Routing destination

Blue Cross and Blue Shield of North Carolina

The first three characters on the member’s current ID card identify this BlueCard home plan. Use the terminal trading partner below for the published electronic routes.

Enhanced claim statusEDI 276/277, Availity ECS, or portal automation

Available

EligibilityEDI 270/271

Available

Appeals agentAI appeals workflow

Not published

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone lines2

(800) 214-4844Blue Cross and Blue Shield of North CarolinaBlue Cross and Blue Shield of North Carolina line with options for certifications, appeals, and automated ID card, benefit and claim self-service.Answered by: Automated phone menu
(888) 296-9790Blue Cross and Blue Shield of North Carolina Provider LineBlue Cross and Blue Shield of North Carolina provider line for claims, oncology drug review, skilled nursing authorization, drug coverage determinations, medical prior authorization and Prime Therapeutics pharmacy help.Answered by: Automated phone menu → Voicemail → Hold queue

Phone numbers76

Blue Cross NC phone numbers
Channel and number	Payer Notes	Department	Specialties
phone(800) 335-8289	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DELTA DENTAL OF VA	Dental Care
phone(800) 441-9188	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	Customer Service	Hospital, Hospital - Inpatient
phone(800) 451-0287	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 521-3605	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEMED	Vision (Optometry)
phone(800) 523-4702	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	National Elevator Industry Health Benefit Plan	Physician Visit - Office: Well
phone(800) 524-0149	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DELTA DENTAL	Dental Care
phone(800) 610-0201	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DELTA DENTAL	Dental Care
phone(800) 634-4832	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	KEPRO	Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services
phone(800) 635-1928	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	BCBSIL	Hospital, Hospital - Inpatient
phone(800) 676-2583	Eligibility / benefits, Other stated contextBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Active Coverage	560894904 BCBSIL Blue Cross NC Blue Cross and Blue Shield of NC CAPITAL BLUE CROSS CUSTOMER SERVICE Customer Service	Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Vision (Optometry)
phone(800) 723-4337	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES	Dental Care
phone(800) 877-7195	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	VSP	Vision (Optometry)
phone(800) 972-8088	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Vision (Optometry)
phone(833) 870-0272	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS CAREMARK	Pharmacy
phone(844) 354-3241	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS/CAREMARK	Pharmacy
phone(844) 594-5084	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CARELONRX	Pharmacy
phone(844) 714-5678	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EyeMed	Vision (Optometry)
phone(855) 811-2218	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	OPTUMRX	Pharmacy
phone(866) 335-1392	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	Tyler Technologies Inc	Vision (Optometry)
phone(866) 723-0514	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EyeMed	Vision (Optometry)
phone(866) 797-9884	Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment	CARELONRX UTILIZATION MANAGEMENT	Chiropractic, Pharmacy
phone(866) 827-9866	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	BLUE VIEW VISION	Vision (Optometry)
phone(866) 840-2655	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	PBA	Hospital, Hospital - Inpatient
phone(866) 846-9350	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CAREMARK	Pharmacy
phone(877) 769-7447	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS CAREMARK	Pharmacy
phone(877) 799-5783	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	ESI	Pharmacy
phone(888) 265-7790	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS Specialty RX	Professional (Physician) Visit - Office
phone(888) 335-8296	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DELTA DENTAL	Dental Care
phone(888) 352-7924	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	LIBERTY DENTAL	Dental Care
phone(800) 274-7767	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(800) 832-7850	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(844) 594-5072	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(855) 343-4851	Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment	UTILIZATION MANAGEMENT	Hospital
phone(855) 984-2583	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(866) 470-6244	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(866) 773-2884	Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information	Pre Service Review UTILIZATION MANAGEMENT	Chiropractic, Hospital - Inpatient
phone(877) 867-7610	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(800) 924-7141	Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description	BLUECROSS AND BLUESHIELD OF TENNESSEE MAGELLANRX	Hospital - Outpatient, Pharmacy
phone(866) 325-1794	PharmacyBenefit context: Benefit Description	OPTUM RX	Pharmacy
phone(866) 688-2242	PharmacyBenefit context: Active Coverage	PRIME THERAPEUTICS	Pharmacy
phone(855) 339-8558	Behavioral health, Other stated contextBenefit context: Active Coverage; Benefit context: Coverage Basis	LUCET	Mental Health
phone(866) 322-1657	Behavioral healthBenefit context: Active Coverage	BEHAVIORAL HEALTH MANAGER	Mental Health
phone(602) 864-4320	Other stated contextBenefit context: Benefit Description	BLUE CROSS BLUE SHIELD OF AZ	Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 232-2345	Other stated contextBenefit context: Benefit Description	BLUE CROSS BLUE SHIELD OF AZ	Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 248-2342	Other stated contextBenefit context: Deductible	BCBS OF ALABAMA	Hospital
phone(800) 344-5245	Other stated contextBenefit context: Active Coverage	HIGHMARK WV MEDICAL MANAGEMENT & POLICY	Hospital
phone(800) 351-2370	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	CLINICAL INTAKE OPERATIONS	Hospital
phone(800) 424-8270	Other stated contextBenefit context: Coverage Basis	PRIME THERAPEUTICS
phone(800) 452-8507	Other stated contextBenefit context: Active Coverage	HIGHMARK MEDICAL MANAGEMENT & POLICY	Hospital
phone(800) 523-6435	Other stated contextBenefit context: Co-Payment	LABLUE Clinical Inquiry	Chiropractic, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services
phone(800) 541-6652	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
phone(800) 572-2872	Other stated contextBenefit context: Active Coverage	BCBSDE MANAGED CARE	Hospital
phone(800) 664-2583	Other stated contextBenefit context: Active Coverage	HORIZON BCBSNJ	Health Benefit Plan Coverage
phone(800) 678-9133	Other stated contextBenefit context: Benefit Description	ASH - AMERICAN SPECIALTY HEALTH NETWORK	Chiropractic
phone(800) 780-7881	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	CLINICAL INTAKE OPERATIONS	Hospital
phone(800) 827-4814	Other stated contextBenefit context: Limitations	MEDICAL AUDIT AND REVIEW	Hospital - Inpatient
phone(800) 841-9659	Other stated contextBenefit context: Co-Insurance	BCBS OF MISSISSIPPI	Hospital
phone(800) 869-7093	Other stated contextBenefit context: Co-Insurance	HMA HEALTH SERVICES DEPARTMENT	Hospital - Inpatient
phone(800) 905-4102	Other stated contextBenefit context: Active Coverage	BLUECROSS VISION	Vision (Optometry)
phone(800) 972-4226	Other stated contextBenefit context: Benefit Description	ASH - AMERICAN SPECIALTY HEALTH NETWORK	Chiropractic
phone(833) 447-4397	Other stated contextBenefit context: Coverage Basis	REACH KIDNEY CARE
phone(833) 462-0104	Other stated contextBenefit context: Limitations	AMERICAN HEALTH HOLDING	Hospital, Hospital, Hospital - Inpatient
phone(833) 592-9956	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS AND BLUE SHIELD	Chiropractic, Hospital, Hospital, Hospital - Inpatient
phone(833) 663-8703	Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible; Benefit context: Coverage Basis	CREDENCE BCBS PA LOGIC SOLUTIONS	Hospital
phone(844) 241-7087	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS	Hospital, Hospital - Inpatient
phone(855) 798-2627	Other stated contextBenefit context: Other or Additional Payor	MEDICARE PART A ONLY
phone(866) 205-5107	Other stated contextBenefit context: Coverage Basis	PA LOGIC SOLUTIONS
phone(866) 803-8002	Other stated contextBenefit context: Coverage Basis	CARELON MEDICAL BENEFITS MANAGEMENT EVICORE HEALTHCARE
phone(866) 918-1595	Other stated contextBenefit context: Other or Additional Payor	UPMC HLTH PLAN INC	Health Benefit Plan Coverage
phone(877) 324-2990	Other stated contextBenefit context: Co-Insurance	QUANTUM HEALTH	Hospital
phone(800) 214-4844		Blue Cross NC Blue Cross and Blue Shield of NC
phone(800) 327-6716		560894904 Blue Cross NC
phone(800) 727-2227		Blue Cross NC
phone(844) 465-5227		Blue Cross NC
phone(877) 444-2374		Blue Cross NC
phone(888) 233-8351		Blue Cross NC

