countries and territories around the world. 2. 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. Back to Top 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 A: Access the most up-to-date provider information with our online Provider Search. Find a Dentist Find a dentist in your plan network. 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. You can choose an eye doctor nearest you or who offers the services you want. NC State Health Plan Network (Blue Cross NC 2024) Enhanced PPO Plan (80/20) Base PPO Plan (70/30) Blue Cross NC makes health insurance easy. Advanced Search Criteria Search Tips ×. FOR PROVIDER USE ONLY o help expedite your review, please complete this form in its entirety: PLEASE MAIL ALL INQUIRIES TO: BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA P. As an alternative, you may enter a ZIP code. 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. Blue Cross NC is made up of multiple networks, including FEP, Medicare and Medicaid. Access our Blue Connect member site to find an in-network provider. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Can I search for medical care costs in advance of care? Yes, those with an individual and family or employer-provided plan can use the Find a Doctor tool to look up 1,700+ procedures and services. Helpful plan information for Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx (PDP) members. Find results using these care categories Provider data last updated: Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. We have an easy-to-use Find Care tool that lets you search for an in-network eye doctor. gov) Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. 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. Copayments do not count toward your deductible or out-of-pocket maximum. You will need to contact Blue Cross NC Provider Service at 800-777-1643. Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). Find a health care provider; Log in to the Blue Connect℠ member portal; Get wellness discounts; Learn about dental plans and travel insurance; You can also get important health-related forms and documents, and find answers to frequently asked questions about student health insurance. You can also manage your claims and view out-of-pocket costs. C. In addition, you'll find directories for mental health clinicians and facilities. Learn National Provider Search As a BCBS member, your coverage travels with you. oefzm fpdhl sizihs ccsp wxywr fsvpr yaukw mxmudx cdsxp rvxh