Contact Us & Location. Agent Services: 919-807-6800. 24 hours a day, 7 days a week, Behavioral Health CrisisHotline Media Inquiries. WebPaper claim and encounter submission addresses. Direct deposit and VCP information is available to EPS-enrolled care providers in the Electronic Payments & Statements (EPS) tool on Link. Secure websites use HTTPS certificates. Authorizations and precertification Prompt 2. WebClaims Submission. 101 Blair Drive WebNC Medicaid will delay Tailored Plan Launch beyond October 2023. The NC Medicaid vision is to lead the transformation to a healthier North Carolina. - 2C2 Charlotte, NC 28262 . There are several Claims Training courses available for providers in SkillPort, including How to Submit a Professional/Institutional/Dental Claim (depending on the type of provider) and DME Claim Processing. All claims are WebUse the following address to send UnitedHealthcare correspondence through the mail if you have a Medicare Supplement Insurance plan. Mailing Address 2001 Mail Service Center Raleigh, NC 27699-2000. 24 hours a day, 7 days a week, ProspectiveWellCare of North Carolina Members St. Louis, MO 63105, Please address lien and subrogation requests to the Plan at: After Hours Crisis phone number: 866-241-7245 WebEVV and Claims Billing for North Carolinas State Medicaid Prepaid Health Plan (PHP) Carolina Complete Health, AmeriHealth Caritas of North Carolina, UnitedHealthcare Community Plan of North Carolina, and WellCare of North Carolina (the PHPs) have partnered with HHAeXchange to provide software that allows providers to have a single Our tools are supported using Microsoft Edge, Chrome and Safari. (See link below) If you have any questions about the provider refund request process, please contact the NCTracks Call Center at 1-800 WebApply for Medicaid in North Carolina; Meetings & Notices; Find a Doctor; Providers; Counties; Reports; Contact Information. WebHealth Claim Denied? WebClaims overview. 919-855-4840. Ambetter Member and Provider Phone Number. For COVID-19 questions call 2-1-1 or 888-892-1162, Mailing Address PLEASE NOTE: If you need immediate assistance, please contact our 24/7/365 Call Center at 1-800-256-2452. Here You could find the All Medicaid state phone number, payor id and website address. Referring If a referring provider is indicated in Box 17 on the claim, Box 17a should contain the qualifier of ZZ along with the taxonomy code in the next column. Medical Appeals. Questions such as claims, payment details, prior authorizations, member benefits and eligibility status can also be answered at availity.com . WebNorth Carolina. As of March 20, 2023, Carolina Complete Health was advised by NC DHHS to not apply lesser of billed charges to the following provider types: Durable Medical Equipment, the Physician Administered Drug Program rate floors, and Federally Qualified Health Centers and Rural Health Clinics. WebVaya offers 3 ways for providers, or their authorized third-party clearinghouse, to submit claims: Through the secure Provider Portal Through a secure file transfer protocol (SFTP) site as x12 standard HIPAA-compliance 837I institutional or 837P professional Through electronic data interchange (EDI) files and via paper submission (in limited and prescribed Dental Claims. Lesser of Billed Charges Provisions You may also email Grievances@partnersbhm.org, call 1-877-864-1454, option 3, or file a grievance/complaint ModivCare Solutions is an independent company providing nonemergency Medicaid plan for Medicaid members in North Carolina, known as Healthy Blue. However, if a refund check is sent, it should be mailed to one of the following addresses: Refunds to Medicaid. 1-833-207-4240 844-399-0474ProviderRecruitmentNC@amerihealthcaritas.com, carolinacompletehealth.comProvider Support Line: 833-552-3876, Provider Contracting Questions: Provider Support Service Line. 781-419-8322CarolinasPRTeam@uhc.com, Claim Submission Questions: Please address legal matters to the Plan at: ATTN: Legal Department Thats why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals.
In addition to the NC Medicaid Provider webpage, Medicaid and NC Health Choice providers now have a supplemental resource to research their questions and submit inquiries.
