Healthy blue provider manual nc

See also: Healthy blue provider manual missouriHealthy blue provider manual louisianaHealthy blue provider manual ncHealthy blue provider manual nebraskaHealthy blue la provider manualHealthy blue medicare provider manual

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Healthy blue provider manual nc

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Related websites

Healthy Blue Provider Manual

  • Healthy Blue Provider Manual 8 Note: Availity is an independent company providing administrative support services for Healthy Blue providers on behalf of Blue Cross and Blue Shield of North Carolina
  • Blue Cross NC Office Address Blue Cross NC | Healthy Blue 11000 Weston Parkway, Suite 200 Cary, NC 27513 Phone Numbers Provider Services: 844 -594

Provider.healthybluenc.com   DA: 26 PA: 41 MOZ Rank: 68

Provider Manuals and Guides

  • Healthy Blue’s provider manual provides key administrative information including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies
  • View or download the provider manual
  • View or download the Quick Reference Guide.

Provider.healthybluenc.com   DA: 26 PA: 43 MOZ Rank: 71

Provider Resources

  • We are committed to supporting you in providing quality care and services to Healthy Blue members
  • Here you will find frequently used forms, PDFs, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to Healthy Blue members.

Provider.healthybluenc.com   DA: 26 PA: 34 MOZ Rank: 63

Healthy Blue North Carolina Providers

  • Blue Cross NC embraces the mission to improve the health and well-being of members and communities
  • On this site, you will find resources that help health care professionals do what they do best — care for our members
  • Provider Services: 844-594-5072
  • Behavioral Health Crisis Line: 844-594-5076.

Provider.healthybluenc.com   DA: 26 PA: 29 MOZ Rank: 59

U1754The BLUE BOOK Provider eManual ONLINEversion

  • Table of contents The Blue Book SM Provider e-Manual PAGE 3 of 13 5
  • North Carolina Health Choice for Children program 5.1 Determining eligibility ..5-1

Bluecrossnc.com   DA: 19 PA: 35 MOZ Rank: 59

Policies Manuals and Guides Healthy Blue

  • The Healthy Blue provider manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies
  • MO HealthNet Managed Care (Medicaid) Provider Manual
  • MO HealthNet Managed Care (Medicaid) Quick Reference Card.

Provider.healthybluemo.com   DA: 26 PA: 47 MOZ Rank: 79

Provider Manuals And Guides Healthy Blue Louisiana

  • Healthy Blue is committed to supporting you in providing quality care and services to the members in our network
  • Here you will find information for assessing coverage options, guidelines for clinical Utilization Management (UM), practice policies and support for delivering benefits to our members.

Provider.healthybluela.com   DA: 26 PA: 50 MOZ Rank: 83

2021 North Carolina Medicaid Provider Manual

WellCare of North Carolina is offered by WellCare Health Plans (WellCare), which is a wholly-owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering both core Medicaid and specialty services.

Wellcare.com   DA: 16 PA: 50 MOZ Rank: 74

Medicaid North Carolina Healthy Blue of North Carolina

  • Since 1933, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has helped millions of North Carolinians get and stay healthy
  • Healthy Blue is our health plan for Medicaid members
  • We work with thousands of doctors, specialists, and hospitals throughout North Carolina, and we partner with many local organizations to help …

Healthybluenc.com   DA: 21 PA: 25 MOZ Rank: 55

Provider Blue Book Blue Cross Blue Shield of North

  • Blue Cross NC is pleased to provide the Web-based edition of the Blue Book, our provider reference manual
  • It is a comprehensive reference guide for our products, value-added programs and services
  • Our hope is that Blue Book will make it easier for you and your staff to collaborate with us in providing excellent service to your Blue Cross NC patients.

