Your payment is due on the first of the month. You'll have to reapply. Your chance to earn Blue Rewards may be available for a limited time only. (NOTE: Visit How We Contact You on Blue Connect to ensure your email address is correct under the Contact Information tab and that the box for Email is checked under the Delivery Preferences tab.) Get in touch with online support or You can make a one-time payment by phone . Linked Apps. Also, if you or the out-of-network provider does not get prior review or prior authorization for services that require such approval in advance, the out-of-network provider can bill you for the entire charge. Where can I find the Payment Terms and Conditions? Its important to pay your premium by the first of the month. By knowing how much a doctor or facility may charge, you can save money and avoid surprises. Fill in the details for your doctor and nearest urgent care center. By mail: Please follow the instructions on your bill to mail us your payment. For all other covered services received outside of North Carolina, you are responsible for ensuring that you or your provider requests prior review by Blue Cross NC or its designee even if you see an in-network provider. BCBSNC BCBSNC Telehealth Corporate Reimbursement Policy CIGNA Humana If you set up automatic recurring (monthly) bank draft or credit card payments in Blue Connect Billing & Payments, you will no longer receive a paper bill by postal mail. How do I get additional information about my plan or benefits? If you are enrolled in AutoPay, starting in October, billing notifications are sent 5 days prior to the due date of the 1st of the month. Youll no longer get a bill in the mail, but you can always see billing details on Blue Connect. Through Blue Connect, you can: You can change your name or address in several ways: Blue Cross NC's Customer Service representatives are available to answer calls at 1-877-258-3334, Monday through Friday from 8:00 a.m. to 7:00 p.m. You may also utilize the voice response unit on the Customer Service line, or log on to Blue Connectto complete a number of Customer Service transactions. Please note that it may take time for activities to show as completed in the Blue ConnectSM Activity Center and for you to receive the certificate to redeem your gift card. The provision is designed so that the payments of both plans do not exceed 100% of the covered charges. Why am I no longer receiving a paper bill? The advantage of being a member of your plan is that the provider has agreed to accept a reduced amount (allowed amount) for the services you received and your liability is based on the allowed amount and not the billed amount. Although your first payment is due Jan. 1, 2017, keep in mind that it takes a few days to process. We know its important to you and your family that your coverage begins on time. Site Map You can also call 888-802-2386 to verify your payment or to get answers to any other billing questions you may have. You may also receive additional information about your plan by contacting Customer Service toll-free at 1-877-258-3334, Monday through Friday from 8:00 a.m. to 7:00 p.m. Additionally, Blue Cross NC provides valuable information and services on this Web site. The expanded reimbursement policy was proactively put into place at the beginning of the COVID-19 public . A Good Source of Advice. doxo is a secure all-in-one service to organize all your provider accounts in a single app, enabling reliable payment delivery to thousands of billers. You will need your group number, tax ID and company ZIP code to complete this form. Pay online at bcbsnc. Enter your credit card details General information about Blue Cross & Blue Shield of North Carolina. Shop Health Insurance Plans in North Carolina. Heres how: Blue Connect MobileSM helps you manage your plan on-the-go. See "Who to Contact?" Will credit balances on inactive accounts (policies where coverage has ended) be refunded? The Member Guide includes detailed information about your specific benefits and covered services. Just opt into paperless billing from the Billing & Payments area on Blue Connect. Think of your primary care physician as your medical home or the quarterback of your entire health care team. Common questions, curated and answered by doxo, about paying Blue Cross & Blue Shield of North Carolina bills. Blue Cross NC will make a decision on your request for certification within a reasonable amount of time taking into account the medical circumstances. You can call 1-800-333-7009 to pay by phone. 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. Where can I find the Email Notification (Paperless Billing) Agreement? How to start a bill payment services business? TTY users dial 711, 1-800-661-5518 (toll-free) Other payments may have a fee, which will be clearly displayed before checkout. