Submit a question online Call us Send us mail Phone Numbers This page provides a listing of NC Medicaid provider health plan contacts and resources. O. Learn how to apply for NC Medicaid and contact the Medicaid Find contact information, portal links, and claim submission guidelines for North Carolina Medicaid providers. This guide should be used together with Trillium's Provider Manuals, Carolina/Providers/Medicaid/Form s All claims must have complete and compliant data including: Partners Claims Submissions Information Partners Claims Submissions Information Provider Quick Reference Guide Reference this page for contact information for a variety of important Alliance resources and other information HOW SHOULD AN OUT-OF-NETWORK PROVIDER SUBMIT CLAIMS TO A HEALTH PLAN? For physical health claims, out-of-network providers will file services covered under NC This page provides key information regarding the submission and processing of adjustments and refunds to claims submitted to NCTracks. Box 5280 Kingston, NY 12402-5240 State of North Carolina • Department of Health and Human Services • Division of Health Blue Cross® and Blue Shield® of North Carolina (Blue Cross NC) | Healthy Blue® | Medicaid UnitedHealthcare Community Plan of North Carolina no longer accepts paper claims at 3803 N. Here you can find the tools and resources you need to help manage your submission of claims Medicaid claims should be submitted within 365 days from date of service. Providers can help facilitate timely claim payment by having an understanding of our . Department of Health and Physical Address 1915 Health Services Way Raleigh, NC 27607 Other NCDHHS Contacts Administrative Assistance: 919-855-4800 NCDHHS Hotlines Report Fraud Division Contacts Do You Have a Question, Comment or Suggestion? If so, we want to hear from you. Find user guides, fact sheets, training courses, and The North Carolina Medicaid program requires providers to file claims electronically (with some exceptions) using the NCTracks claims processing and provider Do You Have a Question, Comment or Suggestion? If so, we want to hear from you. Learn how to check eligibility, prior authorization, and patient care gaps online or by Learn how to file claims with NCTracks, the new claims processing system for N. Find the phone number and mailing address for NC Medicaid Claims and Billing NCTracks Contact Center. Department of Health and Human Services providers. From time to time, WellCare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry UnitedHealthcare Community Plan of North Carolina no longer accepts primary care provider (PCP) initiated transfers or mailed paper claims to 3803 N. Box 8002 Farmington, MO 63640-8002 Claims and Billing Filing claims is fast and easy for AmeriHealth Caritas North Carolina providers. Elm Street, Greensboro, North Carolina. Managed Care Claims and Prior Authorizations Submission: Frequently Asked Questions – Part 2 Claims & Disputes Forms Training Academy Filing your claims should be simple. Physical Address 1915 Health Services Way Raleigh, NC 27607 Other NCDHHS Contacts Administrative Assistance: 919-855-4800 NCDHHS Hotlines Report Fraud Division Contacts Topics Related to claims billing NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501 NC Medicaid Contact Center claim by mail to: UnitedHealthcare Community Plan P. navinet. That’s why Blue Cross and Blue Shield of North Carolina uses Availity, a secure and full-service web portal that North Carolina Medicaid uses NCTracks to manage credentialing and recredentialing If you have questions regarding completion of the provider enrollment online application, contact the North Claim Filing AmeriHealth Caritas North Carolina, hereafter referred to as the Plan (where appropriate), is required by the North Carolina and federal regulations to capture Please review the recipient’s address on the claim and if an out-of-state address is given, verify the recipient’s continued residence in North Carolina. Get Directions. net, click on My Health Plans and choose AmeriHealth Caritas Emergency Department (ED) and Out of Network (OON) Providers may submit paper claims to: Claims Department, 5200 P. Learn how to submit initiated transfers and CLAIMS/EDI Claims Inquiry: If a provider has concerns regarding any claim issue, please: • Log on to https://register. Other vendors can call Administrative & Business Matters at 1-866-998-2597 Click here for general contact information for Wellcare of North Carolina members and providers, including phone numbers, mailing addresses, and online forms. C. Click on the drop-down arrow beside the name of each health plan for contact Claim and payment information, including reconsideration resources, applicable to North Carolina Community Plan (Medicaid). Both out-of-state and North Carolina The CSRA Call Center is dedicated to assisting with inquiries regarding enrollment, claim status, recipient eligibility, and other information needed by providers to support their service to NC WellCare wants to ensure that claims are handled as efficiently as possible. <br/> <br/>See the Contact Information document Understanding the Impact of Cuts to the NC Medicaid Budget Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plan Servicios 1915 (i) de Medicaid de Carolina del Norte For more information about these agencies, contact us at the Member and Recipient Services at 1-877-685-2415. Elm Street, Greensboro, GDIT is the State contractor for NCTracks, the multi-payer Medicaid Management Information System (MMIS) that supports multiple divisions within the N. Return to top. This page provides a variety of general information related to the submission of claims and the reimbursement for services. Trillium Health Resources (Trillium) Billing Guide will provide information to support your claim processes. State Benefit claims should be submitted within 90 days from date of service.
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