Bluecrossnc.com   DA: 19 PA: 38 MOZ Rank: 67

Healthy Blue Member Handbook

  • Healthy Blue 20210209 v13.0 NC MEDICAID MANAGED CARE MEMBER HANDBOOK vii
  • Healthy Blue complies with applicable federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, creed, religious affiliation, ancestry, sex, gender

Healthybluenc.com   DA: 21 PA: 48 MOZ Rank: 80

Find a Doctor Healthy Blue of North Carolina

  • To find a provider in the Healthy Blue network, click the search for a provider button below or contact Member Services at 844-594-5070 or TTY 711
  • Use our search tool below to find a plan provider close to home
  • You can search by name, specialty, location and more
  • Search for many different types of providers, like:

Healthybluenc.com   DA: 21 PA: 39 MOZ Rank: 72

Reimbursement Policies

  • We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is covered for Healthy Blue members
  • Keep in mind that determination of coverage under a member's benefit plan does not necessarily ensure reimbursement.

Provider.healthybluenc.com   DA: 26 PA: 47 MOZ Rank: 86

Healthy Blue + Medicare Blue Cross NC

  • Blue Cross NC has developed a Healthy Blue and Healthy Blue + Medicare overview highlighting key points about each product
  • This overview provides important details about each product, the differences between each product and will assist providers in administering both products for our members appropriately.

Bluecrossnc.com   DA: 19 PA: 50 MOZ Rank: 83

Healthy Blue Dual Advantage (HMO D-SNP)

  • • Providers should submit claims to Healthy Blue, not the local Blue Cross Plan
  • • All members must select a PCP
  • For the member to request a change to their PCP, the member must contact Healthy Blue Dual Advantage Customer Service at 1-844-209-5406
  • • Healthy Blue Dual Advantage member ID card should be presented at each visit.

Provider.healthybluela.com   DA: 26 PA: 50 MOZ Rank: 91

Prior Authorization Lookup Tool

  • Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina
  • Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association
  • ® Marks of the Blue Cross and Blue Shield Association
  • All other marks are the property of their respective owners.

Provider.healthybluenc.com   DA: 26 PA: 50 MOZ Rank: 92

Healthy Blue Provider

  • We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider.healthybluesc.com   DA: 26 PA: 29 MOZ Rank: 72

2021 Provider Manual

  • For hard copies of this Provider Manual please contact the Provider Services department at 1-833-552-3876 or if you need further explanation on any topics discussed in the manual
  • Billing Guidelines Billing guidelines and instructions are located in the dedicated Carolina Complete Health Billing Manual

Network.carolinacompletehealth.com   DA: 34 PA: 50 MOZ Rank: 32

Provider Manuals and Guides

  • Healthy Blue is committed to supporting you in providing quality care and services to the members in our network
  • Here you will find information for assessing coverage options, guidelines for clinical utilization management (UM), practice policies and support for delivering benefits to our members.

Provider.healthybluesc.com   DA: 26 PA: 43 MOZ Rank: 88

North Carolina Clinical Coverage Policies

  • Represented below are the North Carolina Clinical Coverage Policies, to which Blue Cross NC has attested
  • For physical health, behavioral health, and physician drug program Important information regarding provider claims and billing is found in Section 7 of the Healthy Blue Provider Manual located on the Healthy Blue provider website at

Provider.healthybluenc.com   DA: 26 PA: 50 MOZ Rank: 96

Member Resources Healthy Blue of North Carolina

  • Have questions? Call or write us! Member Services: 844-594-5070 (TTY 711) Already a member? Log in to your account and send us a message.
  • Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina.

Healthybluenc.com   DA: 21 PA: 46 MOZ Rank: 88

Contact Us Healthy Blue of North Carolina

  • 844-594-5070 (TTY 711) Monday through Saturday, 7 a.m
  • We can help with: Understanding your benefits

Healthybluenc.com   DA: 21 PA: 31 MOZ Rank: 74

Medicaid Benefits Healthy Blue of North Carolina

  • As Healthy Blue members, we will help make sure you and your family get all your Medicaid benefits, plus extra benefits offered through Healthy Blue at no cost
  • A care manager is a specially trained health professional who works with you and your doctors and other providers of your choice to make sure you get the right care when and where

Healthybluenc.com   DA: 21 PA: 47 MOZ Rank: 91

eManuals Online Reference Manual Blue

  • View or download our online reference manual for Blue Cross NC providers
  • The guide includes information on our products, services and value-added programs

Bluecrossnc.com   DA: 19 PA: 19 MOZ Rank: 62

Fact Sheets NC Medicaid

  • Medicaid and NC Health Choice Provider and Health Plan Lookup Tool - June 14, 2021
  • For more information on the Enrollment Broker notices and beneficiary materials, visit the Beneficiary Materials page
  • Non-Emergency Medical Transportation
  • For Non-Emergency Medical Transportation (NEMT) fact sheets, please see …

Medicaid.ncdhhs.gov   DA: 19 PA: 50 MOZ Rank: 94

Healthy Blue of North Carolina

  • Have questions? Call or write us! Member Services: 844-594-5070 (TTY 711) Already a member? Log in to your account and send us a message.
  • Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina.