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. If youre looking to pay your bcbsnc by phone bills online, youve come to the right place. Employer Portal - Blue Cross NC Most premium rates are adjusted annually on January 1, but please refer to your plan documentation for further information. Olvido su contrasea? Call Customer Service -For individual members, during open enrollment we're open 8am-9pm Monday-Wednesday, 8am-10pm Thursday & Friday, and Saturday 9am-1pm. Thats the last day to sign up unless you qualify for a special enrollment period. Example: Your bill for June will be sent on May 10. This will help make things easier for you and ensure your payment arrives on time. Best Practices to reduce the chance of retroactive denials: Enrollee recoupment of overpayments is the refund of a premium overpayment by the enrollee due to the over-billing by the issuer. Technical Information Note: You cant make any changes to billing on the 1st or 2nd day of the month, because your draft date is approaching. This does not include copayments or non-covered services. To learn more about your international coverage visit BCBS Global Core or contact your local BCBS company. Payment Address BCBSNC PO Box 580011 No. Our Blue Cross NC Centers are designed to help you with all your health plan needs. We accept credit or debit cards with MasterCard, Visa, Discover, or American Express logos. Member Services - Login - Blue Cross NC Keep in mind that it will take a few days for your payment to be processed. You may change your billing address online. Blue365 offers access to savings on items that members may purchase directly from independent vendors, which are different from items that are covered under the policies with Blue Cross NC. Visit us here or call 1-877-258-3334, weekdays, 8 a.m. 7 p.m.. https://www.bluecrossnc.com/members/help/frequently-asked-questions/billing-and-payments-individual-and-family-health-or-dental. What Is An Entity Code For Insurance Billing. Once you make an online one-time payment, youll see a confirmation screen you can print. Necesita su ID de usuario? Questions about your bill should be directed to your biller by phone 888-206-4697. (spam filter / safe list information). helps you quickly access: Claims information and online EOBs. Any changes you make to your policy will be reflected in the next billing period. Blue Cross NC reserves the right to change or discontinue Blue Rewards at any time, including changing dollar amounts and available rewards, without prior notification. Yes. When you submit your application on Healthcare.gov, the marketplace compiles the information and sends it to BCBSNC. When you set up AutoPay, you will no longer receive invoices via paper mail. Olvido su contrasea? Easy steps to follow to make the initial or first payment to your policy online: Visit www.bcbsnc.com/pay in your preferred search engine. See the different credit or debit card payment options below for the answer: See the different bank draft payment options below for the answer: No. 2023 Blue Cross and Blue Shield of North Carolina. The next time a health concern or question crops up, use it to help you and your family decide what to do! Raleigh, NC 27604. Now its time to complete the enrollment process by making your first payment. (Blue Cross & Blue Shield of NC) For questions regarding benefits or any claim inquiries. SHOP FOR INSURANCE Prospective customers can call to discuss options to purchase coverage. If you dont enroll in AutoPay, you can still help us go green by getting monthly bills in your inbox rather than your mailbox. Opt-in to get SMS text messages! Can I view and print my bills and account payment history online? Medicare If you're over 65, our Medicare plans offer benefits to help you stay healthy. An enrollee, instead of the provider, submits a claim to the issuer, requesting payment for services that have been received. Disponible nicamente en ingls. Your Provider Billed: The amount your health care provider submitted for the services you received. You only pay any applicable copayment, deductible, coinsurance, and non-covered expenses. Monday-Thursday, 8 a.m. -6 p.m. QuitlineNC offers Blue Cross NC members counseling and nicotine replacement therapy like patches, gum and lozenges at no extra cost to you. Billing and Payments for Blue Medicare Plans, Billing and Payments for Individual and Family Health or Dental Plans. Blue Connect - Blue Cross and Blue Shield of North Carolina We accept credit or debit cards with MasterCard, Visa, American Express or Discover logos. . (See Filing Claims below for additional information.). Both User ID and Password are required. They will be told they won't be paid unless you pay your bill before the end of the third month. You may change your email address by selecting Edit Billing Preferences on theAccount Summary page for Billing & Payments inBlue Connect. Account Summary page for Billing & Payments inBlue Connect. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. SHPNC.orgFor Teachers and State Employees. You may also use a one-time bank draft through pay-by-phone. Pay by phone: You can pay by phone by calling 888-802-2386. 