Bcbs Nc State Health Plan Ppa List

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Prior authorization Providers Blue Cross NC

(7 days ago) Web©2024 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield …

https://www.bluecrossnc.com/providers/prior-authorization

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Avalon, Blue Cross NC, and Cover My Meds Prior …

(5 days ago) WebIf you have questions regarding this list, please contact Blue Cross NC Utilization Management at 1-800-672-7897 or your provider 0570 HOME HEALTH AIDE – HH …

https://www.bluecrossnc.com/sites/default/files/document/attachment/providers/public/pdfs/PPA-Service-Code-List.pdf

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Prior Authorization Lookup Tool - provider.healthybluenc.com

(5 days ago) WebTo determine coverage of a particular service or procedure for a specific member: Access eligibility and benefits information on Availity. Use the Prior Authorization Lookup Tool …

https://provider.healthybluenc.com/north-carolina-provider/prior-authorization-lookup

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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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Effective 1/1/2023, The PPA lists list for the 4 Carelon Medical

(1 days ago) WebBlue Cross PPA list. to ensure PPA is not required as well. If you have questions regarding this list, please contact . [email protected] . Prior …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/policies-guidelines-codes/cpt-service-codes/dim-ppa-list.pdf

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Base PPO Plan (70/30) for Employees NC State Health Plan

(8 days ago) WebThe Base PPO Plan (70/30) is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). A PPO plan offers: …

https://www.shpnc.org/employee-benefits/base-ppo-plan-7030-employees

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2024 Custom Formulary North Carolina State Health Plan

(4 days ago) WebNorth Carolina State Health Plan 2024 Custom Formulary. Effective 04/01/2024. Please talk to your provider about prescribing formulary medications, which …

https://www.shpnc.org/documents/pharmacy-documents/2024-comprehensive-formulary/open

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Home NC State Health Plan

(2 days ago) WebThe sustainability of the North Carolina State Health Plan is at risk, and its fate depends on us. Contact Us. North Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC …

https://www.shpnc.org/

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2023 Comprehensive Formulary Drug List NC State Health Plan

(9 days ago) WebAn official website of the State of North Carolina An official website of NC How you know . State Government websites value user privacy. To learn more, North Carolina State …

https://www.shpnc.org/documents/pharmacy-documents/2023-comprehensive-formulary-drug-list

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Prescription Drug List and Refill Guidelines for - NC State Health …

(5 days ago) WebPreferre d Drug List The State Health Plan provides a preferred drug list to promote clinically appropriate utilization of pharmaceuticals in a cost-effective North Carolina …

https://www.shpnc.org/employee-benefits/enhanced-ppo-plan-8020-employees/pharmacy-benefits/prescription-drug-list-and-refill-guidelines-active-employees-enhanced-ppo-plan-8020

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Standard Drug Prior Authorization Form

(3 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_Forms_PPA_StandardDrug.pdf?v=202108061731

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Prior Authorization - Healthy Blue North Carolina Providers

(8 days ago) WebBehavioral health. Services billed with the following revenue codes always require prior authorization:. 0240–0249 — All-inclusive ancillary psychiatric; 0513 — Psychiatric clinic …

https://provider.healthybluenc.com/north-carolina-provider/prior-authorization

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Benefits Booklet - NC State Health Plan

(3 days ago) WebState Health Plan c/o Blue Cross NC PO Box 30087 Durham, NC 27702 State Health Plan Eligibility and Enrollment Center 855-859-0966 8 a.m. - 5 p.m., Monday-Friday, …

https://www.shpnc.org/documents/open-enrollment-documents/2023-benefit-booklet-8020/download?attachment

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Questions - Physicians & Other Provider Frequently Asked Questions

(2 days ago) WebBlue Cross and Blue Shield Of North Carolina. Delivering Innovative Heath Insurance Coverage to North Carolinians for over 65 years. BCBSNC offers a range of health …

https://accountps.bcbsnc.com/assets/help/faq/questions-pop.htm

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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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