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Fax numbers14

Blue Cross NC fax numbers
Channel and number	Payer Notes	Department	Specialties
fax(866) 411-2573	Prior authorizationBenefit context: Co-Insurance	ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION	Hospital
fax(866) 411-2585	Prior authorizationBenefit context: Co-Insurance	ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION	Hospital
fax(410) 781-7661	Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information	UTILIZATION MANAGEMENT
fax(800) 348-3804	Other stated contextBenefit context: Co-Insurance	BCBS OF MISSISSIPPI	Hospital
fax(800) 453-4341	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	CLINICAL INTAKE OPERATIONS	Hospital
fax(833) 453-0101	Other stated contextBenefit context: Coverage Basis	REACH KIDNEY CARE
fax(833) 938-9934	Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible	CREDENCE BCBS	Hospital
fax(844) 295-4637	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
fax(866) 606-6021	Other stated contextBenefit context: Coverage Basis	PA LOGIC SOLUTIONS
fax(877) 665-5542	Other stated contextBenefit context: Limitations	AMERICAN HEALTH HOLDING	Hospital, Hospital, Hospital - Inpatient
fax(501) 212-8518		Blue Cross NC
fax(501) 378-2965		Blue Cross NC
fax(501) 379-1200		Blue Cross NC
fax(888) 282-1321		560894904 Blue Cross NC

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Retired numbers3

These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.

(800) 397-7337Not in service when called; re-check pending
(800) 832-3211Out of serviceUse (800) 244-6224
(844) 775-7419Out of serviceUse (877) 842-3210

Member ID guidance

Read the prefix from the current card.

Do not infer a prefix from another member or an older card. Federal Employee Program IDs beginning with a single “R” follow a separate route.

Masked formats use L for a letter, N for a number, and ? for an unknown character. No member IDs are published.

Evidence

Source and verification

Prefix, home plan, and state: Substrate BlueCard mapping snapshot. Data last changed Sep 25, 2026; checked Nov 13, 2026. Check the current prefix with BCBS ↗
Terminal payer and payer ID: Linked to the directory’s terminal payer record, checked Nov 13, 2026. Open the payer routing sources →
Availability signals: Substrate’s reviewed route configuration and claim-status network, checked Nov 13, 2026.

Use the member’s current ID card and confirm the current payer or clearinghouse route before submission. Prefix associations and transaction support can change.

AOX

Blue Cross and Blue Shield of North Carolina

Phone and fax contacts

Read the prefix from the current card.

Source and verification

Other Blue Cross NC prefixes