Healthy Blue Nc Electronic Data Exchange

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Electronic Data Interchange - Healthy Blue North Carolina Providers

(6 days ago) WEBContacting Availity. For questions, please contact Availity Client Services at 1-800-Availity ( 1-800-282-4548) Monday through Friday 8 a.m. to 7:30 p.m. Eastern time. Electronic Data Interchange.

https://provider.healthybluenc.com/north-carolina-provider/electronic-data-interchange

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June 2021 Electronic Data Interchange Overview

(7 days ago) WEBHealthy Blue Electronic Data Interchange Overview 3 If you have questions regarding declined EFT, please contact your Provider Relations representative or Healthy Blue Provider Services at 844-594-5072 Monday to Saturday …

https://provider.healthybluenc.com/docs/gpp/HBNC_MedicaidEDIOverview.pdf?v=202111081530

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Electronic Data Interchange Information

(9 days ago) WEBthe Blue Cross and Blue Shield Association. BNCPEC-0813-22 April 2022 Electronic Data Interchange Information Availity serves as the electronic data interchange (EDI) platform for all electronic data and transactions for Healthy Blue providers. Methods to exchange EDI transmissions with the Availity Portal: • Already exchanging EDI files

https://provider.healthybluenc.com/docs/gpp/NC_CAID_ElectronicDataInfo.pdf?v=202204131434

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Electronic Data Interchange - Blue Cross NC

(7 days ago) WEBBNCCARE-0034-20 December 2020 APRIMO: 515727NCPENBNC. Payer ID. Payer IDs route EDI transactions to the appropriate payer. Healthy Blue + Medicare Payer ID: North Carolina - 00602. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID.

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/dsnp-edi-overview-availity-final-12-18-20.pdf

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Availity® Health Information Network

(Just Now) WEBThe Availity®Health Information Network is operationally HIPAA compliant, accepting and processing in a secure environment all American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12N standard transactions mandated by the Health Insurance Portability and Accountability Act (HIPAA).

https://provider.healthybluenc.com/docs/gpp/HBNC_HBTC_EDICompanionGuide.pdf?v=202001241946

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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 font. The paper claim submission address is: Blue Cross NC Healthy Blue Claims Department. P.O. Box 61010 Virginia Beach, VA 23466.

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

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HEDIS 2023 electronic clinical data systems (ECDS) - Blue …

(4 days ago) WEBThere are four types of ECDS. Electronic Health Record (EHR)/Personal Health Record (PHR) Health Information Exchange (HIE)/Clinical Registry. Case Management System. Administrative. Participating in ECDS may reduce your HEDIS burden. Focus on patient care rather than medical record requests by granting EMR Direct Remote access to our …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/ncbcbs-cr-041625-23-cpn41091-hedis-ecds-overview.pdf

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Resource library Healthy Blue

(5 days ago) WEBHealthy 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.

https://provider.healthybluenc.com/north-carolina-provider/resource-library

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Availity and HealthyBlueNC

(8 days ago) WEBYour payer will provide an overview of Interactive Care Reviewer (ICR), the Healthy Blue medical and behavioral health authorization tool. Tuesday, June 22, 2021 - 2:00 p.m. – 3:30 p.m. ET. Friday, July 16, 2021 - 10:00 a.m. – 11:30 a.m. ET. Getting Started with Availity EDI for Healthy Blue Providers

https://www.availity.com/healthybluenc

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Electronic Data Interchange Information - Healthy Blue

(2 days ago) WEBHealthy Blue providers can exchange the following transactions through the Availity EDI Gateway: 837 Institutional claims 837 Professional claims 837 Dental claims 835 Electronic remittance advice 275 Electronic medical attachments 270/271 Eligibility request 276/277 Claim status 278/278N Electronic preauthorization request Payer name and ID

https://provider.healthybluene.com/docs/gpp/NE_CAID_EDIOverview.pdf?v=202011022327

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Introduction - Blue Cross NC

(6 days ago) WEBElectronic Data Interchange (EDI) Services . Electronic Solutions (eSolutions) develops, produces, and supports applications for the electronic exchange of health care claims, remittance, enrollment, and inquiries and responses. Electronic Solutions provides support for health care providers, and their vendors, that conduct business

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-participation/hipaa/introduction-v5010-v2-5.pdf

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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 licensed clinicians available to speak with you and to connect you to the support you need to feel better. If you are in danger or need immediate medical attention, call 911.