2023, Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Prior authorization (prior review) is a process through which an issuer approves a request to access a covered benefit before the insured accesses the benefit. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. These providers will also be able to check and see if you've paid your bill before they submit more claims for services. Did you know? So take advantage of these benefits! Managing yourinsurance plan is the key to betterhealth. Learn more about our non-discrimination policy and no-cost services available to you. Its often an invitation to join a special program or take a specific action to improve your health! Blue Connect Mobile NC - Apps on Google Play Pay My Bill Find and download important forms Download claim forms, appeal forms or coverage documents to manage your medical services. Call: 1-888-206-4697. You can shop for a plan and get a quote for yourself or a . Blue Cross NC may extend this period one time for up to 15 days if additional information is required and will notify you and your provider before the end of the initial 15-day period of the information needed and the date by which Blue Cross NC expects to make a decision. Can I make my premium payment with a business check? It does not include your premium, charges over allowed amounts, or services that are non-covered. Credit and debit cards are accepted. Once you make an online payment, youll see a confirmation screen that you can print for your records. Claims not received within 18 months from the service date will not be covered, except in the absence of legal capacity of the member. doxo is not an affiliate of Blue Cross & Blue Shield of North Carolina. What modifier is used to show a screening mammogram turned into a diagnostic mammogram? Their job is to coordinate your care and help you achieve the best health possible. So, youll get the best savings by using these providers. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Health Plans for Individuals and Families, Get a Quote for Individual and Family Plans, Non-Discrimination Policy and Accessibility Services, visit the Healthy Blue Website for more information. Call: 1-888-206-4697. Hi, Im Karah Manning with Blue Cross and Blue Shield of North Carolina, and Im part of the team working on some exciting changes to our website. Information in Other Languages Espaol Ting Vit Franais Hmoob Tagalog Deutsch . Customer Service: 1-888-206-4697. Optum does not offer Blue Cross or Blue Shield products or services. Consult with your benefits administrator or visit BlueCrossNC.com/BlueRewards for full program terms and conditions. But the truth is that for issues that arent life-threatening, youll get the best care at your primary care physician. If you experience difficulties, you may also make your first premium payment via the Blue Cross NC Initial Pay by Phone system available 24/7 at 1-888-802-2386. Durham, NC 27702, Blue Cross and Blue Shield of North Carolina As you can see, there are many new features on our site. Using in-network pharmacies, choosing generics over brand-name drugs and getting prescriptions by mail are great ways to cut down on medication costs. To pay online log in to your Blue Connect account. Stop by a Blue Cross NC Center in Raleigh, Charlotte or Boone. Register Now, Ancillary and Specialty Benefits for Employees. Blue Cross NC will make a decision on your request within a reasonable time but no later than 48 hours after receipt of requested information or the end of the time period given to the provider to submit necessary clinical information, whichever comes first. Claims may be denied retroactively, even after the enrollee has obtained services from the provider based on retroactive changes to eligibility, which include, but are not limited to failure to pay premiums and instructions from the Marketplace. The deductible may not apply to all services. If Blue Cross NC denies a request for a standard exception or for an expedited exception, Blue Cross NC has a process for the enrollee, the enrollee's designee, or the enrollee's prescribing physician (or other prescriber) to request that the original exception request and subsequent denial of such request be reviewed by an independent review organization. Learn more about our non-discrimination policy and no-cost services available to you. The grace period gives members who receive subsidies from the federal government more time to pay their bill. All federal, state and local taxes on gift cards, if applicable, are the sole responsibility of the member. Technical Information Issuers' exceptions processes allow enrollees to request and gain access to drugs not listed on the plan's formulary, pursuant to 45 CFR 156.122(c). So, its the most expensive and time-consuming care option you have. How and when can I contact my health plan? Donthave your ID card? Disponible nicamente en ingls. Olvido su contrasea? Visit us here or call 1-877-258-3334, weekdays, 8 a.m. - 7 p.m.. