Contact Us View contact information for various State Health Plan vendors to address specific questions or concerns. State Health Plan Resource Description Customer Service Mailing Address Audience 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 877-229-0872NCStatemanualreferrals@rawlingscompany.com 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. SHPBoard@nctreasurer.com 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. 919-814-4400ppo.inquiries@nctreasurer.com 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 hbrinquiries@nctreasurer.com 3200 Atlantic Avenue Raleigh, NC 27604 HBRs Media Inquiries For public records or other media inquiries. 919-814-3820press@nctreasurer.com 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
Contact Us View contact information for various State Health Plan vendors to address specific questions or concerns. State Health Plan Resource Description Customer Service Mailing Address Audience 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 877-229-0872NCStatemanualreferrals@rawlingscompany.com 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. SHPBoard@nctreasurer.com 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. 919-814-4400ppo.inquiries@nctreasurer.com 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 hbrinquiries@nctreasurer.com 3200 Atlantic Avenue Raleigh, NC 27604 HBRs Media Inquiries For public records or other media inquiries. 919-814-3820press@nctreasurer.com 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
