Contact
Select a subject area to view contact information for that subject:
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Subject Area
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Contact Information
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| Blue OptionsSM PPO Questions For questions about the PPO offering, entitled Blue OptionsSM e-mail ppo.inquiries@shpnc.org |
Customer Services PO Box 30085 Durham, NC 27702 Phone: 1-888-234-2416 |
| Indemnity Plan Questions For questions about the Indemnity Plan, e-mail indemnity.inquiries@shpnc.org |
Customer Services PO Box 30111 Durham, NC 27702-3111 Phone: 1-800-422-4658 Fax: 919-765-7080 |
| Benefits Information -- Blue OptionsSM PPO For questions relating to your State Health Plan benefits, to request a new ID card or change your address |
Customer Services PO Box 30085 Durham, NC 27702 Phone: 1-888-234-2416 |
| Benefits Information -- Indemnity Plan For questions relating to your Indemnity plan benefits |
Claims Processing Contractor Customer Services Phone: 1-800-422-4658 |
| Medical Claim Filing and Inquiries --
Blue OptionsSM PPO To file a medical claim or inquire about the status of a medical claim you have already filed: |
State Health Plan |
| Medical Claim Filing and Inquiries -- Indemnity Plan To file a medical claim or inquire about the status of a medical claim you have already filed: |
State Claims PO Box 30025 Durham, NC 27702-3025 Phone: 1-800-422-4658 |
Hospital Preadmission Certification --
Blue OptionsSM PPO |
Claims Processing Contractor Customer Services Phone: 1-800-214-4844 |
| Prior Approval -- Blue OptionsSM PPO To obtain prior approval for certain services or surgeries: |
Claims Processing Contractor Customer Services Phone: 1-800-214-4844 |
| Prescription Drugs To file a claim for prescription drugs, locate pharmacies within the State Health Plan network, or learn about the Plan's preferred prescription drugs: |
Medco Health Solutions, Inc. PO Box 14711 Lexington, KY 40512 Web: Medco Phone: 1-800-336-5933 |
| Prescription Drugs Prior Authorization To initiate a prior authorization request of your prescription drugs: |
Medco Health Prior Authorization Phone: 1-800-753-2851 Fax: 1-800-837-0959 |
| Mental Health and Chemical Dependency -- PPO Plan For precertification for mental health services and chemical dependency: |
ValueOptions Post Office Box 12438 RTP, NC 27709 Web: ValueOptions Phone: 1-800-367-6143 |
| Media Inquiries To answer questions from the media: |
Linda McCrudden Director of Communications Phone: 919.881.2300 |
| Intensive Case Management/High Risk Maternity Case Management For information about the Intensive Case Management/High Risk Maternity Case Management Program: |
NC HealthSmart Intensive Case Management (for enrolled members) Phone: 1-888-607-9594 Phone (for more information Blue OptionsSM PPO Plan):1-888-234-2416 |
| The North Carolina HealthSmart Kidney Disease Program For assistance with the Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) Case Management Program: |
For more information Blue OptionsSM PPO Plan members:1-888-234-2416 |
| The North Carolina HealthSmart Health Coach Learn how to better manage your health and much more: |
Phone: 1-800-817-7044 |
| TRICARE Supplement Plan For information on the TRICARE Supplement Plan: |
Phone: 1-800-638-2610 ext. 255 |
| Patient Protection Act For information on requesting an External Review of claims decisions (after all internal grievance procedures have been exhausted): |
North Carolina Department of Insurance Phone: 1-800-546-5664 |
| Retirement System For information concerning medical benefits for retired teachers and state employees: |
NC Department of State Treasurer Retirement System Division Web: NC Department of State Treasurer Phone: 1-877-733-4191 or 919-733-4191 |
| Appeals and Grievances -- Blue OptionsSM PPO To appeal a claim decision or to file a grievance with the State Health Plan: |
State Health Plan c/o BCBSNC Appeals Department P O Box 30055 Durham NC 27702-3055 Phone: 1-888-234-2416 Fax: 1-919-765-4409 |
| Appeals and Grievances -- Indemnity Plan To appeal a claim decision or to file a grievance with the State Health Plan: |
State Review Appeals and Grievances P O Box 3869 Durham NC 27702-3869 Phone: 1-800-422-4658 Fax: 1-919-765-2923 |
| Job Opportunities To find job openings at the State Health Plan: |
Office of State Personnel Web: Job Openings |
| Long Term Care To learn more about the long term care plan: |
Prudential |
| Report Suspected Fraud and Abuse To find out how to report suspected fraud and abuse to the State Health Plan: 
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Fraud Section Blue Cross and Blue Shield of North Carolina Phone: 1-800-324-4963 |
