Healthy Blue Nc Provider Policy

Listing Websites about Healthy Blue Nc Provider Policy

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Reimbursement Policies - Healthy Blue North Carolina Providers

(1 days ago) WEBReimbursement 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 …

https://provider.healthybluenc.com/north-carolina-provider/reimbursement-policies

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Search Medical Policies and Clinical Guidelines

(9 days ago) WEBMedical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These guidelines are available …

https://provider.healthybluenc.com/north-carolina-provider/medical-policies-and-clinical-guidelines

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Healthy Blue Provider Quick Reference Guide

(5 days ago) WEBhospital, home health service or any other kind of Healthy Blue P.O. Box 27287, Richmond, VA 23261-7287 Certain services are covered directly by NCDHHS. Healthy …

https://provider.healthybluenc.com/docs/gpp/NC_CAID_QuickReferenceGuide.pdf

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Medical Policies and Clinical Utilization Management - Blue …

(Just Now) WEBPlease note, this communication applies to Healthy Blue + MedicareSM(HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina …

https://www.bluecrossnc.com/providers/provider-news/2022/medical-policies-and-clinical-utilization-management-guidelines-update-healthy-blue

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Medicaid North Carolina Healthy Blue of North Carolina

(4 days ago) WEBBehavioral Health Crisis Line. 844-594-5076 (TTY 711) 24 hours a day, seven days a week. Call us if you are experiencing emotional or mental pain or distress. We have …

https://www.healthybluenc.com/north-carolina/home.html

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Billing Guidance for Healthy Blue Providers - hfma.org

(7 days ago) WEBWhen submitting paper claims, providers must complete the UB-04 or CMS-1500 claim form on the original claim form with typed information or computer printed in large dark …

https://www.hfma.org/wp-content/uploads/2024/04/healthyblue-2024healthinsurance-northcarolina.pdf

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Medicaid Benefits Healthy Blue of North Carolina

(6 days ago) WEBAs 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. you …

https://www.healthybluenc.com/north-carolina/benefits/medicaid-benefits.html

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Providers Blue Cross NC

(7 days ago) WEBProviders. Access tools, policies and the latest information to help you care for our members. Blue Medicare, Healthy Blue Medicaid, Experience Health and others. …

https://www.bluecrossnc.com/providers

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May 2024 Introducing Healthier Healthy Blue

(4 days ago) WEBStay up-to-date with Healthier Healthy Blue. Education opportunities will be posted to our Healthy Blue Training Academy: Training academy Healthy Blue (healthybluenc.com) …

https://provider.healthybluenc.com/docs/gpp/HBNC_CAID_IntroducingHealthierHealthyBlue.pdf?v=202405031454

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August 2021 Overview of Medicaid with Healthy Blue and …

(1 days ago) WEBBlue Shield of North Carolina Senior Health, a wholly-owned subsidiary of Blue Cross NC. Healthy Blue + Medicare is an included MA plan for all Blue Cross NC provider …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/healthy-blue-healthy-blue-medicare-comparison.pdf

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Prior Authorization Requirement Changes Effective May 1 - Blue …

(7 days ago) WEBPrior authorization requirements will be added for the following code (s): Not all PA requirements are listed here. Detailed PA requirements are available to providers …

https://www.bluecrossnc.com/providers/provider-news/2024/prior-authorization-requirement-changes-effective-may-1-2024

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Healthy Blue + Medicare HMO D-SNP Providers Blue Cross NC

(1 days ago) WEBPhone: 866-611-4287. Fax: 855-443-7821. Healthy Blue + Medicare. 3350 Peachtree Road NE. Atlanta, GA 30326. View our Healthy Blue + Medicare D-SNP resources for …

https://www.bluecrossnc.com/providers/networks-programs/blue-medicare/healthy-blue-medicare

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Healthy Blue Provider Quick Reference Guide

(5 days ago) WEBnorth-carolina-provider/forms Online: Authorization requests can also be sent through https://www.availity.com. Blue Cross NC Healthy Blue Claims P.O. Box 61010 …

https://provider.healthybluesc.com/docs/gpp/NC_CAID_QuickReferenceGuide.pdf

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Contact Us Healthy Blue of North Carolina

(Just Now) WEBHealthy Blue Member Services. 844-594-5070 (TTY 711) Monday through Saturday, 7 a.m. to 6 p.m. Eastern time. We can help with: Understanding your benefits. Finding a …

https://www.healthybluenc.com/north-carolina/contact-us.html

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Outpatient Behavioral Health Services Reminder - Provider News

(Just Now) WEBIf you have questions about this update, please contact Healthy Blue Provider Services at 844-594-5072 Monday through Saturday, 7 a.m. to 6 p.m. Eastern …

https://providernews.healthybluenc.com/articles/outpatient-behavioral-health-services-reminder/print

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Notification of Specialty Pharmacy Medical Step Therapy - Blue …

(Just Now) WEBBlue Cross and Blue Shield of North Carolina Senior Health, DBA Blue Cross and Blue Shield of North Carolina, is an HMO D-SNP plan with a Medicare …

https://www.bluecrossnc.com/providers/provider-news/2023/notification-of-specialty-pharmacy-medical-step-therapy-updates

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Update: Pricing Policy Update Effective January 1, 2024 - Blue …

(7 days ago) WEBNon-2008 pricing policies: To provide better clarity around our pricing policies Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is making the …

https://www.bluecrossnc.com/providers/provider-news/2023/update-dsnp-pricing-policy-update-010124

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Prior Authorization Requirement Changes Effective May 1 - Blue …

(Just Now) WEBPlease note, this communication applies to Healthy Blue + Medicare SM ( HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina (Blue Cross …

https://www.bluecrossnc.com/providers/provider-news/2024/dsnp-prior-authorization-requirement-changes-may-2024

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New Facility Emergency Department E&M Services - Blue Cross NC

(4 days ago) WEBMarch 26, 2024. Claims & Coding Facilities & Hospitals. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is implementing a new policy for our Facility …

https://www.bluecrossnc.com/providers/provider-news/2024/new-facility-emergency-department-e-m-services-reimbursement-policy

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Fact Sheet on FTC’s Proposed Final Noncompete Rule

(6 days ago) WEBSpecifically, the final rule defines the term “senior executive” to refer to workers earning more than $151,164 annually who are in a “policy-making position.”. …

https://www.ftc.gov/news-events/news/press-releases/2024/04/fact-sheet-ftcs-proposed-final-noncompete-rule

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