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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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To submit electronically, log in to your Excellus BCBS online account; click on Claims, click on Submit Claims, select Medical or Vision Claims, and follow the instructions provided. To submit via mail, complete the claim form and mail to Excellus BCBS, P.O. Box 21146, Eagan, MN 55121.
Claims are submitted to Blue Shield by a member, doctor or other medical professional when seeking reimbursement. Generally, Blue Shield network providers will submit claims directly to Blue Shield. If a member needs to submit a claim to Blue Shield directly, you must get an itemized list of services from the provider.
Initial disputes must be submitted within 365 days, or the time specified in the providers contract, whichever is greater, of Blue Shields date of contest, denial, notice, or payment.
Give our Customer Care team a call at 1-800-234-4781 and we will help connect you to the support you need.
Complete a separate claim form for each covered family member. Complete a separate claim form for each provider. Attached receipts must include procedure codes and diagnosis codes, such as CPT/Dx code as well as tax ID and individual cost for each service/name of the provider as well as the providers address.

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How to File an Appeal or Grievance: There are two ways to file an appeal or grievance (complaint): Call Member Services at 1-877-860-2837.
You must request an appeal by 60 days from the date your notice for denial of services was mailed. We will give you a decision on your appeal within 30 days.
Claims may be submitted one-at-a-time by entering information directly into an online claim form on the vendor portal; or batch claims may be submitted via your Practice Management System (check with your software vendor to ensure compatibility).
You must file your appeal request within sixty (60) calendar days from the date on the written notice of denial.
The chart below guides the Healthy Blue claims filing deadline for the 180-day timely filing limit for Blue Cross and Blue Shield of North Carolina. Please note that the 90-day mark serves only as reference and has no administrative implications. A properly completed claim form must be submitted.

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