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North Carolina Medicaid

Medicaid NC

Primary payer ID
NCMCDCompare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Currently not answeringEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from North Carolina Medicaid? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with North Carolina Medicaid

Substrate can help practices and billers with the following claims tasks for North Carolina Medicaid.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with North Carolina Medicaid.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with North Carolina Medicaid.

Available

Frequently asked questions

North Carolina Medicaid payer FAQs

How do I check claim status with North Carolina Medicaid?

Providers check North Carolina Medicaid via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for North Carolina Medicaid?

The primary payer ID for North Carolina Medicaid is NCMCD. 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 North Carolina Medicaid?

The 837P and 837I payer ID for North Carolina Medicaid is NCMCD via Stedi.

What is the 835 payer ID for North Carolina Medicaid?

The 835 payer ID for North Carolina Medicaid is NCMCD via Stedi.

What is the 270 payer ID for North Carolina Medicaid?

The 270 payer IDs for North Carolina Medicaid are NCMCD via Stedi and NCMCD via Availity.

What is the 276 payer ID for North Carolina Medicaid?

The 276 payer IDs for North Carolina Medicaid are NCMCD via Stedi and NCMCD via Availity.

What state does North Carolina Medicaid operate in?

North Carolina Medicaid operates in NC.

Resource library

Routing reference

North Carolina Medicaid 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.

North Carolina Medicaid payer name, operating states, and transaction-specific payer IDs
Payer nameNorth Carolina Medicaid
Operating statesNC
837P professional claims payer IDStediNCMCDEnrollment required
837I institutional claims payer IDStediNCMCDEnrollment required
835 ERA payer IDStediNCMCDEnrollment required
270 eligibility payer IDStediNCMCD
270 eligibility payer IDAvailityNCMCDEnrollment required
276 claim status payer IDStediNCMCDEnrollment required
276 claim status payer IDAvailityNCMCDEnrollment required

Payer contact directory

North Carolina Medicaid 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.

Pharmacy phone
(800) 638-3302UNITEDHEALTHCARE OF NORTH CAROLINA
North Carolina Medicaid payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 638-3302PharmacyBenefit context: Active Coverage
  • UNITEDHEALTHCARE OF NORTH CAROLINA
Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug
phone(833) 552-3876PharmacyBenefit context: Active Coverage
  • CAROLINA COMPLETE HEALTH INC
Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug
phone(844) 594-5072PharmacyBenefit context: Active Coverage
  • BLUE CROSS AND BLUE SHIELD OF NORTH
Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug
phone(844) 594-5084PharmacyBenefit context: Active Coverage
  • BLUE CROSS AND BLUE SHIELD OF NORTH
Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug
phone(866) 799-5318PharmacyBenefit context: Active Coverage
  • WELLCARE OF NORTH CAROLINA INC
Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient
phone(877) 234-4274PharmacyBenefit context: Active Coverage
  • AMERIHEALTH CARITAS NORTH CAROLINA
Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug
phone(877) 283-6380PharmacyBenefit context: Active Coverage
  • UNITEDHEALTHCARE OF NORTH CAROLINA
Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug
phone(888) 738-0004PharmacyBenefit context: Active Coverage
  • AMERIHEALTH CARITAS NORTH CAROLINA
Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug
phone(800) 849-6127Behavioral healthBenefit context: Active Coverage
  • VAYA HEALTH
Mental Health
phone(866) 998-2597Behavioral healthBenefit context: Active Coverage
  • TRILLIUM HEALTH RESOURCES
Mental Health
phone(888) 235-4673Behavioral healthBenefit context: Active Coverage
  • PARTNERS BEHAVIORAL HEALTH MANAG
Mental Health
phone(800) 688-6696
  • NCTRACKS

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 10156
  • 12K23
  • 1561250855
  • 377
  • CKNC1
  • DNC00
  • NCMCD
  • NCTRACKS
  • SKNC0
  • Medicaid North Carolina
  • NC Medicaid
  • NCDHHS
  • NCMEDICAID