_|3|K$w[@?dcp2[JBY3[5eV:k,)EVKi(G}!2i!!YBSx'p]T9^9g^mJqV+\m;(^kFLA14?^3/sziC1v GNo,Lm9t'|\ZNzfQRN0F:O[Iwd` ADA Dental Claim Form or call 800-947-4746. Parents, Medicaid might cover you, too. Youll have your own care manager who will get to know you, your family and your care team. You can also call us toll free at 1-844-594-5070 (TTY 711) to get connected with a care manager. The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Download the Sydney Health mobile app from your app store and log in using the same Healthy Blue username and password.. NCHealthplans is an independent authorized producer/agency licensed to sell and promote products from Blue Cross and Blue Shield of North Carolina (Blue Cross NC). DentaQuest processes most dental claims based on the Healthy Connections dental benefit, fee schedule and coverage policies. PDF Health Plan Comparison Chart Behavioral Health Concurrent Review Fax Form (PDF), Electroconvulsive Therapy Prior Authorization Request (PDF), Mental Health Outpatient Treatment Report (PDF), Overpayment Refund Notification Form (PDF), Psychological Testing Request for Authorization(PDF), Overview of Medicaid with Healthy Blue and Medicare Advantage with Healthy Blue + Medicare(HMO D-SNP) (PDF), Care Part B Expansion Adstiladrin, Altuviiio, Idacio, Lamzede, Lunsumio, Rebyota, Signifor LAR, Syfovre, Vivimusta (PDF), Clinical Criteria Updates November 2022 Healthy Blue + Medicare (HMO D-SNP) (PDF), Clinical Criteria Updates - March 2023 (PDF), Clinical Criteria Updates - May 2023 (PDF), Clinical Laboratory Improvement Amendments (PDF), Conducting the Medicare Annual Wellness Visit Via Telehealth: Guide for Office, Nursing and Provider Staff (PDF), Electronic Data Interchange Overview(PDF), How to Navigate Patient360 through the Availity Portal(PDF), Healthy Blue + Medicare D-SNP Supplemental Guide (PDF), Medical Policies and Clinical Utilization Management Guidelines Update (PDF), Medical Step Therapy - Rituxan Agents (PDF), Medicare Advantage Skilled Nursing Facility/Rehabilitation Pre-Certification Worksheet (PDF), Medicare Annual Wellness Visit Workflow(PDF), Medicare Medical Precertification Expansion(PDF), Medicare Part B Precert Expansion Imjudo, Pedmark, Tecvayli, Tzield, Vegzelma(PDF), Medicare Risk Adjustment Provider Documentation and Coding Guide(PDF), Pharmacotherapy Management of COPD Exacerbation HEDIS Measure (PDF), Prior Authorization Requirement Changes Effective August 1, 2023(PDF), Prior Authorization Requirement Changes Effective November 1, 2023 (PDF), Prior Authorization Requirement Changes Effective December 1, 2023(PDF), Providing a Superb Patient Experience(PDF), Providing Preventive Care in an Urgent Care Setting: Guide for Urgent are Clinical Team Members (PDF), Somatus is your Resource for Kidney Care Management(PDF), Specialty Pharmacy Medical Step Therapy for Hyaluronan Injections (PDF), Unspecified Diagnosis Code of Site and Laterality (PDF), UPDATED: Blue Cross NC Expands Specialty Pharmacy Precertification List(PDF), Code and Clinical Editing Guidelines(PDF), Diagnosis-Related Group (DRG) Inpatient Facility Transfers(PDF), Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU)(PDF), Emergency Department: Leveling of Evaluation and Management Services(PDF), Emergency Services: Nonparticipating Providers and Facilities(PDF), Facility Take-Home DME and Medical Supplies(PDF), Modifier 76: Repeat Procedure by the Same Physician(PDF), Multiple Procedure Payment Reduction(PDF), Multiple Radiology Payment Reduction(PDF), Nurse Practitioner and Physician Assistant Services(PDF), Reimbursement for Items under Warranty (PDF), Technology Assisted Surgical Procedures (PDF), non-discrimination policy and no-cost services, Medical Policies and Clinical UM Guidelines. It has three separate portals for specific internet access to different sectors of the business: Providers, Recipients and internal operations needs. Complete the registration, then follow the prompts through the EnrollSafe secure portal to the enrollment page, which will provide the required information to receive direct deposits. ZH;[z[^C P+z4!!# 6D 4-#^p__45$|#{tbF:..03a/~bBUD1!piqj^Ci(xw~GoT$C2WTpH'O,.($a*rIwo,CzCd5vsO,rB=G?EQ)m(h=?R,c?KB3sSe_&h'* 90"-m].0RGaw+Q^! B9)+10~pt!&AR3:NCybW)mi76 Find Dental Care Have Dental Blue Select? Healthy Rewards is a no-cost, optional program for Healthy Blue members. Blue Cross NC embraces the mission to improve the health and well-being of members and communities. <> Stay on top of your health care with member resources from Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Search for up-to-date drug information, including hundreds of brand-name and generic medications. To learn more, view our full privacy policy. Do not submit Healthy Blue + Medicare HMO D-SNP claims through Blue e provider portal. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. You can get no-cost rides to and from your appointments. Type at least three letters and we will start finding suggestions for you. Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. That company is solely responsible for the privacy policies and content on its site. That's why we've redesigned the website to make it more useful for you and easier to use. Thats why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, a comprehensive, proactive care management and care coordination program for all expectant mothers and their newborns. Search for many different types of providers, like: Primary care providers (PCP) Specialists Hospitals and facilities These forms are specific to Healthy Blue + Medicare HMO D-SNP and are required when doing business with Blue Cross NC. You can look for your dentist by using our Find Care search tool. All other marks are the property of their respective owners. Healthy Blue + Medicare HMO D-SNP | Providers | Blue Cross NC If you are leaving a nursing home and are worried about your living situation, we can help. If you have questions about using LTSS benefits, talk with your PCP, a member of your care team or call Member Services at 844-594-5070. For more information about Healthy Blue coverage policies, the Healthy Connections fee schedule and claims submission, call the Healthy Blue provider Customer Care Center at 866-757-8286, MondayFriday from 8 a.m.6 p.m. Pharmacies. 