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. The payment deadline may have shifted, but taxes are still due eventuallyheres what to do if youre going to have a hard time paying your tax bill. Consult a medical professional and seek assistance in an emergency. Want in-person support? When youlog in to Blue Connect, click on the Billing & Payments icon on your Blue Connect home page. Charlotte, NC 28258-0094. Register and log in to our exclusive site that offers: Details of plan benefits, claims and plan changes; billing and payment options; access to personalized wellness programs; exclusive online discounts; and more. If your prescription drug benefit is based on coinsurance, the formulary can help you identify any low cost generic drugs that are available. Fraud and Abuse You can pay your premium online using a credit card, debit card or electronic transfers from a bank account (you'll need tolog in to Blue Connectorregister for Blue Connectfirst). Home Decisions regarding care should be made with the advice of a doctor. Log in toBlue Connectand go to Billing & Payments to view your account payment history and print your bills. Necesita su ID de usuario? Yes. Our new website will also include improvements to our search tool, making it easier for you to get answers to all your questions. If Blue Cross NC needs more information to process your urgent review, Blue Cross NC will let you and your provider know of the information needed as soon as possible but no later than 24 hours after we receive your request. Some people think theyll get the best care at the ER. Or learn more online about coverage for: Individuals & Families Seniors (Medicare) Employers This number is used solely to receive calls and never to make calls to BCBS members. Shield Association. Want one less item on your to-do list? In person at the corporate or Shreveport office by Check, Money Order, ACH payment or Credit Card, or in person at any other district office by Check or Money Order. Members should consult their tax professional for any advice on whether gift cards are considered reportable income. Copayments may count towards out-of-pocket maximum. Log In to Your Anthem Account | Anthem.com You also have the option of going paperless and receiving email notification when your invoice is available online. What are my premium payment options? , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. To pay your Xfinity bill, you can: Call 1-800-Xfinity (800.934. Giving up tobacco can be hard. Up-to-date information about your deductible and coinsurance. Current Members. Save Time With Live Chat. *5.2% average rate decrease, actual decrease varies by region. [Top Image: Shutterstock] For members not enrolled in automatic payments, bills are sent on or around 19 days before the due date. Scan and gowith the OTC app. 2023 Blue Cross and Blue Shield of North Carolina. Medical necessity is used to describe care that is reasonable, necessary, and/or appropriate, based on evidence-based clinical standards of care. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Reason Code: Indicates an explanation is available in the "What Our Codes Mean" section at the end of the EOB. 4615 University Drive If you have already paid a copayment or any other upfront payment to the provider, it will not be reflected here. Accessibility Its important to have one doctor that you see regularly. How old do you have to be to get a mammogram? Third-Party Administrator. Quitline NC, MinuteClinic, CVS Pharmacy and Target do not offer Blue Cross or Blue Shield products or services. We have three center locations - Charlotte, Raleigh, and Boone - and more on the way! Learn more about our non-discrimination policy and no-cost services available to you. Download claim forms, appeal forms or coverage documents to manage your medical services. We are moving in a new direction, focusing our efforts more fully on making transformational change within organizations to create equity and inclusion in the workplace for all. BCBSNC wants to make the process of paying for your coverage as simple as we can. Youll be notified 30 days in advance of January 1. Blue Cross NC offers several decision support tools, such as Find a Doctor and Find Medical Costs, to aid members in making decisions around their health care experience. Blue Cross and Blue Shield of North Carolina Member Services Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. + Finish tasks quickly; pay your bill, find HRA and HSA details and other financial tools you need. Save my name, email, and website in this browser for the next time I comment. This means that email from bcbsnc.com is being redirected to a "spam" folder rather than your inbox. Decisions regarding your care should be made with the advice of a doctor. (HOW-TO: Click the button below and log in to Blue Connect. Learn more about our non-discrimination policy and no-cost services available to you. Learn more about our non-discrimination policy and no-cost services available to you. Site Map Once you reach your coinsurance maximum, your plan will pay 100% for covered services for the rest of the benefit period. Can I pay my premium bill using my bank's bill pay option or PC Banking? benefit booklet, application, Summary of Benefits and Coverage). With paperless billing, well send an email reminder when your invoice is available online. