Medicaid Providers

Claims overview

Filing your claims should be simple. That’s why Blue Cross and Blue Shield of North Carolina uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to Healthy Blue contracted providers. You can use Availity to submit and check the status of all your claims and much more at www.availity.com.

Don’t have an Availity account? You can  register for free.

More resources

Electronic data interchange

Electronic Data Interchange (EDI) is the computer-to-computer exchange of business documents in a structured format. EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims.

Provider disputes

You have the right to request an appeal of a claim decision. You may request this appeal on your own behalf or on behalf of a covered Individual.

Reimbursement policies

Reimbursement policies outline the basic terms for reimbursement services covered under our members’ benefits plans.

Provider tools & resources

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality services to our members.