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Member claim form - Blue Cross NC

Member claim form - Blue Cross NC 2025

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The document is a Member Claim Form for filing health insurance claims, detailing instructions for submission, required information about the patient and subscriber, and guidelines for including other insurance details. It emphasizes that prescription drug claims should not be filed using this form and provides mailing instructions.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (60 Votes)
2018	4.3 Satisfied (202 Votes)
2014	4 Satisfied (25 Votes)
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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.

How do I get my 1095 A form online for Blue Cross NC?

You can access your 1095-A by: Logging in to your HealthCare.gov⁠ account. Clicking on the Go to my Applications and Coverage link at the top of the page. Selecting the previous tax year application under Your Existing Applications. For example, select the 2024 application during the 2025 calendar year.

What insurance will NC state retirees have in 2025?

2025 Retiree Benefits Plans for Non-Medicare Members. Base PPO Plan (70/30) The Base PPO Plan (70/30) is a Preferred Provider Organization (PPO) plan administered by Aetna. Plans for Medicare Members. Humana Group Medicare Advantage Base Plan. Subrogation/Recovery.

Is BCBS leaving NC?

In January 2025, for the first time in more than 30 years, North Carolinas state employees wont receive their health insurance benefits through Blue Cross and Blue Shield of North Carolina (Blue Cross NC ).

How do I submit claims to Blue Cross?

Submit a separate claim for each patient. Complete the form following the instructions on the back. (You can fill the form in electronically or complete it by hand.) Print and mail the form to your local Blue Cross and Blue Shield company by December 31 of the year following the year you received service.

Who is buying out Blue Cross Blue Shield?

Elevance Healths $2.5 billion acquisition of Blue Cross and Blue Shield of Louisiana (BCBSLA) is on pause yet again amid concerns about the impact on competition.

How to submit a claim to Blue Cross Blue Shield NC?

Most Blue Cross NC members can submit medical claims online through Blue Connect. Just enter some information, upload a copy of your receipt, and hit submit! If you prefer to submit a paper claim form, you can download the form you need, fill it out, and send it to the mailing address or fax number provided.

Why is NC switching to Aetna?

Former state treasurer Folwell stated that the new contract with Aetna could potentially save the State Health Plan $140 million over five years, primarily due to Aetnas lower contracted rates with health care providers, which would reduce claims costs.

Is Blue Cross Blue Shield leaving North Carolina?

After more than 40 years, the N.C. State Health Plan will have a new administrator on New Years Day. Aetna is taking over the states largest health plan from Blue Cross Blue Shield of North Carolina.

Member claim form - Blue Cross NC 2025

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