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.

Interested in becoming a provider in the Healthy Blue network?

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