. Allow for accurate and complete NC Medicaid and Centers for Medicare and Medicaid (CMS) reporting. WebFind information and submit your concern, grievance/complaint, or compliment online. to update NC Medicaid with any changes. WebFalse Claims Act. WebWe want to make it as easy as possible to conduct business with us. Box 31370 Tampa, FL 33631. Carolina Complete: 833-522-3876. UniCare e-Solutions: Claims questions Claims are paid using the lesser-of logic which means if the service is covered by Medicaid and mailing with a refund check to the Refund lock box address provided below. The following Fact Sheet outlines many of the key differences in how NCTracks proceses claims compared to the legacy system. Payspan is an innovative web-based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). Call us if you are experiencing emotional or mental pain or distress. Raleigh, NC 27699-2000. 800-638-3302CarolinasPRTeam@uhc.com, wellcare.com/ncProvider Support Line:866-799-5318, Provider Contracting Questions: 877-614-0484. This section is intended to help N.C. DHHS providers understand how to file claims with NCTracks, including secondary claims. NC Medicaid Division of Health Benefits. Paper Claims Submission. If you are unable to view PDFs, please download Adobe Reader. Phone:1-813-865-6503 Learn more Misc. WebProvider Services. Provider Contracting Questions: 855-759-9700. 1441 Main Street, Suite 900, Columbia, SC 29201. The Help Center is continually updated as new information becomes available. Medical Appeals Tool Kit; Request an External Review; File a complaint (Self Insured Health Plans) 325 N. Salisbury Street Raleigh NC 27603-5926. Questions and Answers submit patient claims and treatment plans, check on authorizations, and more. We have licensed clinicians available to speak with you and to connect you to the support you need to feel better. 2743 Perimeter Parkway, Bldg. Direct Deposit and Virtual Card Payments (VCP), 2023 UnitedHealthcare | All Rights Reserved, UnitedHealthcare Community Plan of North Carolina Homepage, Claims and Payments | UnitedHealthcare Community Plan of North Carolina, Bulletins and Newsletters | UnitedHealthcare Community Plan of North Carolina, Early and Periodic Screening, Diagnosis and Treatment (EPSDT), Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of North Carolina, Prior Authorization and Notification | UnitedHealthcare Community Plan of North Carolina, Provider Forms, Resources and References | UnitedHealthcare Community Plan of North Carolina, Quality Reports and Program | UnitedHealthcare Community Plan of North Carolina, Education and Training | UnitedHealthcare Community Plan of North Carolina, Transportation Services | UnitedHealthcare Community Plan of North Carolina, UnitedHealthcare Dual Complete Special Needs Plans, Other Resources | UnitedHealthcare Community Plan of North Carolina, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Important timely filing change for North Carolina Medicaid. New Hampshire Medicaid claim mailing . We can help with: Understanding your benefits Finding a Please note this bulletin was updated on June 17, 2021, to add the new phone number for the Provider Ombudsman. through North Carolinas Medicaid Managed Care program. WebEaster Seals UCP North Carolina & Virginia, Inc. 100 Loop Street Clinton, NC 28328. Other NCDHHS Contacts. AmeriHealth Caritas North Carolina does not require CHC payer enrollment to submit EDI claims. For network inquiries, contact NetworkRelations@CCH-Network.com. WebA Member Services representative will be happy to answer your questions Monday through Friday, 8 a.m. to 8 p.m. unless otherwise stated below. NCTracks is the system of record for provider enrollment data, which is then shared with health plans to inform contracting and provider directories. Mailing address: P.O. To learn more, view our full privacy policy. Customer service: Credentialing and contracting 844-265-7592 Monday to Friday, 8 a.m. to 6 p.m. Eastern time. We suggest contacting the Medicaid office to find out specifically what coverage is provided as it can be different in each state. Billing - Loop 2000A PRV01 = BI PRV02 = PXC qualifier; PRV03 = 10 character taxonomy code. Rendering Box 24i should contain the qualifier ZZ. To learn more, view our full privacy policy. 1-833-498-2262. Aetna Better Health of Kentucky. Box 9 West End, North Carolina 27376. Box 24j (shaded area) should contain the taxonomy code. Administrative Business Matters. For more information about these agencies, contact us at the Member and Recipient Services at 1-877-685-2415. 919-508-0951. WebContact our health plans. For claims with a date of service on or after 7/1/2023, the Carolina Complete Health timely filing will be changing to 365 calendar days of covered service or discharge. PO Box 182223. Box 44117 North Carolina: NC: 1877-872-5556: Palmetto GBA J11 MAC Mail Code: AG-600 P.O. This page provides guidance on how to file secondary claims with NCTracks, as well as how the secondary claims are processed in NCTracks. For phone and fax numbers related to submission of prior authorzations, visit the Prior Authorization page. Thank you. We would appreciate your feedback with this quick survey. If provider information is not current, then the data that flows forward to the health plans and the enrollment broker will not be accurate. - 2C2 Charlotte, NC provider portal to update your information, submit a claim, review claims status, request a prior authorization or submit a question. Mailing Address: NC Department of Insurance 1201 Mail Service Center Raleigh NC 