Coverage profile
Work Blue Cross NC across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Blue Cross NC.
Available
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Cross NC.
Available
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Blue Cross NC.
Available
Other aliases
Also known as
- 10383
- 12B23
- 1411
- 3562
- 560894904
- 61472
- 61473
- BCSNC
- NCBCBS
- NCBLS
- NCPNHP
- SB810
- SB810MA
- BCBSNC
- BCBSNC ASO
- Blue Cross Blue Shield North Carolina
- Blue Cross Blue Shield of North Carolina
- Blue Cross NC - Medicare Advantage
- Blue Cross NC – Dental Blue
- Partners National Health Plans of North Carolina Inc
- BCBSNC DENTAL BLUE - GROUP, INDIVIDUAL AND SENIOR
- BCBS NORTH CAROLINA
- HEALTHY BLUE NORTH CAROLINA
BlueCard home-plan routing
BCBS prefixes for Blue Cross NC
These 25 member ID prefixes resolve to Blue Cross NC as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
AHGBCBS prefixAOXBCBS prefixBZZBCBS prefixCJHBCBS prefixGDKBCBS prefixGFJBCBS prefixIOSBCBS prefixN3BBCBS prefixOORBCBS prefixS2OBCBS prefixSIOBCBS prefixUSSBCBS prefixY2HBCBS prefixY2KBCBS prefixY2LBCBS prefixY2PBCBS prefixY2QBCBS prefixY2UBCBS prefixY2VBCBS prefixY2YBCBS prefixY2ZBCBS prefixYEQBCBS prefixYPPBCBS prefixYPXBCBS prefixZ2EBCBS prefix
2027 maternity billing research
When does Blue Cross NC change OB/GYN billing?
Awareness notice only
Blue Cross NC announces maternity billing-process changes beginning mid-May 2026 to support services performed on or after January 1, 2027. Detailed billing guidance is forthcoming.
- Transition start
- Beginning mid-May 2026; exact date and billing steps unspecified
- Billing start
- January 1, 2027 — announced AMA coding update effective date
- Published
- 2026-05-26
- Current As Of
- August 2026
Scope: Blue Cross NC maternity medical-services billing; specific insurance products and commercial-only scope are not identified.
Changes to billing for global maternity services effective 1/1/27. Verify the payer source before claim submission.
Frequently asked questions
Blue Cross NC payer FAQs
How do I check claim status with Blue Cross NC?
Providers check Blue Cross NC via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Blue Cross NC portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Blue Cross NC?
The primary payer ID for Blue Cross NC is BCSNC. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Blue Cross NC?
The provider portal for Blue Cross NC is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Blue Cross NC?
The 837P and 837I payer ID for Blue Cross NC is BCSNC via Stedi.
What is the 835 payer ID for Blue Cross NC?
The 835 payer ID for Blue Cross NC is BCSNC via Stedi.
What is the 270 payer ID for Blue Cross NC?
The 270 payer IDs for Blue Cross NC are BCSNC via Stedi and BCSNC via Availity.
What is the 276 payer ID for Blue Cross NC?
The 276 payer IDs for Blue Cross NC are BCSNC via Stedi and BCSNC via Availity.
What state does Blue Cross NC operate in?
Blue Cross NC operates in NC.