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

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Your Choices NC HIEA

(1 days ago) WEBIf you choose to opt out, please complete the opt-out form linked below. Your provider may also be able to provide a form to you. Complete the form, and mail it to: N.C. Health Information Exchange Authority Mail Service Center 4101 Raleigh, NC 27699-4101. Opt-Out Form (English)

https://hiea.nc.gov/patients/your-choices

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Electronic Data Interchange (EDI) Healthy Blue

(7 days ago) WEBHealthy Blue uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. EDI, including electronic remittance advices (ERA) and electronic funds transfers (EFT), allows for a faster, more efficient and cost-effective way for providers and employers to do business.

https://provider.healthybluene.com/nebraska-provider/claims/electronic-data-interchange

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NCHIE - Home Page

(8 days ago) WEBAbout NC HIE. NC HIE operates North Carolina’s statewide health information exchange, a secure, standardized electronic system in which providers can share important patient health information. The use of this system promotes the access, exchange, and analysis of health information. NC HIE enables participating organizations to:

https://nchie.org/

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About NC HealthConnex NC HIEA

(1 days ago) WEBAs North Carolina moves into data-driven, value-based health care, the N.C. Health Information Exchange Authority is working to modernize the state-designated health information exchange, NC HealthConnex. NC HealthConnex is a tool to link disparate systems and existing HIE networks together to deliver a holistic view of patient records.

https://hiea.nc.gov/providers/about-nc-healthconnex

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Questions from EVV Webinar Held Aug. 25, 2021: Answers

(2 days ago) WEBNC Medicaid – Frequently Asked Questions Electronic Visit Verification (EVV) Sept. 16. 2021 2 claim processing? A. HHAeXchange allows the provider to set a rate at the service code level. If they need to bill an enhanced rate, the provider can update the rate, bill for the appropriate services and set the service code rate back to the default.

https://medicaid.ncdhhs.gov/evv-faq-hhaexchange-august-25-2021/download?attachment

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HIPAA standards Providers Blue Cross NC

(5 days ago) WEBThe Health Insurance Portability and Accountability Act (HIPAA) mandates the standardization of EDI formats for health care data transmission, which includes claims, remittance, eligibility, and claim status inquiries.HIPAA regulations replace the CMS 1500 and UB04 Claims formats with ASC X12N 837 Transactions.. The Blue Cross and Blue …

https://www.bluecrossnc.com/providers/network-participation/hipaa

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Healthy Blue of North Carolina

(7 days ago) WEBChange your primary care provider (PCP) Order or print your member ID card. Update your information. Send us a secure message. Manage your prescriptions. Have questions? Call Member Services at 1-844-594-5070 (TTY 711). Have questions?

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

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Welcome to NC HealthConnex NC HIEA

(Just Now) WEBData Connections and Important Updates On this page, you will find participants that we are actively working with to resolve any disruption(s) to their connection to NC HealthConnex. This page also includes information about any temporary conditions or news affecting participants, patients or the health care community, such as weather

https://hiea.nc.gov/

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Health records access Blue Cross NC

(2 days ago) WEBBlue Cross NC supports the expansion of interoperability as part of our larger efforts to transform the health care system, moving away from a fee-for-service model to one that is based on value. Through data exchange between providers and Blue Cross NC, for instance, we can better assess the quality and value of care for our members …

https://www.bluecrossnc.com/blog/expert-takes/transforming-health-care/health-records-access

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