4 0 obj Since 1933,Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has helped millions of North Carolinians get and stay healthy. BlueChoice HealthPlan has contracted with Amerigroup Partnership Plan, LLC, an independent company, for services to support administration of Healthy Connections. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 a.m. to 8 p.m. ET/CT, 7 a.m. to 7 p.m. MT/PT. What you get with Healthy Blue Doctor visits Prescriptions Vision care Medical care Pharmacy and prescription drugs Vision care Wellness care 833-870-5500 (TTY 833-870-5588), 7 a.m. to 8 p.m., seven days a week. We also support the states Care Management for High Risk Pregnancy (CMHRP) program. In fact, eligible Medicaid beneficiaries age 21 and older may receive a maximum $750 annual benefit in covered dental services. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. This value plan covers preventive, basic and major services with richer benefits in-network and a lower premium than the Core Plan. 2023 Blue Cross and Blue Shield of North Carolina. Choose from convenient online payment options -- credit card, check or automatic check withdrawal. The following providers offer dental services: General Dentists - Provide exams, X-rays, preventive services, fillings, complete and partial dentures, and simple extractions to patients of a wide age range Pediatric Dentists - Provide exams, X-rays, preventive services, fillings and simple extractions for children. PDF Healthy Blue Provider Manual If Orthodontia coverage is selected, the maximum benefit for orthodontia coverage is a lifetime maximum of $1,000 or $1,500 per eligible member. Consult your dentist or physician for information or treatment specific to you and your health. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Marks of the Blue Cross and Blue Shield Association. Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Up to $750 per year that can be used for covered dental services: Emergency medical procedures performed by an oral surgeon, as necessary, Electronic submission through a clearinghouse. Healthy Blue North Carolina Providers Welcome! Learn more about our non-discrimination policy and no-cost services available to you. Please feel free to call Healthy Blue Provider Services at 844-594-5072 with any suggestions, comments and/or questions. Welcome to BCBSNC Los Angeles, CA 90060-0008, Healthy Blue + Medicare NC DHHS: Providers You will need your member ID number to register (located on your . You and your care manager will work together to figure out the care and services you need to help you meet your health care goals. Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Health Plan Member Copays Some members may be required to pay a copay. Welcome to BCBSNC Visit GeoBlue to find third-party coverage that protects you while you're traveling. PDF Member Handbook Update - Healthy Blue of North Carolina Medicaid North Carolina | Healthy Blue of North Carolina With access to your secure account, you can: Change your primary care provider (PCP). We look forward to working with you to provide quality services to our members. Delta Dental of North Carolina is a part of Delta Dental Plans Association. PDF 315.69 KB - June 03, 2022 Contact Information. Please contact 888-206-4697 (TTY: 711) for assistance. No deductibles for routine check-ups, diagnostic or preventive services. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. NC Medicaid Managed Care, Health Plan Comparison Chart Author: NC Department of Health and Human Services, Division of Health Benefits Subject: Use this chart to compare benefits and services that each health plan offers. 844-594-5070 (TTY 711) Monday through Saturday, 7 a.m. to 6 p.m. Eastern time. \vx`oA)Z,+Z3:D.E|^NHb8EH_;O+|5+S/.BNYW|ec.8 6xa0lSGh|JD '04iv6b1S("VC+-0D9y40%cJ-W;;]gsv]5P,=E w)'#>`U Xgp%Za.fuZs*cotIZA:rOoh!,|ykri\XC&@JE$Hal>q>Vzq$hm*FDQo6;ZYhjW( .P(>i= NU#y\HL2 Primary care provider (PCP) visits; Immunizations and wellness visits; EPSDT (early and periodic screening, diagnosis and treatment) services for members under 21 . Model of Care training (PDF) Frequently Asked Questions Blue Cross and Blue Shield of North Carolina (Blue Cross NC) and Amerigroup Partnership Plan, LLC have entered into a strategic alliance to deliver a comprehensive, best-in-class Medicaid plan for Medicaid members in North Carolina, known as Healthy Blue. stream 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 you need it. Dental resources Dental payment options We can pay dental providers by check, EFT or virtual credit card. PDF Frequently Asked Questions - Healthy Blue North Carolina Providers An official website of the State of North Carolina, Mental Health And Substance Use Disorders, North Carolina Reproductive Health Services, Mental Health, Developmental Disabilities and Substance Use Services, Services for the Deaf and the Hard of Hearing, Data Dashboards, Action Plans/White Papers. This link leads to a third-party website. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. The Healthy Opportunities program covers certain nonmedical aids for high-risk members. Use our search tool below to find a plan provider close to home. 2 0 obj
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