Nc State Health Plan Procedures

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Policies and Procedures NC State Health Plan

(5 days ago) WEBState Health Plan rules, policies, procedures and notices help protect the rights of members and outline member responsibilities. North Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. …

https://www.shpnc.org/policies-and-procedures

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Your NORTH CAROLINA STATE HEALTH PLAN

(7 days ago) WEB2021 HIGH DEDUCTIBLE HEALTH PLAN ENROLLMENT GUIDE JAN. 1 - DEC. 31, 2021 Your Our mission is to improve the health and health care of North Carolina teachers, …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/SHP-HDHP-Enrollment-Guide-2021.pdf

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NC OSHR: State Health Plan

(1 days ago) WEBThe Plan provides health care coverage to more than 700,000 teachers, state employees, retirees and their dependents. The Plan contracts with a Third Party Administrator, …

https://oshr.nc.gov/state-employee-resources/benefits/state-health-plan

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Your NORTH CAROLINA STATE HEALTH PLAN - files.nc.gov

(1 days ago) WEBNC is the Plan’s third-party administrator for the North Carolina State Health Plan Network. They process medical claims and o‹er a provider network, but taxpayers like you pay for …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2021/decision-guides/SHP206-Active.pdf

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NC State Health Plan Network Pricing Policy

(3 days ago) WEB1. The pricing for All Other Services under Section 13 of the North Carolina State Health Plan Network Master Reimbursement Exhibit (“AOS Pricing”) may be reviewed and/or …

https://files.nc.gov/ncshp/documents/provider-resources/NC-State-Health-Plan-Network-Pricing-Policy.pdf

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Summary of Benefits and Coverage: What this Plan Covers

(1 days ago) WEB1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2020 – 12/31/2020 North Carolina State …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2020/SBC-2020-80_20FINAL.pdf

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STATE HEALTH PLAN RULES - NC

(2 days ago) WEBFederal reporting: The North Carolina State Health Plan for Teachers and State Employees(“Plan”) is required to provide periodic Member specific reports, known as …

https://files.nc.gov/ncshp/documents/shp-rules/SHPRULE3009.pdf

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State Health Plan

(3 days ago) WEBStatement from UNC Health Care on Resolution of State Health Plan Access (8-8-19) Care expresses its deep appreciation for the thousands of state …

http://www.unchealth.org/supporting-our-community/caring-for-our-communities/community-programs/state-health-plan

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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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Policies, guidelines and codes Providers Blue Cross NC

(3 days ago) WEBPhysicians may want to share documentation with the Plan about recent medical advances and guidelines that could enhance our medical policies. Blue Cross NC. PO Box 2291. …

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

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State MedMalRxment Plan is Updated, Addressing Social

(7 days ago) WEBPRESS RELEASE — The North Carolina Department of Health and Human Services today announced recent updates to the NC State MedMalRxment Plan, …

https://www.ncdhhs.gov/news/press-releases/2023/10/25/state-health-improvement-plan-updated-addressing-social-drivers-health-medicaid-expansion-and

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Guidelines and Procedures - Blue Cross NC

(9 days ago) WEBGuidelines and Procedures *The medical policy details outlined in the following slides are for BCBSNC local lines of business and the State Health Plan; please see the next …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-participation/education-learning-center/medical-policy-guidelines-procedures.pdf

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Your NORTH CAROLINA STATE HEALTH PLAN - NC

(9 days ago) WEBAs a State Health Plan member, you have access to the North Carolina State Health Plan Network, which is made up of providers who signed up for the Plan’s Clear Pricing …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2021/decision-guides/SHP212-HDHP.pdf

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North Carolina State Health Plan Network Info for Providers - Aetna

(5 days ago) WEBHelping you get ready for the NC State Health Plan. Beginning January 1, 2025, Aetna® will administer the North Carolina State Health Plan network. Members will need to re …

https://www.aetna.com/health-care-professionals/north-carolina-state-health-plan.html

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Request prior review and authorization - Blue Cross NC

(5 days ago) WEBContact Blue Cross NC Utilization Management to request prior review and authorization by calling 800-672-7897, Monday through Friday, 8 a.m. to 5 p.m. ET. We require prior …

https://www.bluecrossnc.com/members/health-plans/forms-resources/request-prior-review

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Duke Raleigh Surgery Center Raleigh, NC Duke Health

(4 days ago) WEBClosed. 3300 Executive Dr. Suite 2100. Raleigh, NC 27609-7492. Get Directions. Surgery Questions 919-997-2000. Office 919-997-2000. Fax 919-997-2002.

https://www.dukehealth.org/locations/duke-raleigh-surgery-center

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Appropriate Care Decision Guide NC State Health Plan

(5 days ago) WEBNorth Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. About Us. Who We Are. Board of …

https://www.shpnc.org/appropriate-care-decision-guide-1

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Duke Raleigh Pre-Admission Testing Raleigh, NC Duke Health

(1 days ago) WEBDuke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below. Before scheduling your appointment, we strongly …

https://www.dukehealth.org/locations/duke-raleigh-pre-admission-testing

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North Carolina lawmakers push bill to ban most public mask …

(Just Now) WEBUpdated 5:00 PM PDT, May 15, 2024. RALEIGH, N.C. (AP) — Republican lawmakers in North Carolina are pushing forward with their plan to repeal a pandemic …

https://apnews.com/article/north-carolina-masks-covid-protests-gaza-7da0c5dd3ee1a59f9482e709bf4b3300

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A Quick Guide to Medicare and Medicaid.

(7 days ago) WEBTo qualify for Medicaid in your state, you must be a resident of that state. Each state has different rules about eligibility and applying for Medicaid. Generally, you must meet your …

https://www.medicare.gov/media/publication/12207-a-quick-guide-to-medicare-medicaid.pdf

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2023 Open Enrollment Active Instructions NC State Health Plan

(8 days ago) WEBNorth Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. About Us. Who We Are. Board of …

https://www.shpnc.org/documents/open-enrollment-documents/2023-open-enrollment-active-instructions

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Bill to ban most public mask wearing, including for health reasons

(9 days ago) WEBU.S. to stop accepting orders for free COVID tests 03:42. Republican lawmakers in North Carolina are pushing forward with their plan to repeal a pandemic …

https://www.cbsnews.com/news/north-carolina-masking-bill-pandemic-coronavirus-crime-campus-protest/

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Infection Control Basics Infection Control CDC

(4 days ago) WEBInfection prevention, control and response resources for outbreak investigations, the infection control assessment and response (ICAR) tool and more. …

https://www.cdc.gov/infection-control/about/index.html

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