27699-1201. Salt Lake City, UT 84130-0607 Enrollment forms: Use the address provided on the paper application you received in the mail. For more information, please see the NC DHHS Provider Playbook Prompt Payment Fact Sheetand the Carolina Complete Health Billing Manual If you are unhappy with your State Fair Hearing decision, you can appeal to the North Carolina Superior Court in the county where you live. Note: Subsequent to the recording of these webinars, the language of federal regulations concerning transfers and discharges from nursing homes has been refined and additional requirements added. WebFAX: Fill out, sign and fax the Appeal Request Form in the notice you receive about our decision. Email:NCProviderRelations@Wellcare.com Those requirements mandate processing payments within 14 calendar days for pharmacy claims and 30 calendar days for medical claims. dedicated to assisting with inquiries regarding enrollment, claim status, recipient eligibility and other information needed by, https://medicaid.ncdhhs.gov/transformation/health-plans/health-plan-contacts-and-resources, https://www.nctracks.nc.gov [nctracks.nc.gov]. Return to top. Ambetter from Absolute Total Care - South Carolina. Based on the entry or selection, the Help Center will return all related information. Secure websites use HTTPS certificates. WebAlliance Health. (TTY711) State Government websites value user privacy. An official website of the State of North Carolina, Mental Health And Substance Use Disorders, North Carolina Reproductive Health Services, Mental Health, Developmental Disabilities and Substance Use Services, Services for the Deaf and the Hard of Hearing, Data Dashboards, Action Plans/White Papers, Local County Department of Social Services. Division Contacts. Return to top. Visit RelayNCfor information about TTY services. WebMailing Address 2001 Mail Service Center Raleigh, NC 27699-2000. In addition, these regulations have been moved from 42 CFR 483.12 to 42 CFR 483.15(c). WebAs of July 1, 2022, AmeriHealth Caritas North Carolina is accepting ANSI 5010 ASC X12 275 attachments (unsolicited) via our preferred vendor Change Healthcare.Please contact your Practice Management System Vendor or EDI clearinghouse to inform them that you wish to initiate electronic 275 attachment submissions via payer ID: 81671.. WebAlliance Offices: 919-651-8401. A new launch date has not been announced. WebContact information. 2001 Mail Service Center The Medicaid Contact 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 DHHS recipients. Customer ID Card (Back) North Carolina ; N/A . WebClaims and billing Electronic data interchange (EDI) Learn more about EDI and the benefits of working with EDI and NPI together. Concord, NH 03302-2001. St. Louis, MO 63105, General Mailing Address: To learn more, view our full privacy policy. State Government websites value user privacy. If you are unable to view PDFs, please download Adobe Reader. WebClaims, resources, and guides General information. It shall state the specific dissatisfaction with the Division's action and should be mailed to: Appeals, Division of Health Benefits, 2501 Mail Service Center, Raleigh, North Carolina 27699-2501. By providing unparalleled access, focusing on seamless care coordination, and leveraging the strength and success of current North Carolina Department of Health & Human Services (NCDHHS) initiatives, we will drive quality health outcomes for the Medicaid and North Carolina 7700 Forsyth Boulevard Customer Service Center:1-800-662-7030 1-855-250-1539. WebWe realize we play an important role in supporting our providers by making information and resources easily accessible. 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.. A lock icon or https:// means youve safely connected to the official website. WebSubmitting a Claim or Claim Reconsideration/Dispute Questions . a refund check is sent, it should be mailed to one of the following addresses, based on the payer: Refunds to Medicaid Miscellaneous Medicaid Payments PO Box 602885 Charlotte, NC 28260-2885 Overnight Address for Medicaid Refunds Miscellaneous Medicaid Payments Lockbox Services (602885) 1525 West W.T. In preparation for Managed Care Launch on 07/01/2021, UHC Community Plan of North Carolina will comply with the prompt payment requirements as defined in the PHP contract. WebMedicaid disability claims can be filed by contacting a county Department of Social Services office. Technical support for providers and staff. claims status and payment, etc. Billing Box 81CCa should contain the qualifier of B3 in the left column and the taxonomy code in the middle column. Aetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: Aetna meritain claims address and Phone number: Mail the claim to Meritain Healths claims address listed on the members ID card. Please consult your states. As of 06.27.2023, there is anImportant timely filing change for North Carolina Medicaid. Buddy Castellano: buddy.castellano@anthem.com Type a topic or key words into the search bar; or, Select a topic from the available list of Categories. 833-552-3876networkrelations@cch-network.com, EBCITribalOption.comProvider Support Line: 800-688-6696 (NCTracks Call Center), Provider Contracting Questions Claim overpayments: Humana NetworkServicesSupport@TrilliumNC.org. WebContact. All claims are expected to be submitted to NCTracks electronically, either through the NCTracks Provider Portal or as an ASC X12 transaction. 984-867-8637 WebCall us Healthy Blue Member Services 844-594-5070 (TTY 711) Monday through Saturday, 7 a.m. to 6 p.m. Eastern time.
