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Healthy Blue North Carolina Providers

WEBBlue 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 …

Actived: 9 days ago

URL: https://provider.healthybluenc.com/north-carolina-provider/

Behavioral Health

WEBBehavioral health. Member Services: 844-594-5070. Provider Services: 844-594-5072. Behavioral Health Crisis Line: 844-594-5076.

Category:  Health Go Health

Prior authorization requirements

WEBBehavioral health. Services billed with the following revenue codes always require prior authorization:. 0240–0249 — All-inclusive ancillary psychiatric; 0513 — Psychiatric clinic …

Category:  Health Go Health

Behavioral Health Overview

WEB• Ensure service accessibility, including a comprehensive array of quality and evidence-based supports and services for eligible members. • Integrate the management and …

Category:  Health Go Health

Provider Resources

WEBThe behavioral health provider network for Healthy Blue members includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and …

Category:  Health Go Health

Using CareBridge Electronic Visit Verification

WEBNote: CareBridge is an independent company providing electronic visit verification services for Healthy Blue providers on behalf of Blue Cross and Blue Shield of North Carolina.

Category:  Health Go Health

Learn about Availity

WEBLearning opportunities. Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. …

Category:  Health Go Health

New Carelon Rehabilitation Program Effective May 1, 2023

WEBJanuary 2023 Notes: • Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services for Healthy Blue providers on behalf …

Category:  Medical Go Health

Healthy Blue Provider Billing Guide

WEBNCHB-CD-005766-22. Healthy Blue Provider Billing Guide. Provider Services: 844-594-5072 https://provider.healthybluenc.com. Notes: • Availity, LLC is an independent …

Category:  Health Go Health

Full list of Medical Policies and Clinical Guidelines

WEBMedical Policy. Administrative. ADMIN.00006 Review of Services for Benefit Determinations in the Absence of a Company Applicable Medical Policy or Clinical …

Category:  Medical Go Health

Telehealth Quick Reference Guide

WEBTo learn more about NC-STeP, visit NC Step Program and Resources or call 252-744-0454. Convenient and easy way to get care anytime, anywhere via smartphone, tablet or …

Category:  Health Go Health

March 2024 North Carolina Medicaid Clinical Coverage Policies

WEBMarch 2024 Note: Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services for Healthy Blue providers on behalf of Blue …

Category:  Medical Go Health

Carelon Medical Benefits Management (Carelon) …

WEBOnly services managed by Carelon as part of the Rehabilitation Program can be submitted for review. If providers are unable to find the service code in the system, they may call …

Category:  Health Go Health

Fact Sheet Telehealth Program

WEBNC Medicaid 4. of . 4 20210614 • Assist providers with Health Information Exchange (HIE) inquires related to NC HealthConnex connectivity compliance and the HIE Hardship …

Category:  Health Go Health

NC Medicaid Telehealth Billing Code Summary

WEBNC Medicaid Telehealth Billing Code Summary 1 of 22 June 25, 2020 NC Medicaid Telehealth Billing Code Summary UPDATE (June 25, 2020) • Updated …

Category:  Health Go Health

Utilization Management Clinical Criteria

WEBHealthy Blue Utilization Management Clinical Criteria 6 Criteria number Criteria title New and Revised Item CG-SURG-01 Colonoscopy CG-SURG-03 Blepharoplasty, …

Category:  Health Go Health

Known Issues List

WEBApril 26, 2024 . Note: Availity, LLC is an independent company providing administrative support services for Healthy Blue providers on behalf of Blue Cross

Category:  Health Go Health

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