Coverage profile
How Substrate can help you with Blue Medicare PPO/HMO of North Carolina
Substrate can help practices and billers with the following claims tasks for Blue Medicare PPO/HMO of North Carolina.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Medicare PPO/HMO of North Carolina.
Frequently asked questions
Blue Medicare PPO/HMO of North Carolina payer FAQs
What is the payer ID for Blue Medicare PPO/HMO of North Carolina?
The primary payer ID for Blue Medicare PPO/HMO of North Carolina is 56152. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Blue Medicare PPO/HMO of North Carolina?
The 837P and 837I payer ID for Blue Medicare PPO/HMO of North Carolina is 56152 via Stedi.
What is the 270 payer ID for Blue Medicare PPO/HMO of North Carolina?
The 270 payer ID for Blue Medicare PPO/HMO of North Carolina is 56152 via Stedi.
Routing reference
Blue Medicare PPO/HMO of North Carolina 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 Medicare PPO/HMO of North CarolinaSource: Substrate payer directory · last refreshed |
|---|---|
| 837P professional claims payer IDStedi | 56152Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 56152Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 56152Source: Stedi 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 Medicare PPO/HMO of North Carolina. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 56152
- 7472
- 7514
- Medicare Blue HMO PPO
- BLUE MEDICARE HMO/PPO
- MEDCOSTPPO
