North Carolina Medicaid Enrollment and Billing

Blue Cross Blue Shield Claims

Overview and Informational Webinar

Healthy Blue uses Availity as its medical claim portal.

For a step-by-step guide that outlines how to submit medical claims through Availity see HealthyBlue NC's Professional Claims Instruction Guide

For information regarding submission of claims for counseling services, please visit the Availity section of the Healthy Blue website, located here: provider.healthybluenc.com/north-carolina-provider/learn-about-availity.

First-time users will need to register with Availity. The webpage above provides step-by-step instructions for claims submission as well as a Provider Learning Hub link with resources available 24/7.

For specific claim elements (i.e. CPT code, diagnosis code, etc.) required for contraceptive counseling services, please reference the NC Medicaid bulletin, posted here: medicaid.ncdhhs.gov/blog/2023/12/20/immunizing-pharmacists-enrollment-opening-january-2024

If you have questions about Availity registration, navigation, or questions about an Availity application, contact Availity Client Services at 800-282-4548 (Monday through Friday from 8 AM to 8 PM) or submit a support ticket via Availity (availity.com/contact-us).

If you have questions about this update, please contact Healthy Blue Provider Services at 844-594-5072 Monday through Saturday, 7 a.m. to 6 p.m. EST. You can also reach us via email at [email protected]

Learn about Availity

Background and Protocols

Medicaid Enrollment Requirements

Navigating the Enrollment Process

Submitting a Medical Claim