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Medicaid Providers

Quality management

Blue Cross and Blue Shield of North Carolina maintains a comprehensive Quality Management (QM) Program to objectively monitor and systematically evaluate the care and service provided to Healthy Blue members. The scope and content of the program reflects the demographic and epidemiological needs of the population served. Studies are planned across the continuum of care and service with ongoing proactive evaluation and refinement of the program.

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.