888-296-9790: Blue Cross and Blue Shield of North Carolina Provider Line
Quick answer
(888) 296-9790 reaches Blue Cross NC (provider services (medicare)). It is answered by automated phone menu → voicemail → hold queue. From the greeting, press 1 for provider claims; press 2 for Medical oncology drug prior review; press 3 for skilled nursing facility authorization; press 4 for prescription drug coverage determination.
Line at a glance
| Health plan | Blue Cross NC |
|---|---|
| Department | Provider services (Medicare) |
| Purpose | Blue 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 |
| How to respond | Keypad or voice |
| Supported languages | English |
| Hours | 8:00 AM-8:00 PM |
| Have ready | Nothing requested in the greeting |
How to reach each option
| To reach | Do this | What happens |
|---|---|---|
| Provider claims | 1 | Opens a menuPlays Medicare plan notices, then an after-hours menu (hours 8 AM to 8 PM). |
| Prescription drug coverage determination | 1 then 1 | VoicemailTakes a message. |
| New medical prior authorization or hospitalization pre-certification | 1 then 2 | VoicemailTakes a message. |
| Appeal or grievance | 1 then 3 | VoicemailReaches the fast appeal voicemail box. |
| Medical oncology drug prior review | 2 | |
| Skilled nursing facility authorization | 3 | Opens a menuReaches Home and Community Care Transitions, serving Blue Cross NC, with options for hours and fax numbers, new authorization messages, appeals and QIO determinations. |
| Prescription drug coverage determination | 4 | |
| New medical prior authorization or hospitalization pre-certification | 5 | Opens a menuAsks which plan the authorization is for. |
| Medicare Advantage plan | 5 then 1 | Hold for an agentAfter hours, says the office is closed and holds for additional options. |
| Healthy Blue + Medicare plan | 5 then 2 | Opens a menuAsks whether the request is for 2025 or prior (1) or after January 1, 2026 (2). |
| Prime Therapeutics (pharmacy or provider) | 6 | Opens a menuReaches the Prime Therapeutics pharmacy help desk, which asks if you are a member, pharmacy or doctor's office. |
| Member | 6 then 1 or say member | |
| Pharmacy | 6 then 2 or say pharmacy | Opens a menuAsks if the call is about eligibility (1) or something else (2). |
| Doctor's office | 6 then 3 or say doctor | Transfers the callRecommends electronic prior authorization through surescripts.com or covermymeds.com, then connects the call. |
| Repeat menu | 9 | Opens a menuRepeats the menu. |
Shortcuts and conditional instructions
- If you are a provider with benefits or eligibility questions Log on to Blue e
Skip the call
- Electronic prior authorization (pharmacy) www.covermymeds.com
- Electronic prior authorization (pharmacy) surescripts.com
Questions about (888) 296-9790
How do providers check benefits and eligibility?
The greeting says to log on to Blue e.
Who handles skilled nursing facility authorizations?
Option 3 reaches Home and Community Care Transitions, which services Blue Cross NC.
How do doctors submit pharmacy prior authorizations faster?
Prime Therapeutics recommends electronic prior authorization through surescripts.com or covermymeds.com.