Routing reference
Blue Cross NC payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Blue Cross NCSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | NCSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | BCSNCSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | BCSNCSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | BCSNCEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | BCSNCSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | BCSNCSource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | BCSNCSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | BCSNCSource: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Blue Cross NC. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: BCBS NORTH CAROLINA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Blue Cross NC. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Blue Cross NC phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Eligibility / benefits phone
- (800) 676-2583Blue Cross NC
- Payer fax
(501) 212-8518Blue Cross NC
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(866) 411-2573 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(866) 411-2585 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(410) 781-7661 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
fax(800) 348-3804 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
fax(800) 453-4341 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
fax(833) 453-0101 | Other stated contextBenefit context: Coverage Basis |
| |
fax(833) 938-9934 | Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible |
| Hospital |
fax(844) 295-4637 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
fax(866) 606-6021 | Other stated contextBenefit context: Coverage Basis |
| |
fax(877) 665-5542 | Other stated contextBenefit context: Limitations |
| Hospital, Hospital, Hospital - Inpatient |
fax(501) 212-8518 |
| ||
fax(501) 378-2965 |
| ||
fax(501) 379-1200 |
| ||
fax(888) 282-1321 |
| ||
| phone(800) 335-8289 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 441-9188 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 451-0287 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 521-3605 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 523-4702 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Physician Visit - Office: Well |
| phone(800) 524-0149 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 610-0201 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 634-4832 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services |
| phone(800) 635-1928 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| 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 |
| Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Vision (Optometry) |
| phone(800) 723-4337 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 877-7195 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| 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 |
| Pharmacy |
| phone(844) 354-3241 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(844) 594-5084 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(844) 714-5678 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(844) 775-7419 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(855) 811-2218 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 335-1392 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 723-0514 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| 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 |
| Chiropractic, Pharmacy |
| phone(866) 827-9866 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 840-2655 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(866) 846-9350 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 769-7447 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 799-5783 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 265-7790 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Professional (Physician) Visit - Office |
| phone(888) 335-8296 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 274-7767 | Utilization managementBenefit context: Co-Insurance |
| Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient |
| phone(800) 832-7850 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(844) 594-5072 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(855) 343-4851 | Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(855) 984-2583 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 773-2884 | Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Chiropractic, Hospital - Inpatient |
| phone(877) 867-7610 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 924-7141 | Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description |
| Hospital - Outpatient, Pharmacy |
| phone(866) 325-1794 | PharmacyBenefit context: Benefit Description |
| Pharmacy |
| phone(866) 688-2242 | PharmacyBenefit context: Active Coverage |
| Pharmacy |
| phone(855) 339-8558 | Behavioral health, Other stated contextBenefit context: Active Coverage; Benefit context: Coverage Basis |
| Mental Health |
| phone(866) 322-1657 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(602) 864-4320 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient |
| phone(800) 232-2345 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient |
| phone(800) 248-2342 | Other stated contextBenefit context: Deductible |
| Hospital |
| phone(800) 344-5245 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 351-2370 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(800) 397-7337 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient, Hospital - Outpatient |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 452-8507 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 523-6435 | Other stated contextBenefit context: Co-Payment |
| Chiropractic, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services |
| phone(800) 541-6652 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(800) 572-2872 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 664-2583 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 678-9133 | Other stated contextBenefit context: Benefit Description |
| Chiropractic |
| phone(800) 780-7881 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(800) 827-4814 | Other stated contextBenefit context: Limitations |
| Hospital - Inpatient |
| phone(800) 832-3211 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(800) 841-9659 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 869-7093 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient |
| phone(800) 905-4102 | Other stated contextBenefit context: Active Coverage |
| Vision (Optometry) |
| phone(800) 972-4226 | Other stated contextBenefit context: Benefit Description |
| Chiropractic |
| phone(833) 447-4397 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(833) 462-0104 | Other stated contextBenefit context: Limitations |
| Hospital, Hospital, Hospital - Inpatient |
| phone(833) 592-9956 | Other stated contextBenefit context: Co-Insurance |
| Chiropractic, Hospital, Hospital, Hospital - Inpatient |
| phone(833) 663-8703 | Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible; Benefit context: Coverage Basis |
| Hospital |
| phone(844) 241-7087 | Other stated contextBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient |
| phone(855) 798-2627 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(866) 205-5107 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(866) 803-8002 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(866) 918-1595 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 324-2990 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 214-4844 |
| ||
| phone(800) 327-6716 |
| ||
| phone(800) 727-2227 |
| ||
| phone(844) 465-5227 |
| ||
| phone(877) 444-2374 |
| ||
| phone(888) 233-8351 |
|
Phone and fax numbers sourced directly from the payer response