Healthy Blue is the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve North Carolinians who participate in the state Medicaid program.

Focused on the health of each member

Blue Cross NC embraces the mission to improve the health and well-being of members and communities.

On this site, you will find resources that help health care professionals do what they do best — care for our members.

Member Services: 844-594-5070
Provider Services: 844-594-5072
Behavioral Health Crisis Line: 844-594-5076

Medicaid Expansion Tools and Resources

As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid.

To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current information about how more North Carolinians will be able to get health coverage through Medicaid.

You can use these tools with your networks and communities.

Ensure our members are equipped to renew their Medicaid benefits

Help Healthy Blue members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.

If you have questions about eligibility, benefits, authorizations, claims status, and more, log in to Availity Essentials* and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.

If you are not yet enrolled in electronic funds transfer (EFT), this is a great time to sign up! Effective November 1, 2021, EnrollSafe is the EFT enrollment website for Healthy Blue providers with Blue Cross and Blue Shield of North Carolina. EnrollSafe is secure and available 24 hours a day. You’ll receive your payments up to seven days sooner than through the paper check method. It’s easy to sign up. Just visit EnrollSafe at https://enrollsafe.payeehub.org to enroll in EFT. Complete the registration, then follow the prompts through the EnrollSafe secure portal to the enrollment page, which will provide the required information to receive direct deposits. If you have any questions about EFT, please contact your Healthy Blue Provider Relations representative or call Provider Services at 844-594-5072 for more information.

Provider News

Get the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Known Issues Bulletin: June 14, 2024

The table provides information related to known issues impacting providers. This information will be updated weekly on Fridays.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity you can:

Request Authorizations
Submit Claims
Confirm Eligibility

Don't have an Availity account? Register free now!

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Receive Healthy Blue emails from Blue Cross and Blue Shield of North Carolina

Blue Cross and Blue Shield of North Carolina is now sending some Healthy Blue bulletins, policy change notifications, prior authorization update information, educational opportunities, and more to providers via email.

Featured resources

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal Child Program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, a comprehensive, proactive care management and care coordination program for all expectant mothers and their newborns. We also support the state’s Care Management for High Risk Pregnancy (CMHRP) program.

Behavioral health providers

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Interested in becoming a provider in the Healthy Blue network?

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