BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA (bcbsnc)

CNC IS PROUD TO REPRESENT THESE BCBSNC CHIROPRACTIC MANAGED CARE PLANS.

This section will provide you with helpful information regarding your BCBSNC patients. 
For additional information about BCBSNC and to become familiar with the BCBSNC Corporate Policy for Chiropractic, please visit their web site http://www.bcbsnc.com

PLEASE REMEMBER:  Maintenence, supportive, preventive or wellness care is not covered for the following subscribers whose claims process through BCBSNC. 

BCBSNC MEMBERS

NC STATE EMPLOYEES

FEDERAL EMPLOYEES

ASO MEMBERS (SELF FUNDED GROUPS)

FOR BENEFIT INFORMATION FOR OUT OF STATE OF STATE MEMBERS, PLEASE CONTACT THE HOME PLAN DIRECTLY.

PLEASE REMEMBER:  BCBSNC  (IN-STATE ONLY) CARDS THAT CONTAIN THE SUITECASE LOGO

SHOULD BE SENT DIRECTLY TO CNC - REGARDLESS OF WHETHER "PPO" APPEARS IN THE SUITCASE.

BCBS OUT-OF-STATE CARDS THAT HAVE A SUITCASE WITH "PPO" IN THE SUITCASE SHOULD BE SENT TO CNC

BCBS OUT-OF-STATE CARDS THAT HAVE THE SUITCASE LOGO, BUT DO NOT CONTAIN "PPO" WITHIN THE SUITCASE, SHOULD BE SENT DIRECTLY TO BCBS IN DURHAM, NC

WHEN IN DOUBT, FAX US A COPY OF THE CARD.  WE WILL GLADLY ASSIST YOU!

All BCBSNC plans contracted through CNC have been grouped into 1 of 4 “QUICK REFERENCE GUIDES” (QRG’s) that provide you with important information about each plan/product. Please read each guide carefully and pay particular attention to areas that are plan specific.

NOTE: BCBSNC Corporate Medical Policy for Chiropractic takes precedence over any information you receive from BCNSNC telephone representatives for BCBSNC members, NC State Employees, Federal Employees, and BCBSNC self funded groups.  Always contact your CNC Provider Rep to determine if a particular service is consistent with BCBSNC corporate medical policy.  (You may view BCBSNC Corporate Medical Policy under the provider section of their website: www.bcbsnc.com)

QUICK REFERENCE GUIDE #1 INCLUDES:

Blue OptionsSM, a preferred provider organization (PPO) plan (includes information on the NC State Employee PPO plan.
Classic Blue â, an indemnity/comprehensive major medical (CMM) plan

QUICK REFERENCE GUIDE #2 INCLUDES:

QUICK REFERNECE GUIDE #3 INCLUDES:

Preferred Care Select PPO
Blue Advantage PPO
PPO Blue Card
Federal Employee Plan

QUICK REFERENCE GUIDE #4 INCLUDES:

AltMedBlueSM

In addition to the quick reference guides, we have provided a completed “SAMPLE BCBSNC HCFA 1500” to assist you in properly submitting your BCBSNC claims.   This section also includes important updates about BCBSNC.