Blue cross blue shield north carolina customer service

With a company that is made up of about 70 percent women, it’s a great honor to be chosen for Forbes' list of The Best Employers for Women 2022! At Blue Cross NC, three (soon to be four) members of our Executive Leadership Team are women. Four board members are women. More than half of the rest of our company’s leadership positions are held by women. We have a Women’s Employee Network (WEN) and TechNow, a network for women in technology. We celebrate Women’s History Month as a company, and we are currently exceeding all of our targets when it comes to recruitment, hiring, promotion and retention of women. While we are equitable to all genders with our employee benefits, we offer twelve weeks of paid parental leave, flexible work options, tuition reimbursement, professional development, and more, to give women the support and resources needed to grow in their careers.

—30+ days ago

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For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide.

  Have questions? Review our FAQs.

Blue cross blue shield north carolina customer service

National Information Center

1-800-411-BLUE (2583)

Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays)

Call the National Information Center for information about your benefits and services, FEP incentive programs, our supplemental dental and vision plans, to speak with the MyBlue Contact Center or for assistance with our online tools.

If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local BCBS company.

Overseas Information

Pharmacy Information

Fraud Information

Select your state from the map or enter it here:

Eligibility & Enrollment Support Center

For questions regarding enrollment, eligibility or for assistance regarding the enrollment system.

855-859-0966
M-F 8AM to 5PM

3200 Atlantic Avenue
Raleigh, NC 27604

All Members

Third-Party Administrator
(Blue Cross & Blue Shield of NC)

For questions regarding benefits or any claim inquiries.

888-234-2416
TTY: 800-442-7028
M-F 8AM to 6PM

State Health Plan c/o BCBSNC
PO Box 30085
Durham, NC 27702

70/30 & 80/20 Members

Appeals & Grievances (Blue Cross & Blue Shield of NC)

To appeal a claim decision or to file a grievance.

888-234-2416
Fax: 919-765-2322
M-F 8AM to 6PM

State Health Plan c/o BCBSNC Appeals Department
PO Box 30055
Durham, NC 27702

70/30 & 80/20 Members

Smart NC is a program provided by the NC Department of Insurance.

For information on requesting an external review of claims decisions (after all internal grievance procedures have been exhausted).

855-408-1212
M-F 8AM to 5PM

325 N. Salisbury St.
Raleigh, NC 27603

All Members

CVS Caremark
(Pharmacy Benefit Manager)

To file a claim for prescription drugs, locate pharmacies within the network, or learn more about your Pharmacy Benefits.

888-321-3124
7 days a week, 7AM to 11PM

CVS Caremark
P.O. Box 52136
Phoenix, Arizona 85072

70/30, 80/20 & HDHP Members

Prescription Drugs Prior Authorization

To initiate a prior authorization request of your prescription drugs.

800-294-5979
7 days a week, 7AM to 11PM

CVS Caremark
P.O. Box 52136
Phoenix, Arizona 85072

70/30, 80/20 & HDHP Members

Behavioral Health and Chemical Dependency/ Substance Use Services

For questions regarding precertification for behavioral health services and chemical dependency.

800-367-6143
M-F 8AM to 6PM

Blue Cross Blue Shield NC PO Box 30055 Durham, NC 27702-3055

70/30, 80/20 & HDHP Members

Hospital Pre-admission Certification/ Prior Approval (Blue Cross & Blue Shield of NC)

To request prior authorization (certification) for certain out-of-network or out-of-state services.

800-672-7897
M-F 8AM to 6PM

State Health Plan c/o BCBSNC
PO Box 30085
Durham, NC 27702

70/30 & 80/20 Members

Humana (Medicare Advantage Carrier)

For questions regarding Humana Medicare Advantage Plans.

888-700-2263
M-F 8AM to 9PM

P.O. Box 14162 Lexington, KY 46512-4162

Humana Medicare Advantage Members

NC Retirement Systems

For questions regarding retirement, pension information and supplemental retirement plans.

919-814-4590
M-F 8:30AM to 4:30PM

3200 Atlantic Avenue
Raleigh, NC 27604

All Members

Seniors Health Insurance Information Program (SHIIP).
SHIIP is a division of the N.C. Department of Insurance.

For information about Medicare, Medicare Advantage plans, Medicare claims, Medicare supplement insurance, Medicare Prescription Drug Plans, fraud and abuse prevention as well as long-term care insurance.

855-408-1212 or 919-807-6900
M-F 8AM to 5PM

325 N. Salisbury St.
Raleigh, NC 27603

Retirees

Social Security Administration

For specific questions about Medicare premiums and claims.

800-772-1213
TTY : 800-325-0778
M-F 7AM to 7PM

7500 Security Blvd.
Baltimore, MD 21244

Retirees

iTEDIUM
(Direct Bill & COBRA Adminstrator)

For questions regarding your bill for premiums.

877-679-6272
M-F 8AM to 5PM

State Health Plan c/o iTedium
P.O. Box 505211
(Direct Bill) P.O. Box 505200
(COBRA) St. Louis, MO 63150

Retirees/Surviving Spouses/COBRA Participants

The Rawlings Company (Third Party Liability Recovery Services)

For questions regarding subrogation

877-229-0872

M-F 8AM-8PM

PO Box 2000 La Grange, Kentucky 40031-2000

70/30, 80/20 & HDHP members

Report Fraud and Abuse

To report suspected fraud and abuse.

800-324-4963
M-F 8AM to 6PM

State Health Plan c/o BCBSNC PO Box 30085
Durham, NC 27702

70/30 & 80/20 Members

State Health Plan Board of Trustees

To share concerns or feedback to the Board of Trustees.

3200 Atlantic Avenue
Raleigh, NC 27604

All Members

State Health Plan Member Inquiries

To share comments, concerns or general feedback on specific medical or pharmacy issues.

919-814-4400

M-F 8AM to 5PM

3200 Atlantic Avenue
Raleigh, NC 27604

All Members

Health Benefit Representative (HBR) Inquiries  For general questions for the Plan from HBRs 3200 Atlantic Avenue
Raleigh, NC 27604 HBRs

Media Inquiries

For public records or other media inquiries.

919-814-3820

M-F 8AM to 5PM

3200 Atlantic Avenue
Raleigh, NC 27604

Media

BEACON (BEST Shared Services)

For questions on how to navigate BEACON or other BEACON system assistance.

919-707-0707
(Raleigh area)

866-622-3784
(statewide)

M-F 8AM to 5PM

3512 Bush St.
Raleigh, NC 27609

Active Members

How do I contact Blue Cross Blue Shield of North Carolina?

Blue Cross NC's Customer Service representatives are available to answer calls at 1-877-258-3334, Monday through Friday from 8:00 a.m. to 7:00 p.m.

What is the Customer Service number for Blue Shield?

1 (800) 393-6130Blue Shield of California / Customer servicenull

Is BCBS of NC open today?

7 days a week: 8 a.m. - 8 p.m.

Where is BCBS of NC located?

Today, Blue Cross NC is a fully taxed, not-for-profit North Carolina company with major operations centers in Durham, Fayetteville and Winston-Salem.