Healthybluenc.com   DA: 21 PA: 28 MOZ Rank: 75

Home Healthy Blue Louisiana

  • Healthy Blue Louisiana Provider
  • Changes to durable medical equipment, pediatric day health care, home health, rehabilitation and personal care services, pharmacy and other services requiring prior authorization due to Hurricane Ida (Sept.13, 2021)

Provider.healthybluela.com   DA: 26 PA: 24 MOZ Rank: 77

Healthy Blue Provider Directory

  • other health care provider you should go to
  • This list may change at any time
  • You should’ve received the Evidence of Coverage (EOC) when you became a Healthy Blue member
  • This tells you how Healthy Blue works and which services are or aren’t covered
  • Some doctors may have been added or removed from the list after this book was printed.

Healthybluesc.com   DA: 21 PA: 50 MOZ Rank: 99

Home NE Provider

  • Update Your Provider Information
  • Starting on January 1, 2021, WellCare of Nebraska will be operating on Healthy Blue systems, which will require providers to be enrolled with Healthy Blue and submitting claims in accordance with their Nebraska Medicaid enrollment profile
  • Failure to correct inaccurate information, or bill utilizing Medicaid

Provider.healthybluene.com   DA: 26 PA: 23 MOZ Rank: 78

NC Medicaid Managed Care Provider Update – Sept. 15, 2021

  • If a practice wants to verify a health plan has received a PA, please contact the health plan provider relations team directly at: AmeriHealth Caritas: Provider Services: 888-738-0004
  • Carolina Complete: Provider Services: 833-552 …

Medicaid.ncdhhs.gov   DA: 19 PA: 50 MOZ Rank: 99

Provider Policies, Manuals, Guidelines and Forms

  • Provider Policies, Manuals and Guidelines
  • Provider Claims and Billing Assistance Guide (PDF, 5843 KB) Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EOB Code Crosswalk to HIPAA Standard Codes (XLSX, 691 KB) NC Health Check Program Guide (PDF, 875 KB) Health Choice Guidance (PDF, 290 KB) Medicaid and NCHC Clinical Coverage Policies

Nctracks.nc.gov   DA: 19 PA: 47 MOZ Rank: 97

Welcome Healthy Blue – Louisiana Medicaid

  • Visit the Healthy Blue website for Medicaid and LaCHIP members
  • You can: You’ll need to access the secure portion of the member website
  • Member Services: 1-844-521-6941 (TTY 711) Monday through Friday from 7 a.m

Healthybluela.com   DA: 21 PA: 25 MOZ Rank: 78

Prior Authorization Requirements

  • Medical Policies and Clinical UM Guidelines; Behavioral health
  • Fax all requests for services that require prior authorization to 877-664-1499
  • Interested in becoming a provider in the Healthy Blue network?

Provider.healthybluesc.com   DA: 26 PA: 44 MOZ Rank: 17

Health Plan Contacts and Resources NC Medicaid

  • All health plans except EBCI Tribal Option: Health Plan’s Provider Support line, listed below
  • EBCI Tribal Option: NCTracks Call Center, 800-688-6696 AmeriHealth Caritas North Carolina

Medicaid.ncdhhs.gov   DA: 19 PA: 50 MOZ Rank: 16

Missouri Providers Healthy Blue

  • Welcome, Missouri Providers! Resources that help health care professionals do what they do best — care for our members
  • At Healthy Blue, we value you as a provider in our network
  • That's why we’ve created a new provider experience to make …

Provider.healthybluemo.com   DA: 26 PA: 23 MOZ Rank: 84

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