North Carolina Medicaid Enrollment and Billing

Carolina Complete Health Claims

Overview and Informational Webinar

Instructions for Submitting Professional Medical Claims via Availity for Carolina Complete Health

1. Set Up an Availity User Account:
   • Refer to the Availity Essentials Registration Cheat Sheet for step-by-step guidance on creating your user account and accessing the Availity Essentials Multi-Payer Provider Portal.
2. Access Billing Guidance:
   • For detailed instructions on submitting medical claims through Availity, refer to the Healthy Blue Professional Claims Instruction Guide.
3. Submit Claims to Carolina Complete Health:
   • Follow the same method outlined in the Healthy Blue guide for submitting claims.
   • When prompted, select Carolina Complete Health as the payer.

Background and Protocols

Medicaid Enrollment Requirements

Navigating the Enrollment Process

Submitting a Medical Claim