Healthy Blue Nc Reimbursement 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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Reimbursement Policy

(1 days ago) WebBlue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross Blue Shield Association. ® Marks of the Blue Cross Blue Shield Association. All …

https://provider.healthybluenc.com/docs/gpp/HBNC_RP_Modifier90.pdf?v=202312151413

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Blue Cross NC Reimbursement Policies

(3 days ago) WebThese Blue Cross NC reimbursement policies apply to providers who serve members enrolled in Healthy Blue + Medicare. Blue Cross NC reimbursement …

https://www.bluecrossnc.com/providers/provider-news/2021/blue-cross-nc-reimbursement-policies

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Reimbursement Policy Subject: Consultations Evaluation …

(6 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 …

https://provider.healthybluenc.com/docs/inline/HBNC_RP_EvalMgmt_Consultations.pdf?v=202107062018

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Reimbursement Policy - Blue Cross NC

(3 days ago) WebBNCCRRP-0083-21 January 2022. Reimbursement Policy. Subject: Maximum Units Per Day. Policy Number:G-15003Policy Section: Administration. Last Approval …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/dnsp-reimbursement-policy-maximum-units-per-day.pdf

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Pharmacy and Prescription Drugs Healthy Blue of North Carolina

(6 days ago) WebHere are some reasons that preauthorization may be needed: For medicines that need preauthorization, your provider will need to call 1-844-594-5072. Healthy Blue will …

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

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Reimbursement Policy - Blue Cross NC

(Just Now) WebBlue Cross and Blue Shield of North Carolina Healthy Blue + Medicare (HMO D-SNP) Modifier Usage 3 modifiers reimbursed specific to state and federal payment …

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

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Member Rights Healthy Blue of North Carolina

(2 days ago) WebYour rights. As a member of Healthy Blue, you have a right to: Receive information on services offered through Healthy Blue. That includes: How to request and get a member …

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

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Claims Submission - Required Information for Facilities

(7 days ago) WebPlease note, this communication applies to Healthy Blue + MedicareSM (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/ncbcbs-cr-rp-033429-23-cpn33328.pdf

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QUICK REFERENCE GUIDE: PAYER PROFILE - MemberClicks

(6 days ago) WebNovember 2022 Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Healthy Blue. QUICK REFERENCE GUIDE: PAYER PROFILE. Payer Contacts List. Department …

https://ncmgm.memberclicks.net/assets/docs/Quick-Reference-Guide-Payer-Contact-Information_HealthyBlue-%28002%29.pdf

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Medical policies and guidelines Providers Blue Cross NC

(Just Now) WebMedicare calendar year 2024 policy and technical changes. Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and …

https://www.bluecrossnc.com/providers/policies-guidelines-codes/medical-policies

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Reimbursement Policy - Blue Cross NC

(8 days ago) 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 contract and a NC …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-programs/blue-medicare/BCBSNC-CR-RP-036691-23-CPN36575-Modifier-90-RP-FINAL.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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