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Starting October 2017, AutoPay billing notifications are sent 5 days prior to the due date of the 1st of the month. However, you may be responsible for charges billed separately by the provider which are not eligible for additional reimbursement. Youll need your subscriber ID to create your account, so have your member ID card handy. If you have any excluded services, (services your plan does not cover) they will appear in this column as well. You will need to provide your bank . , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Can I pay all my Blue Cross & Blue Shield of North Carolina bills on doxo? If you dont receive your bill notification and it is within this period, or you are not enrolled in AutoPay and it is on or after the 20th of the month, try the following: First,login to Blue Connect, go to Billing & Payments, and check your email address in your Billing Preferences (or Profile) to make sure your email was entered correctly. Your subsidy will impact your final monthly premium rate so actual percent decrease for premium payments will vary. https://www.bluecrossnc.com/members/help/frequently-asked-questions/billing-and-payments-blue-medicare-plans, To make a one-time payment over the phone please call 1-844-395-4535. Learn more about how Medicaid works in North Carolina and Healthy Blue eligibility. The monthly premium rate for each policy will be processed on the 1st day of each month or the next business day following. Does Comcast charge credit card fee? Choose bank draft or credit card as your payment method. The app is available for free. ** MACs will pay for tomosynthesis, HCPCS code 77063, on TOBs 12X, 13X, 22X, 23X based on MPFS, and TOB 85X with revenue code other than 096x, 097x, or 098x based on reasonable cost. Blue Cross NC will make its coverage determination on an expedited review request based on exigent circumstances and notify the enrollee or the enrollee's designee and the prescribing physician (or other prescriber, as appropriate) of its coverage determination no later than 24 hours following receipt of the request. This limit may include copayments and deductibles. Can I set up automatic bank draft, credit card or debit card payment of my bill? Coordination of Benefits exists when an enrollee is also covered by another plan and determines which plan pays first. However, you should always verify that your automatic payments are correct at the beginning of the year (or when your plan renews). Youll find great deals on products tied to fitness, personal care, healthy eating, wellness, financial health, lifestyle and more. We're excited to announce an upcoming refresh of our website that includes a cleaner design and simpler experience. Learn more about our non-discrimination policy and no-cost services available to you. Blue Connect is our member portal, where you can take care of most of your insurance needs. Site Map What happens if my recurring credit or debit card is declined for a payment attempt? In-network providers in North Carolina are responsible for filing claims directly with Blue Cross NC. Well help you set up AutoPay or make a one-time payment on Blue Connect or by phone. Visit www.xfinity.com to make an Xfinity payment online. Allowed Amount: The discounted rate your plan has negotiated with in-network providers and facilities for covered services. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn about doxo and how we protect users' payments. Individual Deductible: If you have dependents on your policy, each person may have an individual deductible that is applied toward a total family deductible. If you cannot specify all email addresses from bcbsnc.com, the following email addresses should be added to your safe list in regards to receiving billing information: no-reply-paymethodchangenotification@bcbsnc.com, no-reply-emailbilloptionnotification@bcbsnc.com. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Durham, NC 27707, Are you a provider? The wellness resources and education on Blue Connect can help. We also share information about your use of our site with our social media, advertising and analytics partners. Out-of-Network Benefit Exceptions You will receive an email or letter notifying you of the declined payment. Mobile app The mobile app makes it simple to see what you owe and take care of your balance. Note that in-network providers have up to 180 days from the date of service to file a claim with Blue Cross NC, which can affect how quickly you receive your reward. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities.