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North Carolina State Health Plan

(2 days ago) Add photosOops! Something went wrong, please try again later.WebsiteDirectionsFind a doctorEnrollOops! Something went wrong, please try again later.Suggest an edit · Manage this businessPeople also askWho administers my health benefit plan in North Carolina?Your health benefit plan is administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). In North Carolina, the Plan has a custom network, the North Carolina State Health Plan Network. Outside of North Carolina, you have access to a national network through Blue Cross NC.Benefits Booklet - NCfiles.nc.govHow does a health insurance plan work in North Carolina?The Plan contracts with a Third Party Administrator, currently Blue Cross and Blue Shield of North Carolina, to provide a provider network and process health care claims. Approved claims are paid by the state using taxpayer provided funds.NC OSHR: State Health Planoshr.nc.govDoes NC State Health Plan have a national network?In North Carolina, the Plan has a custom network, the North Carolina State Health Plan Network. Outside of North Carolina, you have access to a national network through Blue Cross NC. Please read this benefits booklet carefully so that you will understand your benefits.Benefits Booklet - NCfiles.nc.govWhere can I find information about health insurance in North Carolina?Visit www.shpnc.org to access this tool. If any information in this booklet conflicts with North Carolina state law or it conflicts with medical policies adopted under your health benefit plan, North Carolina law will prevail, followed by medical policies.Benefits Booklet - NCfiles.nc.govFeedbackNC State Health Planhttps://www.shpnc.org/medical-claim-formMedical Claim Form NC State Health PlanWEBNorth Carolina State Health Plan. 3200 Atlantic AveRaleighNC27604 Map It [email protected] 855-859-0966. Who We Are. Board of Trustees. Board of Trustees Meeting Materials. Pharmacy and Therapeutics Committee. State Health Plan …

https://www.shpnc.org/

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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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Claims, appeals and inquiries Providers Blue Cross NC

(2 days ago) WEBDental Blue®. Submit Claims. File Appeals. File Inquiries. Federal Employee Program® ( FEP) Submit Claims. File Appeals. File Inquiries. View instructions for submitting …

https://www.bluecrossnc.com/providers/claims-appeals-inquiries

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NC OSHR: FSA - NC State Human Resources

(7 days ago) WEBAn official website of the State of North Carolina An official website of NC How you know . The runout period is March 31 and is the last day to file claims for the 2023 plan …

https://oshr.nc.gov/state-employee-resources/benefits/ncflex/flexible-spending-accounts

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Accident Plan NC Office of Human Resources

(4 days ago) WEBThe time limit to file a Wellness Benefit is 180 days after the screening is performed or by the end of the plan year (12/31), whichever is later. If you leave the state or retire prior …

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

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Benefits Booklet - NC

(4 days ago) WEBState Health Plan ’s High Deductible Health Plan, also referred to in this benefits booklet simply as your health benefit plan or the HDHP. Your health benefit …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2021/benefit-booklets/HDHPBenBook2021.pdf

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Member Claim Form - NC

(5 days ago) WEBBlue Cross and Blue Shield of North Carolina P.O. Box 30087 Durham, NC 27702 If a claim is for prescription drugs or insulin that are not being filed for you, please complete …

https://files.nc.gov/ncshp/documents/files/SHP_PPO_Claim_Form.pdf

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Benefits Booklet - NC

(5 days ago) WEBState Health Plan ’s 70/30. PPO. Plan, also referred to in this benefits booklet simply as your health benefit plan, or the . PPO. Plan. Your health benefit plan …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2021/benefit-booklets/70-30BenBook2021.pdf

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Claim Submission FAQs - Claim Submission FAQs - NC

(7 days ago) WEBOn the left navigation bar, click Claims. On the sub menu choose Adjustment and Refunds. Open the PDF file “How to Submit Claim Adjustment and Time Limit and Medicare …

https://www.nctracks.nc.gov/content/public/providers/faq-main-page/faqs-for-claim-submission.html

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Claim submittal tips Member knowledge center Blue Cross NC

(7 days ago) WEBMail: Blue Cross and Blue Shield of North Carolina PO Box 35 Durham, NC 27702 Fax: 866-990-1385; The member travel benefit claim form only applies if your health plan …

https://www.bluecrossnc.com/members/knowledge-center/submit-a-claim

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Claims and Billing NC Medicaid

(6 days ago) WEBContact. NCTracks Contact Center Customer Service Agents are available to answer questions at this toll-free number: Phone: 800-688-6696. Calls are recorded to …

https://medicaid.ncdhhs.gov/providers/claims-and-billing

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Join the NC State Health Plan network as a CPP provider Aetna

(4 days ago) WEBJoin the North Carolina State Health Plan Network as a Clear Pricing Project (CPP) provider before member open enrollment September 30th - October 25th, 2024. As of …

https://www.aetna.com/health-care-professionals/north-carolina-state-health-plan/nc-shp-clear-pricing-project.html

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Submitting Claims and Eligibility Inquiries for State Health Plan

(7 days ago) WEBEffective 1/1/22, State Health Plan members will be migrated from a legacy system to our Facets platform. Blue Cross NC recommends that providers split …

https://www.bluecrossnc.com/providers/provider-news/2021/submitting-claims-eligibility-inquiries-state-health-plan-members-span-2021-2022

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NC report claims hospitals overcharging for oncology drugs

(6 days ago) WEBThe study found that 340B hospitals paid on average $7,895 to acquire the drug while Medicare paid $12,816 on average per hospital claim and the State Health Plan …

https://hickoryrecord.com/news/state-regional/government-politics/north-carolina-report-claims-hospitals-overcharging-for-oncology-drugs/article_bbf7ea6c-0dfb-11ef-be98-fbb27c172858.html

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NC OSHR: Cancer - NC State Human Resources

(5 days ago) WEB1-866-232-1517. 8 a.m. – 8 p.m. (EST), Monday – Friday. Mailing Address. 1776 American Heritage Life Drive. Jacksonville, FL 32224-6688. Questions? Contact NCFlex. Three …

https://oshr.nc.gov/state-employee-resources/benefits/ncflex/cancer-specified-disease

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State Treasurer Folwell Finds North Carolina 340B Hospitals …

(8 days ago) WEBHospitals generated thousands of dollars in profits per claim on cancer drugs paid for by the North Carolina State Health Plan for Teachers and State Employees. The 340B …

https://www.shpnc.org/what-the-health/north-carolina-340b-hospitals-overcharged-state-employees-cancer-drugs

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Provider Engagement Administrator II, Remote-NC + 1 other …

(1 days ago) WEBKnowledge of health care, managed care, Medicare or Medicaid. Bachelor’s degree in healthcare or a related field preferred. Claims billing/coding knowledge …

https://jobs.centene.com/us/en/jobs/1497731/provider-engagement-administrator-ii/

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Contact us UHCprovider.com

(6 days ago) WEBFrom technical support and provider network management to a specific state’s health plan, you can select the options that work best for your needs.

https://www.uhcprovider.com/en/contact-us.html

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NC Medicaid Expansion hits 450,000 Enrollees in Just Five Months

(5 days ago) WEBSince Dec. 1, 2023, Medicaid has covered more than 1,000,000 prescriptions for new enrollees for things like heart health, diabetes, seizures and other illnesses and …

https://governor.nc.gov/news/press-releases/2024/05/09/nc-medicaid-expansion-hits-450000-enrollees-just-five-months

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N.J. hospital in financial distress was just ordered to draw up

(6 days ago) WEBThe state Health Department ordered CareWell Health Medical Center in East Orange to develop a "disaster plan" because of its ongoing financial difficulties. Hospital …

https://www.nj.com/politics/2024/05/nj-hospital-in-financial-distress-was-just-ordered-to-draw-up-disaster-plan.html

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Transgender health care must be paid for by state insurance - NPR

(5 days ago) WEBThe federal appeals court in Richmond, Va., ruled in favor of transgender patients on Monday. The case was brought by Medicaid recipients in West Virginia and …

https://www.npr.org/sections/health-shots/2024/04/29/1247896150/transgender-health-insurance-west-virginia-north-carolina-appeals-court

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A Plan to Remake the Middle East - The New York Times

(7 days ago) WEBMichael Crowley, who covers the State Department and U.S. foreign policy for The Times, explains why those involved in this plan believe they have so little time left …

https://www.nytimes.com/2024/05/08/podcasts/the-daily/israel-gaza-middle-east-plan.html

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Solar storm hits Earth, producing northern lights in US AP News

(1 days ago) WEBCAPE CANAVERAL, Fla. (AP) — An unusually strong solar storm hitting Earth produced stunning displays of color in the skies across the Northern Hemisphere early …

https://apnews.com/article/solar-storm-flares-eruption-sun-fc23251025efc2d20dc128dc0b6a7c68

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Stormy Daniels Takes the Stand - The New York Times

(9 days ago) WEBThis episode contains descriptions of an alleged sexual liaison. What happened when Stormy Daniels took the stand for eight hours in the first criminal trial of …

https://www.nytimes.com/2024/05/10/podcasts/the-daily/stormy-daniels-trump.html

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