North Carolina Medicaid Enrollment and Billing

 

 

 

 Submitting a Medical Claim

Medicaid Direct AmeriHealth Caritas BCBS/HealthyBlue

Total Health Systems | Full Service Michigan Wellness Center



BCBS-NC-Healthy-Blue4c (1) | NC Providers Council
     
Carolina Complete Health United Healthcare WellCare

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Provider Claim Tips

AmeriHealth Caritas    

Download the Claims and Billing Manual and Provider Reference Guide for a detailed guide on how to submit claims

     
BCBS/HealthyBlue    
BCBS-NC-Healthy-Blue4c (1) | NC Providers Council

Healthy Blue uses Availity as its medical claim portal.

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]
     
 United Healthcare    

For out of network registration Click Here

   
Wellcare  
wellcareimage To set up trainings and walk through any issues send an email to [email protected]